Sodium Hypochlorite- Friend or Fear ?

Sodium hypochlorite is the gold standard irrigant in root canal therapy due to its unmatched ability to dissolve organic tissue and eliminate microbial pathogens. However, its potent nature also brings significant apprehension among practitioners, largely stemming from its potential for tissue toxicity and the risk of accidental extrusion beyond the apex, which can cause severe pain, swelling, and tissue damage. This fear, while valid, can be effectively mitigated through proper technique, controlled irrigation systems, and a deep understanding of canal anatomy. In this session, we’ll address the origins of this fear, separate myths from evidence-based risks, and discuss practical strategies to enhance both safety and confidence in its use.

Highlights :
Here are 5 key highlight on uses and fears of sodium hypochlorite in Endodontics:

1. Highly Effective Irrigant: Sodium hypochlorite is widely used for its strong antimicrobial properties and ability to dissolve necrotic tissue, making it essential for thorough root canal disinfection.

2. Tissue Toxicity Risk- Accidental extrusion beyond the apex can lead to severe complications such as tissue necrosis, swelling, pain, and bruising, contributing to fear among practitioners.

3. Fear Among Clinicians-Many endodontists and general dentists express concern over its use due to potential accidents, often leading to overly cautious or inadequate irrigation.

4. Prevention Through Technique-Proper working length determination, the use of side-vented needles, and gentle irrigation pressure are critical in preventing sodium hypochlorite accidents.

5. Education Reduces Risk: Increased training and awareness about safe handling protocols significantly reduce the chances of mishaps and help clinicians use this powerful irrigant more confidently.

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Speaker(s)

Dr. Aishwarya Arya MDS -Conservative Dentistry and Endodontics

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