Accidental infiltration of sodium hypochlorite in endodontics: diagnosis and treatment
DOI:
https://doi.org/10.15332/us.v22i2.2923Keywords:
Sodium Hypochlorite, Accident, Endodontics, Iatrogenic, PharmacologicalAbstract
Objectives: report a clinical case by perforation of the pulp chamber floor and accidental infiltration of sodium hypochlorite, a clinical and pharmacological management protocol established for this eventuality. Presentation of the case: a double perforation of the pulp chamber floor and accidental infiltration of sodium hypochlorite into the dental organ 17. Clinical and pharmacological measures taken after the accident with sodium hypochlorite, as well as immediate corticotherapy, analgesia to complete the prophylactic antibiotic management in a 50-year-old patient. Conclusion: The complication during the biomechanical preparation and irrigation with sodium hypochlorite is related to forced irrigation at the level of the apical foramen as a result of an eventuality such as an apical perforation, producing an extravasation of the substance towards periapical tissues. The management of this accident was carried out with analgesics and corticoids reducing the aggressiveness of the symptomatology presented by the patient, as well as antibiotic prophylaxis, reducing the risk of hystastic damage.
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