Severe tissue damage and neurological deficit following extravasation of sodium hypochlorite solution during routine endodontic treatment.

Authors

R. Witton, Peninsula Dental School
P. A. Brennan, Portsmouth Hospitals University NHS Trust

ORCID

• R. Witton: 0000-0002-6424-4376

Abstract

Endodontic therapy is a routinely practised clinical procedure with few reported complications. Sodium hypochlorite is often used as an irrigant during this procedure, but severe complications may occur if this solution extravasates beyond the root apex. We present a case demonstrating some of the severe sequelae that can occur following the misuse of sodium hypochlorite during endodontic treatment of an upper lateral incisor, which also resulted in the previously unreported complication of isolated facial nerve weakness.

DOI

10.1038/sj.bdj.4812414

Publication Date

2005-06-25

Publication Title

Br Dent J

Volume

198

Issue

12

ISSN

0007-0610

Keywords

Adult, Anti-Inflammatory Agents, Burns, Chemical, Dexamethasone, Extravasation of Diagnostic and Therapeutic Materials, Facial Injuries, Facial Nerve Injuries, Female, Humans, Injections, Intravenous, Mouth Mucosa, Necrosis, Root Canal Irrigants, Sodium Hypochlorite

First Page

749

Last Page

750

Recommended Citation

Witton, R., & Brennan, P. (2005) 'Severe tissue damage and neurological deficit following extravasation of sodium hypochlorite solution during routine endodontic treatment.', Br Dent J, 198(12), pp. 749-750. Available at: 10.1038/sj.bdj.4812414