Article
Bone necrosis as a complication of sodium hypochlorite extrusion. A case report
Author/s | Ortiz Alves, Tatiana
Díaz Sánchez, Rosa María Gutiérrez Pérez, José Luis ![]() ![]() ![]() ![]() ![]() ![]() González Martín, María Isabel ![]() ![]() ![]() ![]() ![]() Serrera Figallo, María de los Ángeles ![]() ![]() ![]() ![]() ![]() ![]() ![]() Torres-Lagares, Daniel ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Department | Universidad de Sevilla. Departamento de Estomatología |
Publication Date | 2022-08-16 |
Deposit Date | 2024-06-20 |
Published in |
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Abstract | Sodium hypochlorite is the most used irrigant in endodontics, although its toxic effect on tissue is known. Sodium
hypochlorite extrusion to periapical tissue can cause complications of varying severity, from oedemas and ... Sodium hypochlorite is the most used irrigant in endodontics, although its toxic effect on tissue is known. Sodium hypochlorite extrusion to periapical tissue can cause complications of varying severity, from oedemas and haemorrhagic lesions to life-threatening ones due to airway compromise. Our patient attended the Oral and Maxillofacial Surgery department of the Virgen del Rocío University Hospital and was referred by his dentist after bone exposure as a result of irrigant extrusion during endodontics on tooth 14. Sodium hypochlorite caused significant bone and mucosal tissue necrosis to teeth 13-16, with communication to the maxillary sinus. Several surgical procedures were needed to perform the correct debridement of the necrotic tissue and obtain good mucous. Precautions need to be taken during the use of NaOCl to avoid spreading to surrounding tissue. In cases with open apexes and apical lesion, the use of safer irrigants should be considered as an alternative. |
Citation | Ortiz Alves, T., Díaz Sánchez, R.M., Gutiérrez Pérez, J.L., González Martín, M.I., Serrera Figallo, M.d.l.Á. y Torres-Lagares, D. (2022). Bone necrosis as a complication of sodium hypochlorite extrusion. A case report. Journal of Clinical and Experimental Dentistry, 14 (10), 885-889. https://doi.org/10.4317/jced.59862. |
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