Inadvertent injection of sodium hypochlorite into the maxillary sinus.
A previously undocumented complication of root canal therapy is reported. A dilute solution of 5-10 mls sodium hypochlorite was inadvertently injected into the maxillary sinus during root canal therapy of a right upper second premolar (5). The patient developed acute, sudden, severe facial pain and swelling necessitating emergency admission to hospital and operative intervention under general anaesthesia. A diagnosis of acute chemical sinusitus was made, further management and discussion follow.
Kavanagh
C P
CP
Department of Oral and Maxillo-Facial Surgery, King's College Hospital, London.
Taylor
J
J
D000059:Accidents; D000208:Acute Disease; D000328:Adult; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage / Q000009:adverse effects*; D001641:Bicuspid; D004487:Edema / Q000139:chemically induced; D005157:Facial Pain / Q000139:chemically induced; D006801:Humans; D007267:Injections / Q000009:adverse effects; D008297:Male; D008443:Maxillary Sinus / Q000187:drug effects*; D015523:Maxillary Sinusitis / Q000139:chemically induced* / Q000601:surgery; D012388:Root Canal Irrigants / Q000008:administration & dosage / Q000009:adverse effects*; D012390:Root Canal Therapy / Q000009:adverse effects*; D012973:Sodium Hypochlorite / Q000008:administration & dosage / Q000009:adverse effects*
D000891:Anti-Infective Agents, Local; D012388:Root Canal Irrigants; D012973:Sodium Hypochlorite