| COMPLICATIONS OF SODIUM HYPOCHLORITE DURING RE-ENDODONTIC TREATMENT OF MAXILLARY PRIMARY CENTRAL INCISOR : A CASE REPORT |
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So Yi Hong1, Jin Woo Kim2, Ji-Youn Kim2, Yon Joo Mah1, Byung Duk Ahn3 |
1Division of Pediatric Dentistry, Department of Dentistry, Ewha Womans University Mokdong Hospital
2Division of Oral and Maxillofacial Surgery, Department of Dentistry, Ewha Womans University Mokdong Hospital
3Division of Pediatric Dentistry, Department of Dentistry, School of Medicine, Ewha Womans University |
| 상악 유중절치 재근관 치료에서 차아염소산나트륨의 합병증에 대한 증례 보고 |
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홍소이1, 김진우2, 김지연2, 마연주1, 안병덕3 |
1이화여자대학교 목동병원 소아치과
2이화여자대학교 목동병원 강악안면외과,
3소아치과, 이화여자대학교 의학전문대학원 치과학교실 소아치과학전공 |
Correspondence:
Byung Duk Ahn, Tel: 02-2650-2660, Email: bespeed@ewha.ac.kr
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Received: 15 February 2012 • Accepted: 9 May 2012 |
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| Abstract |
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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. |
| Key Words:
Sodium hypochlorite, Canal irrigation, Irrigation complications, Primary tooth |
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