ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title The Incidence Of Sodium Hypochlorite Accident During Endodontic Treatment Has Not Been Reported
Clinical Question What is the likelihood of a sodium hypochlorite accident from exposure to root canal treatment?
Clinical Bottom Line We were unable to find any reports of incidence of accidental exposure to sodium hypochlorite during root canal therapy. Many case reports and small case series have been reported.
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 18928844Kleier/2008Endodontists who have had experience with sodium hypochlorite accidentsSurvey of endodontists
Key resultsThis study did not give numbers as to likelihood of causing a sodium hypochlorite accident, but it did report patient and tooth demographics in which sodium hypochlorite was expelled into periradicular tissues. If you are aware of these factors, you will at least be available to minimize that likelihood in your own practice.
Evidence Search "Sodium Hypochlorite/adverse effects"[Mesh] OR "Root Canal Irrigants/adverse effects"[Mesh] OR "sodium hypochlorite" AND accident* AND "root canal"
Comments on
The Evidence
This article seemed to provide the most information as far as factors that may increase the likelihood of encountering a sodium hypochlorite accident. If you are aware of factors that increase the risk, you can adjust your treatment protocols to decrease the chances of causing a sodium hypochlorite accident.
Applicability This study surveyed diplomates of the American Board of Endodontics to better understand the etiology of sodium hypochlorite accidents. The clinicians who reported experience with such accidents then gave information about patient demographics so there was a wide range of age, sex, pre-op status, etc.
Specialty/Discipline (Endodontics)
Keywords sodium hypochlorite, adverse effects
ID# 2088
Date of submission: 09/15/2011spacer
E-mail berkhoff@livemail.uthscsa.edu
Author Julie Berkhoff
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Fabricio Teixeira, DDS, MS, PhD
Faculty mentor/Co-author e-mail fabricio-teixeira@uiowa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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by Stephen Donoghue (San Antonio, TX) on 11/28/2017
As of November 27, 2017, A systematic review by Guivarc'h, 2016 (PMID 279860996) compiled forty articles with fifty-two case reports on hypochlorite accidents. They concluded there were reports of incidence of these "accidents" and they require a standardization of reported data. This does not significantly change the answer to the clinical question of "likelihood" of this accident.
by Stephen Donoghue, Stephen Regan (San Antonio, TX) on 11/28/2017
As of November 27, 2017, A systematic review by Guivarc'h, 2016, 279860996 compiled forty articles with fifty-two case reports on hypochlorite accidents. They concluded there were reports of incidence of these "accidents" and they require a standardization of reported data. This does not significantly change the answer to the clinical question of "likelihood" of this accident.
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