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The Portable Chemical Sterilizer PCS, D-FENS, and D-FEND ALL: Novel Chlorine Dioxide Decontamination Technologies for the Military

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Sodium Hypochlorite Accident: A Systematic Review.

Maud Guivarc'h¹, Ugo Ordioni², Hany Mohamed Aly Ahmed³

¹UFR Odontologie de Marseille, Aix-Marseille Université, Assistance Publique des Hôpitaux de Marseille, Marseille, France; UMR 7268-ADÉS Aix-Marseille Université-EFS-CNRS, Faculté de Médecine de Marseille, France.

Journal of Endodontics

|December 18, 2016

Summary

Sodium hypochlorite (NaOCl) extrusion during root canal therapy, or hypochlorite accidents, are rare but require standardized reporting. This systematic review synthesizes existing case reports and proposes a template for future data collection.

Keywords:

Apical extrusion endodontics irrigant review sodium hypochlorite

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Area of Science:

Endodontics
Dental Traumatology
Systematic Reviews

Background:

Sodium hypochlorite (NaOCl) extrusion beyond the apex, termed

Purpose of the Study:

To systematically review and synthesize data from published case reports on NaOCl extrusions.
To propose a standardized template for reporting NaOCl extrusion data to improve future case series.

Main Methods:

Systematic review conducted in June 2016.
Searched PubMed database and performed manual searches.
Followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist.

Main Results:

Analyzed 52 case reports from 40 articles (1974-2015).
Identified four data categories: general/clinical info, signs/symptoms, management, and healing/prognosis.
Observed unsystematic reporting and missing information in existing case reports.

Conclusions:

Standardized data reporting is crucial for understanding NaOCl accidents.
A proposed template aims to facilitate consistent data collection and analysis.
Improved understanding of causes, management, and prognosis can be achieved through standardization.