| CASE REPORT |
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| Year : 2014 | Volume
: 4
| Issue : 2 | Page : 105-108 |
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Necrosis of gingiva and alveolar bone caused by accidental sodium hypochlorite seepage during endodontic treatment
GS Sajjan1, CD Dwarakanath2, N. V. D. Nalam1, Satya Kalyani Singamsetty1
1 Department of Conservative Dentistry and Endodontics, Vishnu Dental College, Bhimavaram, West Godavari District, Andhra Pradesh, India
2 Department of Periodontics and Implantology, Vishnu Dental College, Bhimavaram, West Godavari District, Andhra Pradesh, India
Correspondence Address:
G S Sajjan
Department of Conservative Dentistry and Endodontics, Vishnu Dental College, Bhimavaram, West Godavari District, Andhra Pradesh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2229-5194.142952
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Sodium hypochlorite is an effective intracanal irrigant when used judiciously with rubber dam isolation. Inadvertent contact of sodium hypochlorite may lead to severe necrosis of soft tissue. A case of gingival and alveolar bone necrosis caused by accidental leakage of sodium hypochlorite under the rubber dam during root canal preparation was reported. After initiation of root canal treatment, during the second visit patient complained of pain in the gingiva surrounding the tooth. Accidental seepage of hypochlorite into gingiva and underlying bone led to the necrosis of these tissues. The patient required surgical intervention which led to successful recovery.
Clinical Relevance To Interdisciplinary Dentistry
- Sodium hypochlorite (NaOCl), the widely used irrigant in Endodontics has many complications following it inadvertent use
- Necrosis of soft tissues and underlying alveolar bone is a rare, potential complication after NaOCl irrigation that requires an interdisciplinary approach
- Teamwork of periodontists, endodontists and prosthodontists is important for the successful management of such complications.
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