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Adverse Reaction of Sodium Hypochlorite during Endodontic Treatment of Primary Teeth.

Chaugule VB, Panse AM, Gawali PN - Int J Clin Pediatr Dent (2015)

Bottom Line: Despite its safe properties, serious complications can result from inadvertent use due to its cytotoxic features.Present article highlights one of such cases of NaOCl accident and its successful management in a 4-year-old child.Int J Clin Pediatr Dent 2015;8(2):153-156.

View Article: PubMed Central - PubMed

Affiliation: Professor and Head, Department of Pedodontics, Sinhgad Dental College, Pune Maharashtra, India.

ABSTRACT
Sodium hypochlorite (NaOCl) is the most common and effective intracanal medicament used in root canal treatments, because of its low-cost and a very effective antimicrobial activity against microbiota of infected root canals. Sodium hypochlorite is an effective intracanal irrigant and is used in concentrations ranging from 0.5 to 5.25%. At these concentrations, it is highly hypertonic and strongly alkaline with pH 11 to 13. Despite its safe properties, serious complications can result from inadvertent use due to its cytotoxic features. Most of the complications are the result of accidental extrusion of the solution from the apical foramen or accessory canals or perforations into the periapical area. Although it is an effective solution for disinfection of root canal system, fewer incidence of complications are reported, especially in primary teeth. Present article highlights one of such cases of NaOCl accident and its successful management in a 4-year-old child. How to cite this article: Chaugule VB, Panse AM, Gawali PN. Adverse Reaction of Sodium Hypochlorite during Endo-dontic Treatment of Primary Teeth. Int J Clin Pediatr Dent 2015;8(2):153-156.

No MeSH data available.


Clinical picture of the patient after 7 days showing normal tissue contour
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Figure 3: Clinical picture of the patient after 7 days showing normal tissue contour

Mentions: On the 3rd day, the swelling reduced gradually, however a mild swelling was still evident (Fig. 2). Patient was regularly monitored at the subsequent recall appointments. Swelling completely disappeared on the 7th day and the patient regained her previous facial appearance (Fig. 3). Endodontic treatment of the affected teeth was re-initiated thereafter and completed.


Adverse Reaction of Sodium Hypochlorite during Endodontic Treatment of Primary Teeth.

Chaugule VB, Panse AM, Gawali PN - Int J Clin Pediatr Dent (2015)

Clinical picture of the patient after 7 days showing normal tissue contour
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4562052&req=5

Figure 3: Clinical picture of the patient after 7 days showing normal tissue contour
Mentions: On the 3rd day, the swelling reduced gradually, however a mild swelling was still evident (Fig. 2). Patient was regularly monitored at the subsequent recall appointments. Swelling completely disappeared on the 7th day and the patient regained her previous facial appearance (Fig. 3). Endodontic treatment of the affected teeth was re-initiated thereafter and completed.

Bottom Line: Despite its safe properties, serious complications can result from inadvertent use due to its cytotoxic features.Present article highlights one of such cases of NaOCl accident and its successful management in a 4-year-old child.Int J Clin Pediatr Dent 2015;8(2):153-156.

View Article: PubMed Central - PubMed

Affiliation: Professor and Head, Department of Pedodontics, Sinhgad Dental College, Pune Maharashtra, India.

ABSTRACT
Sodium hypochlorite (NaOCl) is the most common and effective intracanal medicament used in root canal treatments, because of its low-cost and a very effective antimicrobial activity against microbiota of infected root canals. Sodium hypochlorite is an effective intracanal irrigant and is used in concentrations ranging from 0.5 to 5.25%. At these concentrations, it is highly hypertonic and strongly alkaline with pH 11 to 13. Despite its safe properties, serious complications can result from inadvertent use due to its cytotoxic features. Most of the complications are the result of accidental extrusion of the solution from the apical foramen or accessory canals or perforations into the periapical area. Although it is an effective solution for disinfection of root canal system, fewer incidence of complications are reported, especially in primary teeth. Present article highlights one of such cases of NaOCl accident and its successful management in a 4-year-old child. How to cite this article: Chaugule VB, Panse AM, Gawali PN. Adverse Reaction of Sodium Hypochlorite during Endo-dontic Treatment of Primary Teeth. Int J Clin Pediatr Dent 2015;8(2):153-156.

No MeSH data available.