Sodium hypochlorite extrusion accidents: management and medico-legal considerations

Kanagasingam, Shalini and Blum, Igor (2020) Sodium hypochlorite extrusion accidents: management and medico-legal considerations. Primary Dental Journal, 9 (4). pp. 59-63. ISSN 2050-1684

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Official URL: https://doi.org/10.1177/2050168420963308

Abstract

Sodium hypochlorite is considered the most widely used irrigant in endodontics as it exhibits effective antimicrobial activity and has potent tissue-dissolving ability. Whilst it is considered safe when used within the confines of the root canal system, it can cause serious complications when inadvertent periradicular extrusion occurs. This article outlines the complications of sodium hypochlorite extrusion and reviews the appropriate management based on the contemporary evidence. Preventive measures are suggested and the relevant medico-legal considerations are outlined.


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