Sodium hypochlorite and its use as an endodontic irrigant

Sodium hypochlorite has been used as an endodontic irrigant for more than 70 years, and is now one of the most common solutions for this purpose. The chemical properties and production of commercial sodium hypochlorite are reviewed. Domestic bleaches and an infant sanitizer are compared from the point of view of cost and ease of use - Milton being recommended where a 1% solution is required. The cost of syringes and needles for endodontic irrigation is many times greater than the hypochlorite they contain, and total annual practice costs for hypochlorite are low. Brief guidelines for clinical use, storage, handling and disposal are included.