Endodontics · single question

During RCT of a necrotic tooth, bleeding occurs after irrigation. Most likely cause?

  1. Horizontal root fracture
  2. Canal perforation
  3. Instrument separation
  4. Sodium hypochlorite accident (extrusion beyond apex)
Show answer and explanation

Correct answer: D. Sodium hypochlorite accident (extrusion beyond apex)

NaOCl extrusion beyond apex causes: immediate severe pain, swelling, bleeding into canal, tissue necrosis. A necrotic tooth should have no vital tissue — unexpected bleeding = NaOCl reacting with periapical tissue.

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