ABSTRACT
Traumatic lesions of the oral mucosa due to iatrogenic causes are a common condition in dental practice and induce serious effects on the oral soft tissue. A general dentist refers a 55-year-old woman to Oral Medicine Clinic for seeking treatment for a mucosal injury. The patient's face was asymmetrical when arrived, with swelling in the right lower cheek and edema in the upper and lower lips. According to the referral letter, the patient is now undergoing endodontic treatment for tooth 45 and is in the process of cleaning the root canal with an irrigation solution. After a few minutes, the patient's lips and mouth swelled, followed by extreme agony. There was no trismus or airway obstruction in this patient. On the labial, buccal, and floor of the mouth, there were regions of gingival necrosis, ecchymoses, and hematomas, as well as erythema of the tongue surrounding the treated tooth. The diagnosis has been established as a severe chemical burn et cause corrosive irrigate solutions name sodium hypochlorite 5%. Irrigation with physiological saline, medicaments (anesthetic mouthwash, antiseptic mouthwash, antibiotics, corticosteroids, and hyaluronic acid mouth rinses), and necrotic tissue excision were all used to treat severe lesions. For nearly a month, the severe chemical burn is methodically treated with regular monitoring. Following the healing lesion, a defect in the mouth's floor develops, due to the use of concentrated root canal irrigation solutions without a rubber dam, iatrogenic has a negative impact on the patient's quality of life.
