TY - JOUR A2 - Scribante, Andrea AU - Başer Can, Elif Delve AU - Karapınar Kazandağ, Meriç AU - Kaptan, Rabia Figen PY - 2015 DA - 2015/03/25 TI - Inadvertent Apical Extrusion of Sodium Hypochlorite with Evaluation by Dental Volumetric Tomography SP - 247547 VL - 2015 AB - This case report describes the tissue injury caused by inadvertently extruded NaOCl through the apical constriction. A 56-year-old female patient with complaints of pain, swelling, and ecchymosis on the left side of her face was referred to our clinic. The symptoms had emerged following root canal treatment of the maxillary left first premolar, and a soft tissue complication due to apical extrusion of NaOCl was diagnosed. Antibiotics and analgesics were prescribed. DVT images revealed that the buccal root apex had perforated the maxillary bone. The patient was followed up every other day and became asymptomatic on the 10th day. Endodontic therapy was completed with routine procedures. Determining working length precisely and following irrigation protocols meticulously are indispensable to prevent this type of complication. 3D visualization of the affected area may reveal the cause of the incident. SN - 2090-6447 UR - https://doi.org/10.1155/2015/247547 DO - 10.1155/2015/247547 JF - Case Reports in Dentistry PB - Hindawi Publishing Corporation KW - ER -