Sodium hypochlorite accident with evaluation by cone beam computed tomography
Article first published online: 27 JAN 2012
© 2012 International Endodontic Journal
International Endodontic Journal
Volume 45, Issue 5, pages 492–498, May 2012
How to Cite
Behrents, K. T., Speer, M. L. and Noujeim, M. (2012), Sodium hypochlorite accident with evaluation by cone beam computed tomography. International Endodontic Journal, 45: 492–498. doi: 10.1111/j.1365-2591.2011.02009.x
- Issue published online: 9 APR 2012
- Article first published online: 27 JAN 2012
- Received 18 May 2011; accepted 15 December 2011
- cone beam computed tomography;
- sodium hypochlorite
Behrents KT, Speer ML, Noujeim M. Sodium hypochlorite accident with evaluation by cone beam computed tomography. International Endodontic Journal, 45, 492–498, 2012.
Aim To show the radiographic manifestation of sodium hypochlorite after accidental injection past the apical foramen and into the soft tissues.
Summary A female patient was seen for an emergency visit after suffering a sodium hypochlorite accident at her general dentist’s office. The patient was seen within 1 h of the accident and was in pain associated with facial swelling. Radiographs, including a Cone Beam Computed Tomography (CBCT), and photographs were taken. Endodontic emergency treatment was initiated. The patient was reassured and given pain medication and antibiotics. Follow-up visits were scheduled over 6 days when the swelling had resolved.
Key learning points
- • Importance of multiple radiographic images during preoperative endodontic evaluation when undertaking endodontic retreatment.
- • Knowledge of apical anatomy as related to surrounding structures.
- • Effect of sodium hypochlorite when injected in the soft tissues.