Why Sodium Hypochlorite Should Be Delayed in Vital Pulp Cases

Abstract Sodium hypochlorite (NaOCl) is the gold standard irrigant in endodontics due to its antimicrobial and tissue-dissolving properties. However, in cases where the pulp is still vital or partially vital, immediate use of NaOCl may result in intense pain, bleeding, or post-operative discomfort. This article discusses the clinical reasons for delaying the use of NaOCl in vital cases, and how alternative irrigants or protocols can improve patient outcomes. Introduction Irrigation is a crucial step in root canal therapy, aiming to disinfect the canal and remove organic debris. Sodium hypochlorite (NaOCl), while highly effective, can cause chemical irritation, especially in cases where the pulp tissue is still partially alive or inflamed. Understanding when and how to use NaOCl appropriately is essential…