ISSN 2756-3421
African Journal of Dentistry ISSN 2756-3421 Vol. 12 (3), pp. 001-004, March, 2024. Available online at www.internationalscholarsjournals.org © International Scholars Journals
Case Report
Navigating Complications in Endodontic Treatment: A Case report of Accidental Sodium Hypochlorite Extrusion
Rupika Bither1 and Saurab Bither2*
1Department of Periodontology and Oral Implantology, Luxmi Bai Institute of Dental Sciences and Hospital, Patiala,
Punjab, 147001 India.
2Department of Oral and Maxillofacial Surgery, Luxmi Bai Institute of Dental Sciences and Hospital, Patiala, Punjab,
147001 India. *Corresponding author. E-mail: [email protected]. Tel: +919646002585.
Accepted 11 January, 2024
Abstract
Root canal irrigants play a significant role in the elimination of microorganisms, removal of debris and smear layer from the root canals, and tissue dissolution. However, there remains a risk of extrusion of irrigants beyond the root canal system. Sodium hypochlorite is the most commonly used irrigant in endodontics due to its ability to dissolve organic soft tissue in the root canal system and its action as a powerful antimicrobial agent. However, if the sodium hypochlorite comes into contact with vital tissues, it can lead to complications ranging from minor discomfort to severe tissue damage. The present case report discusses the inadvertent effects and management of accidental extrusion of sodium hypochlorite solution into the periradicular tissues through lateral perforation of maxillary right second premolar in the course of root canal treatment.
Key words: Sodium hypochlorite, irrigation, root canal treatment, extrusion.