CASE REPORT: Neurological complications following extrusion of sodium hypochlorite solution during root canal treatment

Aim: To report the presentation and management of two cases with neurological complications secondary to the extrusion of sodium hypochlorite solution into the facial soft tissues during root canal treatment. The clinical features, with particular emphasis on nerve deficit following inadvertent extr...

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Bibliographic Details
Published in:International endodontic journal 2005-11, Vol.38 (11), p.843-848
Main Authors: Witton, R, Henthorn, K, Ethunandan, M, Harmer, S, Brennan, P A
Format: Article
Language:English
Online Access:Get full text
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Summary:Aim: To report the presentation and management of two cases with neurological complications secondary to the extrusion of sodium hypochlorite solution into the facial soft tissues during root canal treatment. The clinical features, with particular emphasis on nerve deficit following inadvertent extrusion of sodium hypochlorite, are discussed and its management highlighted. Early and aggressive treatment is advocated following such incidents in order to reduce potentially serious complications. Key learning points: Neurological sequelae can follow inadvertent hypochlorite extrusion. Early recognition may avert a potentially more serious outcome. Active hospital treatment including intravenous steroids and antibiotics is recommended.
ISSN:0143-2885
1365-2591
DOI:10.1111/j.1365-2591.2005.01017.x