Browse > Article
http://dx.doi.org/10.5933/JKAPD.2012.39.2.186

COMPLICATIONS OF SODIUM HYPOCHLORITE DURING RE-ENDODONTIC TREATMENT OF MAXILLARY PRIMARY CENTRAL INCISOR : A CASE REPORT  

Hong, So-Yi (Division of Pediatric Dentistry, Department of Dentistry, Ewha Womans University Mokdong Hospital)
Kim, Jin-Woo (Division of Oral and Maxillofacial Surgery, Department of Dentistry, Ewha Womans University Mokdong Hospital)
Kim, Ji-Youn (Division of Oral and Maxillofacial Surgery, Department of Dentistry, Ewha Womans University Mokdong Hospital)
Mah, Yon-Joo (Division of Pediatric Dentistry, Department of Dentistry, Ewha Womans University Mokdong Hospital)
Ahn, Byung-Duk (Division of Pediatric Dentistry, Department of Dentistry, School of Medicine, Ewha Womans University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.39, no.2, 2012 , pp. 186-191 More about this Journal
Abstract
The sodium hypochlorite is widely used in endodontic treatment. While it is effective solution for disinfection of root canal system, complications during canal irrigation are rarely reported, especially in primary teeth. This report demonstrates that sodium hypochlorite extruding through the root apex might cause severe complications. A 4-year-old female patient was referred from local dental clinic to the emergency room for the management of sudden facial swelling and pain during re-endodontic treatment of the maxillary primary central incisor using sodium hypochlorite. The patient was given systemic steroids, antihistamines, antibiotics and analgesics and the maxillary primary central incisor was extracted to prevent secondary infection. Swelling began to subside after 2 days. A negative result was obtained from skin patch test with sodium hypochlorite. Thorough care must be taken in primary teeth to prevent the inadvertent injection of sodium hypochlorite to periapical tissues during root canal irrigation. When adverse reaction occurs, proper management such as analgesia, cold compression and adequate medication should be done.
Keywords
Sodium hypochlorite; Canal irrigation; Irrigation complications; Primary tooth;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Gernhardt CR, Eppendorf K, Kozlowski A, et al.: Toxicity of concentrated sodium hypochlorite used as an endodontic irrigant. Int Endod J, 37:272-280, 2004.   DOI   ScienceOn
2 Spencer HR, Ike V, Brennan PA: Review: the use of sodium hypochlorite in endodontics-potential complications and their management. Br Dent J, 202:555-559, 2007.   DOI
3 Crincoli V, Scivetti M, Di Bisceglie MB, et al.: Unusual case of adverse reaction in the use of sodium hypochlorite during endodontic treatment: a case report. Quintessence Int, 39:e70-73, 2008.
4 Becking AG: Complications in the use of sodium hypochlorite during endodontic treatment. Report of three cases. Oral Surg Oral Med Oral Pathol, 71:346-348, 1991.   DOI
5 Kerbl FM, DeVilliers P, Litaker M, et al.: Physical effects of sodium hypochlorite on bone: an ex vivo study. J Endod, 38:357-359, 2012.   DOI   ScienceOn
6 Imura N, Zuolo ML: Factors associated with endodontic flare-ups: a prospective study. Int Endod J, 28:261-265, 1995.   DOI   ScienceOn
7 Trope M: Flare-up rate of single-visit endodontics. Int Endod J, 24:24-26, 1991.   DOI
8 Torabinejad M, Kettering JD, McGraw JC, et al.: Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod, 14:261-266, 1988.   DOI   ScienceOn
9 Pickenpaugh L, Reader A, Beck M, et al.: Effect of prophylactic amoxicillin on endodontic flare-up in asymptomatic, necrotic teeth. J Endod, 27:53-56, 2001.   DOI
10 Walton R, Fouad A: Endodontic interappointment flare-ups: a prospective study of incidence and related factors. J Endod, 18:172-177, 1992.   DOI   ScienceOn
11 Jacobsen AHN: Allergic reactions in endodontic practice. Endodontic Topics, 12:44-51, 2005.   DOI
12 Dandakis C, Lambrianidis T, Boura P: Immunologic evaluation of dental patient with history of hypersensitivity reaction to sodium hypochlorite. Endod Dent Traumatol, 16:184-187, 2000.   DOI
13 Manogue M PS, Walker R.: The principles of endodontics. 139 edn. Oxford university press, oxford, 138-139. 2005.
14 Kaufman AY, Keila S: Hypersensitivity to sodium hypochlorite. J Endod, 15:224-226, 1989.   DOI
15 Hulsmann M, Hahn W: Complications during root canal irrigation--literature review and case reports. Int Endod J, 33:186-193, 2000.   DOI   ScienceOn
16 Mitchell RP, Baumgartner JC, Sedgley CM: Apical extrusion of sodium hypochlorite using different root canal irrigation systems. J Endod, 37:1677-1681, 2011.   DOI
17 Vande Visse JE, Brilliant JD: Effect of irrigation on the production of extruded material at the root apex during instrumentation. J Endod, 1:243-246, 1975.   DOI
18 Brown DC, Moore BK, Brown CE, Jr., Newton CW: An in vitro study of apical extrusion of sodium hypochlorite during endodontic canal preparation. J Endod, 21:587-591, 1995.   DOI   ScienceOn
19 Baumgartner JC, Cuenin PR: Efficacy of several concentrations of sodium hypochlorite for root canal irrigation. J Endod, 18:605-612, 1992.   DOI   ScienceOn
20 Harrison JW, Gaumgartner JC, Svec TA: Incidence of pain associated with clinical factors during and after root canal therapy. Part 1. Interappointment pain. J Endod, 9:384-387, 1983.   DOI
21 Harrison JW, Baumgartner JC, Svec TA: Incidence of pain associated with clinical factors during and after root canal therapy. Part 2. Postobturation pain. J Endod, 9:434-438, 1983.   DOI
22 Spangberg L, Langeland K: Biologic effects of dental materials. 1. Toxicity of root canal filling materials on HeLa cells in vitro. Oral Surg Oral Med Oral Pathol, 35:402-414, 1973.   DOI
23 Sirtes G, Waltimo T, Schaetzle M, Zehnder M: The effects of temperature on sodium hypochlorite short-term stability, pulp dissolution capacity, and antimicrobial efficacy. J Endod, 31:669-671, 2005.   DOI
24 Yesilsoy C, Whitaker E, Cleveland D, et al.: Antimicrobial and toxic effects of established and potential root canal irrigants. J Endod, 21:513-515, 1995.   DOI   ScienceOn
25 Heling I, Sommer M, Steinberg D, et al.: Microbiological evaluation of the efficacy of chlorhexidine in a sustained-release device for dentine sterilization. Int Endod J, 25:15-19, 1992.   DOI
26 Gomes BP, Ferraz CC, Vianna ME, et al.: In vitro antimicrobial activity of several concentrations of sodium hypochlorite and chlorhexidine gluconate in the elimination of Enterococcus faecalis. Int Endod J, 34:424-428, 2001.   DOI   ScienceOn