Emergency multidisciplinary management of a sodium hypochlorite injury in an adolescent: Case Report

This case report describes the multidisciplinary team (MDT) management of a severe sodium hypochlorite (NaOCl) injury in a 16-year-old male caused by NaOCl extrusion during emergency extirpation of the UL2 without the use of a dental dam. Ophthalmology, oral and maxillofacial surgery (OMFS) and acute dental input were required to manage this patient during their 72-hour inpatient hospital admission. Plain film and CT imaging were used to assess the degree of NaOCl infiltration and guide treatment. Serial dilution using sterile saline irrigation intra-orally and extra-orally of the left eye was required to reduce the cytotoxicity of NaOCl.

CPD/Clinical Relevance: Clinicians should be aware of the potentially hazardous complications of NaOCl incidents, their clinical presentation and the importance of early recognition and management by an appropriate MDT.