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Guidelines for management of sodium hypochlorite extrusion injuries.

Abstract
Sodium hypochlorite (NaOCl) is the most common irrigant used in modern endodontics. It is highly effective at dissolving organic debris and disinfecting the root canal system due to the high pH. Extravasation of NaOCl into intra-oral and extra-oral tissues can lead to devastating outcomes leading to long-term functional and aesthetic deficits. Currently no clear guidelines are available which has caused confusion among the dental and oral and maxillofacial (OMFS) surgical community how best to manage these patients. Following a literature review and considering our own experience we have formulated clear and precise guidelines to manage patients with NaOCl injury.
AuthorsS A Farook, V Shah, D Lenouvel, O Sheikh, Z Sadiq, L Cascarini, R Webb
JournalBritish dental journal (Br Dent J) Vol. 217 Issue 12 Pg. 679-84 (Dec 2014) ISSN: 1476-5373 [Electronic] England
PMID25525012 (Publication Type: Journal Article, Review)
Chemical References
  • Root Canal Irrigants
  • Sodium Hypochlorite
Topics
  • Dental Pulp Cavity (drug effects, injuries)
  • Humans
  • Practice Guidelines as Topic
  • Root Canal Irrigants (adverse effects, therapeutic use)
  • Root Canal Preparation (adverse effects, methods)
  • Sodium Hypochlorite (adverse effects, therapeutic use)

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