Abstract
Root canal irrigants play an important role in the success of root canal treatment. As the major objective in root canal treatment is to disinfect the entire root canal system, it requires that the pulpal contents be eliminated as sources of infection. This goal may be accomplished using mechanical instrumentation and chemical irrigation, in conjunction with medication of the root canal between treatment sessions. However there remains a risk of extrusion of these irrigants beyond or into the surrounding tissues and cause severe complications. Sodium hypochlorite is widely used in dental practice during root canal treatment. Although generally regarded as being highly effective as an irrigant, potentially severe complications occur when it comes in contact with soft tissues. This article discusses the use, inadvertent effects of sodium hypochlorite and considers the appropriate management for a practitioner when faced with potential adverse incident with this agent.
Highlights
Endodontic emergency is a condition associated with pain, swelling which require immediate diagnosis and treatment
Determined in-vitro susceptibility of candida albicans to various irrigants and medicaments, and found out that NaOCl, hydrogen peroxide were effective against candida albicans even when diluted
Evaluated the action of NaOCl associated with an intracanal medicament against candida albicans and E.faecalis and found that 1% NaOCl irrigation were effective in eliminating E.faecalis and candida albicans
Summary
Endodontic emergency is a condition associated with pain, swelling which require immediate diagnosis and treatment. Sodium hypochlorite is used as an irrigant because of its effective antimicrobial and tissue dissolving capabilities. The negative property or drawback of sodium hypochlorite is, it can cause soft tissue inflammation if expressed outside the confines of root canals [27].
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