RT Journal Article
SR Electronic
T1 Management of the sodium hypochlorite accident: a rare but significant complication of root canal treatment
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2014207480
DO 10.1136/bcr-2014-207480
VO 2015
A1 Hatton, Jonathan
A1 Walsh, Stephen
A1 Wilson, Alan
YR 2015
UL http://casereports.bmj.com/content/2015/bcr-2014-207480.abstract
AB A 66-year-old female patient presented to the accident and emergency department, 3 h following a dental appointment. Significant right-sided facial swelling, bruising and pain were present. The patient had been sent by her general dental practitioner with a covering letter explaining that a hypochlorite accident had occurred during root canal treatment of the upper right first premolar tooth. An iatrogenic perforation was suspected. The patient was admitted under the care of the maxillofacial team and intravenous antibiotics, analgesia and steroids were administered. The patient was prepared for the possibility of requiring surgical intervention under a general anaesthetic. No nerve injury was encountered and the periorbital tissues were spared. A full recovery was made by the patient with no surgical intervention required but significant bruising and swelling were present up to 4 weeks following the incident.