Treatment protocol for the management of a sodium hypochlorite accident during endodontic therapy.
During routine endodontic therapy, sodium hypochlorite inadvertently was forced out the apex of tooth No. 12. The patient experienced immediate severe pain, swelling, and hemorrhage from the canal access. Treatment was palliative, including patient education and reassurance, narcotic analgesics, cold and hot compresses, and multiple follow-up visits.
Hales
J J
JJ
West Virginia University School of Dentistry, USA.
Jackson
C R
CR
Everett
A P
AP
Moore
S H
SH
D000368:Aged; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000891:Anti-Infective Agents, Local / Q000009:adverse effects*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002985:Clinical Protocols; D004438:Ecchymosis / Q000139:chemically induced; D004487:Edema / Q000139:chemically induced; D005157:Facial Pain / Q000139:chemically induced; D005260:Female; D005500:Follow-Up Studies; D006470:Hemorrhage / Q000139:chemically induced; D006801:Humans; D010166:Palliative Care; D010353:Patient Education as Topic; D010483:Periapical Diseases / Q000139:chemically induced; D010486:Periapical Tissue / Q000187:drug effects; D012388:Root Canal Irrigants / Q000009:adverse effects*; D018915:Root Canal Preparation / Q000009:adverse effects*; D012973:Sodium Hypochlorite / Q000009:adverse effects*; D016896:Treatment Outcome
D000701:Analgesics, Opioid; D000891:Anti-Infective Agents, Local; D000894:Anti-Inflammatory Agents, Non-Steroidal; D012388:Root Canal Irrigants; D012973:Sodium Hypochlorite