Aqueous sodium hypochlorite (bleach) solution is widely used in dental practice during root canal treatment. Although it is generally regarded as being very safe, potentially severe complications can occur when it comes into contact with soft tissue. This paper discusses the use of sodium hypochlorite in dental treatment, reviews the current literature regarding hypochlorite complications, and considers the appropriate management for a dental practitioner when faced with a potentially adverse incident with this agent.
Want Restorative Dentistry to your email ?
Join 750 other subscribers
Categories
- Basics
- Consensus Statements
- Dental Humour
- Dental Materials
- Dental Trauma
- Dentistry
- Dentistry Basics
- Endodontics
- Ethics
- implant
- Implantology
- Infographic
- Multi-disciplinary
- Multi-discplinary
- occlusion
- Operative Dentistry
- Opinion
- Periodontology
- Prosthodontics
- Restorability
- Restorative Dentistry
- Restorative Dentistry Infographics
- Systemic Disease
- Uncategorized
- undergraduate
- Videos
Follow me on Twitter
My TweetsRecent Posts: Key Topics in Restorative Dentistry
Managing tooth wear with respect to quality of life: an evidence-based decision on when to intervene by Mehta and colleagues
Patients with more severe forms of tooth wear may require restorative rehabilitation. The decision to commence treatment must be taken carefully and there are a multitude of factors to consider. Alongside the clinical signs and symptoms typically associated with tooth… Continue Reading →
Gastrointestinal conditions related to tooth wear by Howard et al.
Gastro-oesophageal reflux disease (GORD) is a relatively common condition that occurs in adults and less commonly in children. It develops when the reflux of stomach contents into the oesophagus causes troublesome symptoms and/or complications. Signs and symptoms include heartburn, retrosternal… Continue Reading →
Tags
adhesion
adhesive
attrition
bruxism
composite
Dental Trauma
Dentistry
Endodontics
endodontology
erosion
fracture
implant
Implantology
implants
occlusion
orthodontics
osseointegration
parafunction
periodontitis
pulp
resin
restorability
restoration
Restorative Dentistry
root canal
root canal treatment
tooth surface loss
toothwear
tooth wear
trauma
Recent Posts
- Managing tooth wear with respect to quality of life: an evidence-based decision on when to intervene by Mehta and colleagues
- Gastrointestinal conditions related to tooth wear by Howard et al.
- Minimally invasive selective caries removal:a clinical guide by Lim et al.
- Single-retainer all-ceramic resin-bonded fixed dental prostheses: Long-term outcomes in the esthetic zone by Kern
- Contemporary management of minimal invasive aesthetic treatment of dentition affected by erosion: case report by Boitelle
- Posterior Dahl: A Minimally Invasive Method for the Treatment of Localized Posterior Tooth Wear by Hoekstra-Van Hout et al.
- The Aesthetic Checklist by Mauro Fradeani
- Occlusion and Temporomandibular Disorders: A Long-Standing Controversy in Dentistry by Ziad Al-Ani
- Domenico Ricucci illustrating a partial pulpotomy with Calcium Hydroxide
- Pre-endodontic restoration of structurally compromised teeth: current concepts by Gavriil et al.
- Treatment of tooth wear associated with reduced occlusal vertical dimension using direct composite restorations and a removable prosthesis by Caga and Lewis
- Facts about cracks in teeth by Sanjeev Bhanderi
- Is there clinical evidence to support alveolar ridge preservation over extraction alone? A review of recent literature and case reports of late graft failure by Adams
- A Guide to Good Endodontic practice from the British Endodontic Society
- Antibiotics in Endodontics
- Temporary restorations: the key to success by Mizrahi
- How does file fracture effect the outcome of root canal treatment ?
- Implant provision in the edentulous maxilla by Jivraj et al. 2006
- Diagnosing and treatment planning inadequate tooth display by Spear
- The Management of Localised Tooth Wear by Mehta et al. 2011
- The Management of Generalised Tooth Wear by Mehta et al.
- Matrix transfer techniques for direct paste composite resins by Bailey et al.
- Denture cleanliness and hygiene: an overview by Mylonas et al.
- The Use of Flowable Composite in Recording the Soft Tissue Profile of Implant Restorations by Neo and Alani
- Esthetic Complications in Implant Dentistry by Ramanauskaite & Sader
- Overview of dental materials and techniques used in the management of toothwear
- Present status and future directions: Canal shaping by Arias & Peters
- Dental implants – are they better than teeth ? by Pjetursson & Heimisdottir
- Critical review of dogmas in Prosthodontics by Carlson
- Occlusion: is there a third way? A discussion paper by Davies et al.
- Present status and future directions –Minimal endodontic access cavities Silva et al.
- The dental demolition derby: bruxism and its impact – part 2: early management of bruxism by Thayer and Ali.
- Management of acute traumatic dental injuries in the orthodontic patient by Patel et al.
- Present status and future directions—Vital pulp treatment and pulp preservation strategies
- The dental demolition derby: bruxism and its impact – part 1: background by Thayer and Ali
- Present status and future directions –Managing discoloured teeth by Kahler
- Present status and future directions –Guided endodontics Connert et al.
- Present status and future directions: Management of curved and calcified root canals by Chaniotis
- Present status and future directions: Endodontic management of traumatic injuries to permanent teeth by Krastl et al
- Clinical guidelines for dental erosion Diagnosis, prevention and management of dental erosion 2021 by Royal College of Surgeons England
- Tooth Wear Guidelines for the BSRD
- Should implants be considered for patients with periodontal disease? by King et al.
- A personal perspective and update on erosive tooth wear – 10 years on: Part 2 – Restorative management by Bartlett
- A personal perspective and update on erosive tooth wear – 10 years on: Part 1 – Diagnosis and prevention by Bartlett
- The restorative management of microdontia by Laverty
- Shading concepts and layering techniques to master direct anterior composite restorations: an update by Dietschi & Fahl
- Class II composite resin restorations:faster, easier, predictable by Jackson
- Direct Composite Resin for the Management of Tooth Wear: A Systematic Review by Vajani
- Implant placement postextraction in esthetic single tooth sites: when immediate, when early, when late? by Buser etal.
- Patient-Centered Perspectives and Understanding of Peri-Implantitis by Insua et al.
- Orthodontics and veneers to restore the anterior guidance. A minimally invasive approach by Faus-Matoses
- Clinical decision making – choosing between intuition, experience and scientific evidence by Nalliah
- Restorative Management of Severe Localized Tooth Wear Using a Supraoccluding Appliance: A 5-Year Follow-Up by Wong et al.
- Treatment planning in restorative dentistry and implant prosthodontics by Rodrigues
- Assessing restored teeth with pulp and periapical diseases for the presence of cracks, caries and marginal breakdown by Abbott 2004
- Comparison of long-term survival of implants and Endodontically treated teeth by Setzer & Kim
- Oral Diagnosis By Birnbaum & Dunne
- ‘The painful tooth’ by Allison et al.
- Canine guidance on crowned teeth: time for a rethink? by Burke et al.
- Clinical performance of direct composite resin restorations in a full mouth rehabilitation for patients with severe tooth wear: 5.5-year results by Mehta et al.
- A guide to managing tooth wear: the Radboud philosophy by Loomans & Opdam
- Case Report: A Predictable Technique to Establish Occlusal Contact in Extensive Direct Composite Resin Restorations: The DSO-Technique by Opdam et al.
- Stepwise full gold crown preparation by Adarve
- Aesthetic crown lengthening: Classification, biologic rationale, and treatment planning considerations by Lee et al.
- How to make a well-fitting stabilization splint by Moufti et al.
- Clinical applications of polytetrafluoroethylene (PTFE) tape in restorative dentistry by Sattar et al.
- Restorative complications of orthodontic treatment
- Management of Anterior Crossbite due to Splinting for Dental Trauma: A Case Report with 4-year Follow-up by Nunez et al.
- Clinical Management of Type 3 Recession Defects With Immediate Implant and Provisional Restoration Therapy A Case Report by Tarnow and Chu
- Is Metal Particle Release Associated With Peri-Implant Bone Destruction An Emerging Concept by Fretwurst et al.
- A New Definition of Attached Gingiva Around Teeth and Implants in Healthy and Diseased Sites by Tarnow et al.
- European Society of Endodontology position statement: Surgical extrusion, intentional replantation and tooth autotransplantation
- Dens Invaginatus as a Microsymptom of Canine Ectopia: A Case Series by Alani et al.
- Deep Margin Elevation-Magne & Spreafico
- A selection of papers on Resin Bonded Bridges
- The restoration of root filled teeth: a review of the clinical literature by Bhuva et al. 2021, International Endodontic Journal
- Association between Periodontitis and severity of Covid-19 infection by Marouf et al.
- The use of mineral trioxide aggregate in one-visit apexification treatment: a prospective study
- Experiencing the failing dentition: what dentists do by Hellyer
- Root perforations: aetiology,management strategies and outcomes. The hole truth by Saed et al. in the BDJ
- Removal techniques for failed implants by Bowkett et al. in the BDJ
- Sectional matrix: Step-by-step directions for their clinical use by Del a Pena et al. BDJ
- The Endo-Restorative Interface: Current Concepts by Ree & Schwartz
- Rethinking ferrule a new approach to an old dilemma by Jotkowitz & Samet
- Minimal intervention dentistry II: part 6. Microscope and microsurgical techniques in periodontics by Sitbon & Attathom in the BDJ
- Rethinking Root Canal Treatment by Al Ma’Aita et al.
- Treatment planning for the heavily compromised tooth by Stephen Franks
- Full-mouth Minimally Invasive Adhesive Rehabilitation to Treat Severe Dental Erosion: A Case Report
- Acute endodontic and dental trauma provision during the COVID-19 crisis by Ayub & Alani
- Adhesion, layering, and finishing of resin composite restorations for class II cavity preparations by Ferraris
- Good occlusal practice in simple restorative dentistry by Gray et al.
- Case Presentation by Finlay Sutton, Maxillary free end saddle opposing implant supported complete denture.
- Periodontal Plastic Surgery as an Adjunctive Therapeutic Modality for Esthetic Restorative Dentistry Pasquinelli
- Current aspects on bonding effectiveness and stability in adhesive dentistry, A review by Cardoso et al.
- The Delivery of Restorative Dentistry-A lecture by Jimmy Steele RIP
- Clinical complications in fixed prosthodontics by Goodacre et al.
- Dentures-How to manage the transition from hopeless teeth, a case by Finlay Sutton
- Treatment Strategy for Guided Tissue Regeneration in Combined Endodontic-Periodontal Lesions: Case Report and Review by Oh
- Advanced Techniques for Diastema Closure by Clark et al.
- Implant placement post extraction in esthetic single tooth sites: when immediate, when early, when late? Buser et al.
- Coronavirus and dentistry
- The relationship of Endo-Perio lesions by Simon et al.
- Royal College of Surgeons Guidance on Periradicular Surgery 2020
- Flap Advancement: Practical Techniques to Attain Tension-Free Primary Closure
- Factors Determining Post Selection, Foundation Restorations and Review of Success & Failure Data
- Interactions between the gingiva and the margin of restorations by Padbury et al.
- Prevention of Coronal Leakage by Ree
- Restorative Considerations in Deciding Whether to Restore or Remove Endodontically Treated Teeth by Spear
- “Biological Restoration”: Root Canal and Coronal Reconstruction by Correa-Faria et al.
- To Graft or Not to Graft? Evidence-Based Guide to Decision Making in Oral Bone Graft Surgery Pommer et al. 2012
- Restoration of endodontically treated teeth: The seven keys to success Baba et al.
- The Endo-Restorative Interface: Current Concepts Ree & Schwartz
- Coronal reconstruction of severely compromised central incisor with composite resin-A case report by Newton Fahl
- Protrusive Dental Podcast on Restorablity with Jasneet Gulati
- A Service Evaluation on Tooth Restorability by Shaikh et al.
- Composite palatal veneers to restore a case of severe dental erosion, from minimally to non invasive dentistry: a 5-year follow-up case report
- Double veneer technique, Foley & Evans
- Effects of mechanical and chemical procedures on root canal surfaces Gulabivala et al.
- Periodontal care in general practice: 20 important FAQs – Part two Reena Wadia
- Screw retained vs. cement retained implant-supported fixed dental prosthesis
- The Dalhousie Removable Partial Denture Manual
- The ‘rationale’ behind occlusal adjustment
- Step-by-Step Approaches for Anterior Direct Restorative Challenges by Fahl
- Dental Implant Fractures – Aetiology, Treatment and Case Report by Goiato
- Root end surgery UR1 and cyst removal by John Rhodes
- Immediate implant placement: treatment planning and surgical steps for successful outcome
- Ferrule Effect – Literature Review
- Continued apexogenesis of immature permanent incisors following trauma by Welbury & Walton
- Endodontics and the ageing patient
- Clinical guide to periodontology: Reconstructive periodontal treatment by Floyd et al.
- Ultra-conservative approach to the treatment of erosive and abrasive lesions by Colon & Lussi
- A clinical guide to periodontology: Pathology of periodontal disease by Hasan and Palmer
- A practical guide to endodontic access cavity preparation in molar teeth by Patel & Rhodes
- Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth
- Restoration of endodontically treated teeth, Manocci & Cowie 2014
- Dental implants in patients affected by systemic diseases, Donos & Calciolari
- The restorative management of the deep overbite, Beddis et al. 2014
- Guidelines for management of sodium hypochlorite extrusion injuries by Farook et al. 2014
- Guidance on the standards of care for NHS-funded dental implant treatment
- Occlusion in implant dentistry. A review of the literature of prosthetic determinants and current concepts, Gross 2008
- Has MTA had its day ?
- British Society for Restorative Dentistry Tooth Wear guidelines
- Recording the retruded contact position: a review of clinical techniques
- An endodontic conundrum: the association between pulpal infection and periodontal disease by Heasman
- All on four implant treatment-how good is the evidence ? Two systematic reviews by Patzelt and Soto-Peñaloza 2013/2016
- Surgical guidelines for dental implant placement by Handelsman
- Periodontal care in general practice: 20 important FAQs-or things we should know about ‘gum disease’ that our patients could benefit from ! By Wadia & Chapple
- Lets talk about Tooth Restorability…a collection of sources on an expansive subject
- Occlusion, past, present and future, Aws Alani
- Cvek Pulpotomy Revisited by Bimstein & Rotstein
- Occlusal considerations and strategies for GDP orthodontics, Tif Qureshi
- Centric Relation Definition: A Historical and Contemporary Prosthodontic Perspective by Palaskar et al.
- Control in restoring the occlusion, Mahul Patel
- Advances in materials and concepts in fixed prosthodontics: a selection of possible treatment modalities by Edelhoff et al.
- Key Topics in Restorative Dentistry presents the Occlusion Symposium, Saturday 7th September at the BDA London
- Temporary restorations: the key to success by Basil Mizrahi
- Fantastic video of a partial pulpotomy with Bioceramic by John Rhodes
- Dental occlusion: A critical reflection on past, present and future concepts by Turp et al.
- Gingival recession: part 3. Surgical management using free grafts and guided tissue regeneration by Patel et al.
- Gingival recession: part 2. Surgical management using pedicle grafts by Patel et al.
- Gingival recession: part 1. Aetiology and non-surgical management by Patel et al.
- Post-and-cores: Past to present by Terry & Swift
- Over 100,000 views restorativedentistry.org – The top 6 Blogs
- Precise root canal location with dynamic navigation: case study
- Restoration of the root canal treated tooth by Eliyas et al.
- Contemporary endodontics – part 1 by Barnes & Patel
- Interdisciplinary management of severe intrusion injuries in permanent incisors: a case series by Nazzal et al.
- Contemporary obturation of the root canal system by Tomson
- Utilising combined CBCT and intraoral scanning with dynamic navigation for implant placement by Burgess
- The three step technique for adhesive rehabilitation by Vailati
- Nonvital Tooth Bleaching: A Review of the Literature and Clinical Procedures by Plotino
- Prosthodontic rehabilitation of a patient using a swing-lock lower denture after segmental mandibulectomy by McKenna
- Contemporary crown-lengthening therapy A review by Hempton
- Beautiful documentation by John Rhodes of microsurgical endodontics
- The Dahl Concept-A short video
- The Ferrule Effect-A short video
- Micro-surgical endodontics by Eliyas et al.
- The aetiology and management of labial and vertical migration of maxillary incisors: ‘Do you catch my drift?’ by Taylor et al.
- Peri-implantitis. Part 3: Current modes of management
- Zygomatic Implant Options for the Atrophic Maxilla: Case Report
- Sclerosed premolar management by John Rhodes
- Peri-implantitis. Part 2: Prevention and maintenance of peri-implant health by Alani & Bishop
- The ‘Nayyar’ core, a video by Mahul Patel and a paper on immediate core build-ups for root canal treated teeth by Southard 1999
- The Dahl principle: Creating space and improving the biomechanical prognosis of anterior crowns by Mizrahi
- Peri-implantitis. Part 1: Scope of the problem by Alani
- Cracked molar management
- Root Canal Treatment 100 years ago
- Periodontal diagnosis in the context of the 2017 classification system of periodontal diseases and conditions – implementation in clinical practice
- Rationale for Socket Preservation after Extraction of a Single-Rooted Tooth when Planning for Future Implant Placement by Irinakis
- The socket-shield technique: A new approach to immediate implant placement by Gluckman et al.
- Assessing restored teeth with pulp and periapical diseases for the presence of cracks, caries and marginal breakdown by Abbott 2004
- Fractured metal ceramic bridge repair
- Assessment and Treatment Planning of the Tooth Wear Patient
- Decoding the pulp floor
- Sodium Hypochlorite accident and complications
- Cracked tooth syndrome. Part 2: restorative options for the management of cracked tooth syndrome by Banerji
- Endodontic management of a horizontally root fractured central incisor
- Cracked tooth syndrome. Part 1: aetiology and diagnosis by Banerji et al. 2010
- Non carious tooth surface loss assessment of risk by Kaidonis British Dental Journal 2012
- Restorative aspects of oral cancer reconstruction by Barclay et al. 2018
- Top Tips for Splinting Traumatised Teeth by Leith and O’Connell
- Risk Management in Orthodontics
- The suction cup denture technique by Vasant & Bassi 2012
- Adult dental trauma: What should the dental practitioner know ? Chauhan et al. 2016
- ‘Moral Injury’ in healthcare
- Minimally invasive operative caries management: rationale and techniques by Banerjee 2013
- Why keep the canal patent ? An article by Khatavkar & Hegde
- Decoronating ankylosed teeth by Cohenca & Stabholz 2007
- Periodontal Disease and Assessment of Risk by Corbet in the British Dental Journal 2012
- Treatment planning for missing teeth by McCord and Smales British Dental Journal 2012
- Dental Implant Basics: Impression Making by Bhakta et al. 2011
- Risk Management in Partial Denture provision by Stillwell in the British Dental Journal 2010
- Dens Invaginatus is a problem from the outside in. A review by Alani & Bishop 2008
- Postgraduate Diploma in Operative Dentistry
- Treatment planning the edentulous mandible Chee & Jivraj
- The Endocrown: A Different Type of All-Ceramic Reconstruction for Molars by Fages and Bennasar
- Dental Implant Basics: Soft Tissue Manipulation by Alani & Corson
- Are There Acceptable Alternatives to Amalgam? Mackert & Wahl
- Endodontic-orthodontic relationships, a classic review by Guttman and Hamilton 1999
- Treatment Options for Teeth with Open Apices and Apical Periodontitis by Raldi
- Current controversies in maxillary implant overdentures by Dudley 2013
- Apical limit and working length in Endodontics by Stephane Simon et al. 2009
- Risk Management in Endodontics by Webber British Dental Journal 2010
- Failures in implant dentistry
- Increasing the occlusal vertical dimension: A review by Abduo & Lyons
- Rationale for Dental Implants
- The perio classification is about to change !
- Exotic encounters with dental implants: managing complications with unidentified systems by Mattheos 2012
- Dental Resorption -Diagnosis and Management by Darcey 2013
- Surgical Guides for Implant Dentistry
- Screw versus Cement Retained Implant restorations by Chee and Jivraj
- What causes a file to fracture ? How can we prevent it ?
- Review and maintenance of Restorations by Smales & Yip in the British Dental Journal
- Risk management in dental ‘enhancement’ procedures by Ahmad in the British Dental Journal 2010
- Orthodontics and Implant Dentistry
- Immediate implant placement
- Abfraction: separating fact from fiction
- An Introduction to Implant Dentistry for Students
- Dental Implant tourism
- Russian Red Paste
- Risk Management in Periodontology
- An unusual healing of a replanted permanent lateral incisor by Peter Arrow 2009
- Compromised first permanent molars: an orthodontic perspective
- Microsurgical endodontic retreatment of a maxillary molar with a separated file: a case report by Kahler ADJ 2011
- Implants and the ageing patient by Dudley 2015
- Dental Resorption-Pathology, Classification and Aetiology by Darcey 2013
- Prevention and treatment planning for dental caries by Yip & Smales in the British Dental Journal 2012
- Clinical decision making after endodontic file fracture McGuigan et al. British Dental Journal, 2013
- ITI World Symposium 2014-Lecture on short Implants Christoph Hammerle
- Dental Implant Basics: Fitting the restoration
- How NOT to assess or examine !
- Fundamentals of Occlusion Part 1 & 2 by Warreth et al.
- Maxillary Molar Root Canal Morphology and Anatomy
- Endodontics or Implants ? British Society of Restorative Dentistry lecture 2014, Peter Briggs
- San Antonio Guide to the Classical Endodontic Literature
- Percy pulp and the virgin tooth crown prep
- Hypersensitivity-Winter is coming
- Endodontic Access Upper 6
- Endodontic Basics: Irrigation
- Dental Implant Basics: Osseointegration
- Operative Dentistry Basics: dental adhesion and composite bonding
- Endodontic Basics: Working length determination
- ‘IN YOUR FACE’ book dentistry
- Prosthetic Dentistry Basics: Primary Complete Denture Impressions
- Mental health and oral health-distant association or inextricably linked ?
- And YOU thought the BRITISH had bad TEETH take a look at Donald Trumps HILARIOUS DENTISTRY!
- The ‘Cvek’ Pulpotomy
- The ‘need’ for Canine Guidance-myth or reality ?
- Undergraduate Society Prizes Index
- Erosive tooth surface loss-a short film
- Useful online Dentistry papers and resources
- Diploma in Operative Dentistry at Kings
- What are the aetiology and risk factors for dental trauma injuries ? A summary of a study by Ulf Glendor
- What are the characteristics of a peri-apical (radicular) cyst ?
- Lateral luxations-a short animation on management
- Graduation: A minefield for the younger generation of dentists
- The ‘Dahl Concept’ A short film
- Lets talk about sugar…
- A guest blog on 3D printing as a solution for a common prosthodontic problem
- Factors needing consideration prior to planning root canal treatment-A revision infographic
- Endodontic Microsurgery: A new paradigm in apical disease management by Daniel Flynn
- Key topical areas in Implant Dentistry: EAO Consensus Conference 2015
- Specialist training in Dentistry
- How can you manage tooth loss in the traumatised dentition?
- Periodontology Revision: The BSP Good Practitioners Guide to Periodontology
- Revision on Crowns, Bridges and Implants: British Society for Restorative Dentistry Guidelines
- Beware the Phantom !…Bite ?
- TC White Conference 2017: Modern Management of Dental Trauma
- Single tooth replacement options-Resin Bonded Bridges…should we stick to what we know ?
- How do you manage a Lateral Luxation?
- The ‘Heavy Metal’ Generation
- Managing the ‘pink bits’ of prosthodontics
- Endodontic Irrigation…whats the secret ?
- Avulsions…time is precious!
- Aggressive Periodontitis…why is it so different to chronic ?
- Magnification and Endo…you can’t treat what you can’t see !
- Soft tissue manipulation or remodeling for implant restorations
- The endodontic-implant continuum
- Clinical issues in Occlusion: Part 2
- Contemporary Issues in the provision of Restorative Dentistry
- Root canal anatomy and morphology
- Clinical Issues in Occlusion: Part 1
December 13, 2018 at 6:14 am
Very useful information on managing these unfortunate incidents. Unfortunately, I feel that Endodontics is an undervalued field….the importance of delivering these treatments responsibly and safely is extremely important and not discussed widely enough.