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Case Reports in Dentistry
Volume 2015, Article ID 247547, 5 pages
Case Report

Inadvertent Apical Extrusion of Sodium Hypochlorite with Evaluation by Dental Volumetric Tomography

Department of Endodontics, Faculty of Dentistry, Yeditepe University, Bagdat Caddesi 238, Göztepe, 34728 Istanbul, Turkey

Received 22 January 2015; Revised 10 March 2015; Accepted 15 March 2015

Academic Editor: Andrea Scribante

Copyright © 2015 Elif Delve Başer Can et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.