Document Detail


Accidental injection with sodium hypochlorite: report of a case.
MedLine Citation:
PMID:  19134046     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: A case is reported in which sodium hypochlorite (NaOCl) was mistaken for anaesthetic solution and infiltrated into the buccal mucosa during routine root canal treatment. SUMMARY: A 1.5% sodium hypochlorite solution, kept in an anaesthetic cartridge, was inadvertently injected in the buccal mucosa of a 56-year-old female during routine root canal treatment. Soft tissue necrosis, labial ptosis and paraesthesia occurred shortly after the injection. Tissues healed with scarring and lip paraesthesia persisted for 3 years. KEY LEARNING POINTS: * NaOCl is highly irritant when introduced into oral tissues. * NaOCl solutions should not be kept in anaesthetic cartridges. * Accidents with NaOCl should be carefully assessed and when appropriate active hospital treatment should be sought. * Early recognition of NaOCl accidents may avert potentially more serious outcomes.
Authors:
M V Motta; M A L Chaves-Mendonca; C G Stirton; H F Cardozo
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  International endodontic journal     Volume:  42     ISSN:  1365-2591     ISO Abbreviation:  Int Endod J     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-12     Completed Date:  2009-04-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8004996     Medline TA:  Int Endod J     Country:  England    
Other Details:
Languages:  eng     Pagination:  175-82     Citation Subset:  D    
Affiliation:
Faculdade de Odontologia, Departamento de Odontologia Social, Universidade de São Paulo, São Paulo, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Accidents*
Anesthetics, Local / administration & dosage*
Female
Follow-Up Studies
Humans
Injections / adverse effects
Lip Diseases / chemically induced
Middle Aged
Mouth Mucosa / drug effects*
Necrosis
Paresthesia / chemically induced
Root Canal Irrigants / administration & dosage*,  adverse effects
Root Canal Therapy / adverse effects*
Sodium Hypochlorite / administration & dosage*,  adverse effects
Vision Disorders / chemically induced
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 0/Root Canal Irrigants; 7681-52-9/Sodium Hypochlorite

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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