title: Complication of improper management of sodium hypochlorite accident during root canal treatment.
abstract: Sodium Hypochlorite (NaOCl) is a common irrigation solution used in root canal treatment. It has strong antibacterial and tissue dissolving properties. Nevertheless, it has some serious complications, some of which are life-threatening. A young male presented with severe chemical burn of the right infraorbital area and partial necrosis of the hard palate resulting from extrusion of NaOCl during root canal treatment of the upper right 2ndmolar tooth. The patient had a facial scar, and mucosal damage healed nearly completely. Several precautions must be taken during NaOCl use to prevent the spread of the solution into surrounding tissues. Early recognition of NaOCl accident and proper immediate management are important to achieve the best possible outcome.
authors.affiliation: Department of ORL, Head and Neck Surgery, Zain and AL-Sabah Hospitals, Kuwait.
authors.forename: Fatemah
authors.initials: F
authors.lastname: Faras
authors.affiliation: Department of General Surgery, Al-Adan Hospital, Kuwait.
authors.forename: Fawaz
authors.initials: F
authors.lastname: Abo-Alhassan
authors.affiliation: Department of Dentistry, Al-Amiri Hospital, Kuwait.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Sadeq
authors.affiliation: Department of Plastic and Reconstructive Surgery, Al-babtain Centre, Kuwait.
authors.forename: Hisham
authors.initials: H
authors.lastname: Burezq
keywords: Endodontic; Hulsmann criteria; root canal; sodium hypochlorite