Endodontics · single question

Sodium hypochlorite is accidentally expressed beyond the root apex during irrigation. What is the IMMEDIATE management?

  1. Apply ice packs only
  2. Place calcium hydroxide and observe
  3. Extract the tooth immediately
  4. Stop irrigation, remove rubber dam, provide drainage, prescribe analgesics and antibiotics, monitor
Show answer and explanation

Correct answer: D. Stop irrigation, remove rubber dam, provide drainage, prescribe analgesics and antibiotics, monitor

NaOCl accident management: stop irrigation, remove rubber dam, open tooth for drainage, analgesics, antibiotics, anti-inflammatories, ice, close monitoring, possible specialist referral.
  • A. ❌ Ice packs alone are insufficient.
  • B. ❌ CaOH placement alone is insufficient emergency management.
  • C. ❌ Immediate extraction is not indicated.
  • D. ✅ CORRECT – Emergency management: stop irrigation, drainage, analgesics, antibiotics, anti-inflammatories, monitoring.

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