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Sodium hypochlorite chemical burn. Case report.
Seth T Farren1, Rory S Sadoff, Kevin J Penna
1Department of Oral and Maxillofacial Surgery, Nassau University Medical Center, East Meadow, NY, USA. sfarren@NUMC.edu
The New York State Dental Journal
|April 12, 2008
Summary
Sodium hypochlorite (NaOCl), a common endodontic irrigant, can cause severe chemical burns if it extravasates. This case report details a patient
Area of Science:
- Endodontic therapy
- Dental materials science
- Oral surgery
Background:
- Sodium hypochlorite (NaOCl) is a standard irrigant for disinfecting root canals.
- NaOCl is known for its cytotoxicity, necessitating careful handling during endodontic procedures.
Observation:
- A case of periradicular sodium hypochlorite extravasation is presented.
- The patient exhibited symptoms of pain, swelling, ecchymosis, and paresthesia, indicative of a chemical burn.
Findings:
- Nonsurgical medical management was employed for the NaOCl extravasation.
- Complete resolution of acute signs and symptoms was achieved, with residual focal paresthesia noted.
Implications:
- Highlights the risks associated with NaOCl extravasation in endodontics.
- Demonstrates the efficacy of conservative management for NaOCl chemical burns.
- Emphasizes the importance of meticulous irrigation techniques to prevent complications.
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