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Subcutaneous Emphysema Caused by Sodium Hypochlorite plus RC-Prep

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DOI: 10.4236/ojst.2014.412070    3,568 Downloads   4,088 Views   Citations

ABSTRACT

Introduction: “RC-Prep”, a chemo-mechanical preparation for root canals, includes EDTA and urea peroxide as ingredients. For lubrication and its chelating effect, RC-Prep is useful as an adjunct in root canal enlargement. Furthermore, its cleaning action, due to its foaming properties in combi-nation with sodium hypochlorite, can be useful in root canal treatment in many situations. Methods: In a case of upper gingiva swelling, we used sodium hypochlorite with RC-Prep in the treatment of an infected root canal of the left maxillary premolar at the first visit. Within 2 min after use, the patient’s face became swollen. We kept the root canal open, and conducted a CT scan to investigate. Results: We diagnosed subcutaneous emphysema and prescribed 1 week of pain killers and antibiotics. The pain and swelling in the face finally resolved at 11 days after the incident. Conclusions: The cause of the emphysema was considered to have been the use of a sodium hypo-chlorite solution after using RC-Prep for an opened root apex.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Tokuda, M. , Kawakami, Y. , Morimoto-Yamashita, Y. and Torii, M. (2014) Subcutaneous Emphysema Caused by Sodium Hypochlorite plus RC-Prep. Open Journal of Stomatology, 4, 527-532. doi: 10.4236/ojst.2014.412070.

References

[1] Uehara, M., Okumura, T. and Asahina, I. (2007) Subcutaneous Cervical Emphysema Induced by a Dental Air Syringe: A Case Report. International Dental Journal, 57, 286-288.
[2] Kullaa-Mikkonen, A. and Mikkonen, M. (1982) Subcutaneous Emphysema. The British Journal of Oral Surgery, 20, 200-202.
http://dx.doi.org/10.1016/S0007-117X(82)80039-5
[3] Stuart McKenzie, W. and Rosenberg, M. (2009) Iatrogenic Subcutaneous Emphysema of Dental and Surgical Origin: A Literature Review. Journal of Oral and Maxillofacial Surgery, 67, 1265-1268.
http://dx.doi.org/10.1016/j.joms.2008.12.050
[4] Kim, Y., Kim, M.R. and Kim, S.J. (2010) Iatrogenic Pneumomediastinum with Extensive Subcutaneous Emphysema after Endodontic Treatment: Report of 2 Cases. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 109, e114-e119.
http://dx.doi.org/10.1016/j.tripleo.2009.09.013
[5] Paquette, M., Terazhalmy, G.T. and Moore, W.S. (2002) Subcutaneous Emphysema. Quintessence International, 33, 478.
[6] Zehnder, M. (2006) Root Canal Irrigants. Journal of Endodontics, 32, 389-398.
http://dx.doi.org/10.1016/j.joen.2005.09.014
[7] Grawehr, M., Sener, B., Waltimo, T., et al. (2003) Interactions of Ethylenediamine Tetraacetic Acid with Sodium Hypochlorite in Aqueous Solutions. International Endodontic Journal, 36, 411-415.
http://dx.doi.org/10.1046/j.1365-2591.2003.00670.x
[8] Baumgartner, J.C. and Ibay, A.C. (1987) The Chemical Reactions of Irrigants Used for Root Canal Debridement. Journal of Endodontics, 13, 47-51.
http://dx.doi.org/10.1016/S0099-2399(87)80153-X
[9] Bystrom, A. and Sundqvist, G. (1985) The Antibacterial Action of Sodium Hypochlorite and EDTA in 60 Cases of Endodontic Therapy. International Endodontic Journal, 18, 35-40.
http://dx.doi.org/10.1111/j.1365-2591.1985.tb00416.x
[10] de Sermeno, R.F., da Silva, L.A., Herrera, H., Herrera, H., Silva, R.A. and Leonardo, M.R. (2009) Tissue Damage after Sodium Hypochlorite Extrusion during Root Canal Treatment. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 14, e46-e49.
http://dx.doi.org/10.1016/j.tripleo.2008.12.024
[11] Zehnder, M., Kosicki, D., Luder, H., Sener, B. and Waltimo, T. (2002) Tissue Dissolving Capacity and Antibacterial Effect of Buffered and Unbuffered Hypochlorite Solutions. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 94, 756-762.
http://dx.doi.org/10.1067/moe.2002.128961
[12] Gernhardt, C.R., Eppendorf, K., Kozlowski, A. and Brandt, M. (2004) Toxicity of Concentrated Sodium Hypochlorite Used as an Endodontic Irrigant. International Endodontic Journal, 37, 272-280.
http://dx.doi.org/10.1111/j.0143-2885.2004.00804.x
[13] Pelka, M. and Petschelt, A. (2008) Permanent Mimic Musculature and Nerve Damage Caused by Sodium Hypochlorite: A Case Report. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 106, e80-e83.
http://dx.doi.org/10.1016/j.tripleo.2008.05.003

  
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