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Published on: June 29, 2014
Sodium Hypochlorite Extrusion Accidents: Management and Medico-Legal Considerations
Shalini Kanagasingam1,2, Igor R Blum2
1Senior Clinical Lecturer, Course Lead MSc and MClinDent in Endodontology School of Dentistry, Faculty of Clinical and Biomedical Sciences, University of Central Lancashire, Preston, UK.
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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