Sodium hypochlorite irrigation accident, a literature review
Keywords:
SODIUM HYPOCHLORITE, ACCIDENTS, ENDODONTICS.Abstract
Sodium hypochlorite is a substance of great application in endodontics, with a cost-benefit ratio. Despite its antimicrobial capacity to eliminate bacteria and dissolve organic tissue debris found in canals, its extrusion beyond the apical foramen leads to tissue destruction and necrosis, which can endanger the patient's health. In order to describe sodium hypochlorite irrigation accidents, a literature review was carried out. Among the most common symptoms are acute pain, inflammation, redness, hematomas, profuse bleeding, facial nerve weakness and secondary infection, sinusitis and cellulitis. Treatment includes removal of agent debris, pain control by administration of analgesics and local anesthesia, use of extraoral cold compresses for inflammation, antibiotics in cases where secondary infection is present, and surgical care if necessary.
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