Management of Sodium Hypochlorite Accident: A Case Report

Abstract

Root canal treatment, or endodontic treatment, is a procedure frequently done to debride, disinfect, and remove residual microorganisms found in infected root canals of teeth. Certain chemicals have been found to be effective in disinfecting the root canal system with different success rates. Sodium hypochlorite (NaOCl) is a common irrigation solution and disinfectant used in root canal treatment. It has strong antibacterial and tissue-dissolving properties. Although it is a potential irrigant, but severe complications can occur when it comes into contact with soft tissue especially due to its cytotoxic features, some of which are life-threatening. This case report documents successful management after accidental extrusion of NaOCl into the periapical area and explains precautionary management protocols for such cases.