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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

February 2008
Volume 39 , Issue 2

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Unusual case of adverse reaction in the use of sodium hypochlorite during endodontic treatment: A case report

Vito Crincoli, DDS/Michele Scivetti, DDS/Maria Beatrice Di Bisceglie, DDS/Giovanni Pietro Pilolli, DDS/Gianfranco Favia, MD, DDS

PMID: 18560644

Sodium hypochlorite (NaOCl) is currently used in the debridement and disinfection of the root canal system, supporting the mechanical procedures. Although it is considered a safe irrigant, the literature reports a few cases of adverse reaction caused by NaOCl: They range from injection through the apical foramen to air emphysema and allergic reactions as complications during endodontic treatment. The present report shows the possible severe clinical consequences of concentrated NaOCl extruding through the periapical tissues during root canal irrigation in a patient not allergic to NaOCl. (Quintessence Int 2008;39:180.e7073)

Key words: endodontic irrigants, hemorrhage, irrigation complications, skin patch tests, sodium hypochlorite, toxicity

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