Physical Effects of Sodium Hypochlorite on Bone: AnEx VivoStudy

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Abstract

Introduction

Sodium hypochlorite (NaOCl) accidents during endodontic therapy require accurate and prompt action. Understanding the physical properties of bone and evaluating the resultant cell damage from NaOCl exposure could improve management of these accidents. This study assessed the physical and histologic properties of dog femurs exposed to NaOCl for a period of 30 minutes.

Methods

Four dog femurs were dissected and frozen. Twelve 40-mm-long sections were obtained and cut into 20-mm paired sections. Adjacent surfaces were randomly selected for shallow injection of either NaOCl or saline. Sections were visually assessed for gross physiologic effects. The structural integrity of the cancellous bone was measured by micro-indentation testing, and statistical analysis of needle penetration was conducted. Histologic evaluation of specimens was also conducted.

Results

Grossly, NaOCl caused remarkable changes in cancellous structure, leaving craters of apparent demineralization. There was a significant difference in mean depth of needle penetration and demineralization between the treatments (P = .0397), with NaOCl showing greater mean depth than saline. The NaOCl group showed degradation of the organic matrix collagen.

Conclusions

These results indicate that NaOCl compromises the integrity of cancellous bone. Calcified elements, especially cortical bone, appeared less affected.

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