19th Dec, 2023
"Sodium hypochlorite accident"
Prevention:-
-Radiographic imaging should be done prior to any root canal treatment.
- Precise evaluation of the length and integrity of individual canals is essential.
- A rubber dam should be used to prevent any leakage or contact of the solution to the soft tissue.
-placing the irrigation needle 1–3 mm short of working length. -permitting free movement of the needle within the canal.
-using low constant pressure while injecting the solution.
-Using Luer Lock needles with side-port delivery can also help prevent NaOCl accidents.
Treatment:-
-It points at the principles of reducing swelling, controlling pain, and preventing secondary infection.
1)Immediate irrigation with normal saline is a key step to reduce tissue damage.
2)Local and oral analgesics may be helpful to alleviate pain.
3) External compression along with cold packs on the affected area is advised to relieve discomfort and reduce edema.
4) After about 6 hours, cold packs must be replaced by warm compresses for several days.
5)Steroid may be used to minimize edema.
6) Antibiotics might be needed to prevent secondary infection.
-In more serious cases, referral to a medical center or furthermore surgical intervention may be necessary.
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