Document Detail


The sodium hypochlorite accident: experience of diplomates of the American Board of Endodontics.
MedLine Citation:
PMID:  18928844     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To better understand the etiology associated with sodium hypochlorite accidents, we surveyed diplomates of the American Board of Endodontics. Of the 314 diplomates who responded, 132 reported experiencing a sodium hypochlorite accident. Questions were asked about the age and sex of the patient as well as the tooth being treated, preoperative signs, symptoms, diagnosis, and radiographic appearance. Data were analyzed by chi-square tests. Significantly more women experienced sodium hypochlorite accidents compared with men (p < 0.0001). More maxillary teeth than mandibular teeth (p < 0.0001) and more posterior than anterior teeth (p < 0.0001) were involved. A diagnosis of pulp necrosis with radiographic findings of periradicular radiolucency were positively associated with such accidents (p < 0.0001). Most respondents reported that patient signs and symptoms completely resolved within a month. The occurrence of an accident, by itself, did not adversely affect the endodontic prognosis of the involved tooth. Anatomic variations may contribute significantly to the occurrence of a sodium hypochlorite accident.
Authors:
Donald J Kleier; Robert E Averbach; Omid Mehdipour
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Publication Detail:
Type:  Journal Article     Date:  2008-08-30
Journal Detail:
Title:  Journal of endodontics     Volume:  34     ISSN:  1878-3554     ISO Abbreviation:  J Endod     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-20     Completed Date:  2009-02-06     Revised Date:  2009-05-21    
Medline Journal Info:
Nlm Unique ID:  7511484     Medline TA:  J Endod     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1346-50     Citation Subset:  D    
Affiliation:
School of Dental Medicine, University of Colorado Denver, Aurora, CO 80045, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Alveolar Bone Loss / pathology
Bicuspid
Endodontics*
Extravasation of Diagnostic and Therapeutic Materials / etiology*
Female
Humans
Male
Maxilla
Middle Aged
Molar
Root Canal Irrigants / adverse effects*
Root Canal Preparation / adverse effects*
Sodium Hypochlorite / adverse effects*
Young Adult
Chemical
Reg. No./Substance:
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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