Sodium hypochlorite chemical burn. Case report.
Sodium hypochlorite (NaOCl) is a well documented and widely accepted intracanal irrigant used to disinfect the pulp space in endodontic therapy. NaOCl can be an extremely cytotoxic material; therefore, care must be taken with its use. The authors present a case of periradicular extravasation of NaOCl with sequelae of pain, swelling, ecchymosis and parasthesia consistent with a chemical burn. The patient was treated with a nonsurgical medical management approach. She experienced a complete resolution of signs and symptoms, aside from a persistent residual focal parasthesia.
Farren
Seth T
ST
Department of Oral and Maxillofacial Surgery, Nassau University Medical Center, East Meadow, NY, USA. sfarren@NUMC.edu
Sadoff
Rory S
RS
Penna
Kevin J
KJ
D001641:Bicuspid; D002057:Burns, Chemical / Q000209:etiology*; D004438:Ecchymosis / Q000139:chemically induced; D004487:Edema / Q000139:chemically induced; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications; D005145:Face; D005260:Female; D006801:Humans; D008437:Maxilla; D008875:Middle Aged; D010292:Paresthesia / Q000139:chemically induced; D010486:Periapical Tissue / Q000187:drug effects / Q000293:injuries*; D012388:Root Canal Irrigants / Q000009:adverse effects*; D012973:Sodium Hypochlorite / Q000009:adverse effects*
D012388:Root Canal Irrigants; D012973:Sodium Hypochlorite