(TC20) A Bubbling Toast to Hydrogen Peroxide’s Renaissance – Utility as a Hemostatic Agent

Abstract: Hydrogen peroxide is not a routine agent in the endodontic repertoire anymore. It has largely been superseded by more efficacious solutions that demonstrate improved tissue dissolution and disinfection. However, perhaps our focus has been too narrow when evaluating the parameters of irrigant utility. Dating back to 1910, J.F. Colyer, a London dental surgeon, suggested perforations be treated by syringing the canal with hydrogen peroxide to arrest hemorrhage. Although uncommon in endodontics, the hemostatic properties of hydrogen peroxide continue to be recognized by our medical colleagues. The mechanism by which hydrogen peroxide aids in hemostasis has been elucidated and is multifactorial. Compared to other hemostatic agents and protocols, hydrogen peroxide is accessible, affordable, safe, and easy to use. It is valuable for the clinician to be aware of all materials available for the management of a variety of endodontic scenarios. The purpose of this table clinic is to provide a historical and contemporary perspective of hydrogen peroxide focusing on its utility in endodontics, specifically management of hemorrhagic canals encountered during non-surgical root canal treatment.