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Record W4406619303 · doi:10.12968/denu.2025.52.1.50

Emergency multidisciplinary management of a sodium hypochlorite injury in an adolescent: Case Report

2025· article· en· W4406619303 on OpenAlexaff
Mira Shah, Mary P. Lawrence, Kathleen Fan

Bibliographic record

VenueDental Update · 2025
Typearticle
Languageen
FieldDentistry
TopicEndodontics and Root Canal Treatments
Canadian institutionsSt. Thomas Hospital
Fundersnot available
KeywordsSodium hypochloriteMultidisciplinary approachMedical emergencyMedicineChemistryPolitical science

Abstract

fetched live from OpenAlex

This case report describes the multidisciplinary team (MDT) management of a severe sodium hypochlorite (NaOCl) injury in a 16-year-old male caused by NaOCl extrusion during emergency extirpation of the UL2 without the use of a dental dam. Ophthalmology, oral and maxillofacial surgery (OMFS) and acute dental input were required to manage this patient during their 72-hour inpatient hospital admission. Plain film and CT imaging were used to assess the degree of NaOCl infiltration and guide treatment. Serial dilution using sterile saline irrigation intra-orally and extra-orally of the left eye was required to reduce the cytotoxicity of NaOCl. CPD/Clinical Relevance: Clinicians should be aware of the potentially hazardous complications of NaOCl incidents, their clinical presentation and the importance of early recognition and management by an appropriate MDT.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.337
Threshold uncertainty score0.731

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.017
GPT teacher head0.329
Teacher spread0.312 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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