Nonsteroidal Management of Accidental Extrusion of Sodium Hypochlorite beyond Apex

Abstract

Sodium hypochlorite is often used as an intracanal irrigant in root canal treatment for removal of organic debris. It is also used for its ability to dissolve pulpal tissues, removal of organic debris from smear layer. Despite its safe properties, serious complications can result from inadvertent use. The present case report discusses the inadvertent effects and management of accidental extrusion of concentrated NaOCl and nonsteroidal management. Extrusion of NaOCl beyond the root canal can occur when there is iatrogenic widening of the apical foramen, lateral perforation, or wedging of the irrigating needle. Injudicious use of the irrigant should be avoided to prevent the NaOCl accidents. This report demonstrates destructive effect of concentrated NaOCl solution on soft tissues and subsequent management of the case.