title: Management of the sodium hypochlorite accident: a rare but significant complication of root canal treatment.
abstract: A 66-year-old female patient presented to the accident and emergency department, 3 h following a dental appointment. Significant right-sided facial swelling, bruising and pain were present. The patient had been sent by her general dental practitioner with a covering letter explaining that a hypochlorite accident had occurred during root canal treatment of the upper right first premolar tooth. An iatrogenic perforation was suspected. The patient was admitted under the care of the maxillofacial team and intravenous antibiotics, analgesia and steroids were administered. The patient was prepared for the possibility of requiring surgical intervention under a general anaesthetic. No nerve injury was encountered and the periorbital tissues were spared. A full recovery was made by the patient with no surgical intervention required but significant bruising and swelling were present up to 4 weeks following the incident.
authors: Department of Maxillofacial Unit, Western Sussex Hospital's Trust, Chichester, West Sussex, UK.
authors: Jonathan
authors: http://orcid.org/0000-0001-6926-4256
authors: J
authors: Hatton
authors: Department of Maxillofacial Unit, Western Sussex Hospital's Trust, Chichester, West Sussex, UK.
authors: Stephen
authors: S
authors: Walsh
authors: Department of Maxillofacial Unit, Western Sussex Hospital's Trust, Chichester, West Sussex, UK.
authors: Alan
authors: A
authors: Wilson
mesh_terms: D000082:Acetaminophen / Q000008:administration & dosage; D000368:Aged; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000008:administration & dosage; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D054893:Cone-Beam Computed Tomography; D003907:Dexamethasone / Q000008:administration & dosage; D004487:Edema / Q000139:chemically induced* / Q000000981:diagnostic imaging; D005157:Facial Pain / Q000139:chemically induced* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D012388:Root Canal Irrigants / Q000008:administration & dosage / Q000009:adverse effects*; D018915:Root Canal Preparation; D012390:Root Canal Therapy / Q000009:adverse effects*; D012973:Sodium Hypochlorite / Q000008:administration & dosage / Q000009:adverse effects*; D019227:Tooth Apex / Q000000981:diagnostic imaging / Q000293:injuries*; D016896:Treatment Outcome; D065093:beta-Lactamase Inhibitors / Q000008:administration & dosage
chemical_list: D018712:Analgesics, Non-Narcotic; D000893:Anti-Inflammatory Agents; D012388:Root Canal Irrigants; D065093:beta-Lactamase Inhibitors; D000082:Acetaminophen; D019980:Amoxicillin-Potassium Clavulanate Combination; D003907:Dexamethasone; D012973:Sodium Hypochlorite