Risks and Management of Sodium Hypochlorite in Endodontics

Aim: The aim of this article is to provide the dental practitioner about the potential inadvertent effects of sodium hypochlorite and its management on encountering a dental emergency. Summary: As a major objective of root canal treatment is to disinfect the entire root canal system which requires the elimination of pulpal contents and sources of infection by using mechanical instrumentation, chemical irrigants in conduction with intra canal medicaments. However, there remains a risk of extrusion of these irrigants beyond and into the surrounding tissues which causes severe complications. Conclusion: This article discusses the use of sodium hypochlorite with its inadvertent effects. Complications with the use of sodium hypochlorite can be avoided by the use of specialized needles, avoiding excessive pressure, not wedging the needle tip in the canal. Early recognition and management of advertent effects of sodium hypochlorite remains vital for the patient’s safety.