Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2016, vol. 22, issue 3
Subject Area: Dental Medicine
Pages: 1269-1273
DOI: 10.5272/jimab.2016223.1269
Published online: 12 August 2016

J of IMAB 2016 Jul-Sep;22(3):1269-1273
Elitsa Deliverska Corresponding Autor,
Department of Oral and Maxillofacial surgery, Faculty of Dental medicine, Medical University- Sofia, Bulgaria.

Background Hypochlorite 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 especially due to its cytotoxic features.
Objective The aim of our paper is to present a case of damage of oral mucosa because of leakage of 3% hypochlorite through rubber dam during endodontic treatment.
Material and methods We present a 31 years old female with necrosis of buccal mucosa during the endodontic treatment of 46.
Results Three days after the procedure the patient was referred to our department for consultation and treatment. Antiseptic lavage was performed and oral antibiotic was administrated. After 5 days intraoral examination showed signs of almost full recovery.
Conclusion The need for proper tooth isolation during restorative procedures is obvious. Anything that obscures the operative field negatively impacts operator efficiency and effectiveness. Visibility, patient/operator safety, infection control and the physical properties of dental materials are all compromised when proper isolation is lacking.

Key words: sodium hypochlorite, mucosa damage, rubber dam,

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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Deliverska E. Oral mucosa damage because of hypochlorite accident – a Case report and literature review. J of IMAB. 2016 Jul-Sep;22(3):1269-1273.

Correspondence to: Associate prof. Elitsa Deliverska, PhD. Department of Oral and Maxillofacial surgery, Faculty of Dental medicine, Medical University, Sofia; 1, St. Georgi Sofiiski str., 1431 Sofia, Bulgaria; E-mail:

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Received: 18 May 2016
Published online: 12 August 2016

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