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Hypochlorite Accident in a Pediatric Patient.
A Bhandari1, R Shrestha1, S Upadhyay1
1Department of Pediatric and Preventive Dentistry, Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
Sodium hypochlorite (NaOCl) dental accidents can be managed effectively. Prompt irrigation and antibiotics led to successful healing in a pediatric pulpotomy case involving accidental NaOCl injection.
Area of Science:
- Dentistry
- Endodontics
- Accident Management
Background:
- Sodium hypochlorite (NaOCl) is a common irrigant in dental procedures.
- Accidental injection of NaOCl can occur during treatments like pulpotomy.
- Patient safety protocols are crucial in dental practice.
Observation:
- A 10-year-old girl received accidental NaOCl injection instead of local anesthesia during a pulpotomy.
- The incident involved the administration of the wrong solution, leading to potential tissue damage.
Findings:
- Immediate management included thorough lavage with normal saline and local anesthetic injection.
- The patient was subsequently treated with oral antibiotics.
- Post-treatment follow-up revealed complete healing of the affected area.
Implications:
- This case highlights the importance of prompt and appropriate management of NaOCl accidents.
- Effective intervention can mitigate severe complications from accidental NaOCl extravasation.
- Standardized protocols for managing such dental mishaps are essential for patient outcomes.
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