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Accidental extrusion of sodium hypochlorite during endodontic treatment: A case report

Abstract

Rupika Bither1 and Saurab Bither2

Root canal irrigants play a significant role in the elimination of microorganisms, removal of debris and smear layer from the root canals, and tissue dissolution. However, there remains a risk of extrusion of irrigants beyond the root canal system. Sodium hypochlorite is the most commonly used irrigant in endodontics due to its ability to dissolve organic soft tissue in the root canal system and its action as a powerful antimicrobial agent. However, if the sodium hypochlorite comes into contact with vital tissues, it can lead to complications ranging from minor discomfort to severe tissue damage. The present case report discusses the inadvertent effects and management of accidental extrusion of sodium hypochlorite solution into the periradicular tissues through lateral perforation of maxillary right second premolar in the course of root canal treatment

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