Broken File Retrieval: Puzzle in Endodontics

Tomer, Anil K; Muni, Sagarika; Bharadwaj, Gaurav; Malik, Nidhi

doi:10.5005/jp-journals-10051-0017

Cited by 3 publications

(7 citation statements)

References 4 publications

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“…In the present case reports, we used a conservative approach with H-file braiding technique to remove the file segment and to cause less harm to the tooth, by preserving the root canal dentin. 3 Gates Gliden drills were used for coronal enlargement because important factors to be considered prior to instrument retrieval is to obtain a straight-line access to the coronal end of the separated instrument. 3,8 Two H-files were put into the root canal under excessive irrigation of 15% EDTA and sodium hypochlorite.…”

Section: Discussionmentioning

confidence: 99%

“…1 The various reasons that can cause a broken instrument in the root canal such as type of tooth and root canal anatomical variations like curved canals and accessory canals, over-instrumentation, increased speed with a rotary instrument, loss of tactile sensation with hand use instrument and improper filing techniques. 3,4 The presence of broken files impedes the process of cleaning, forming and filling resulting in a poor prognosis and causing treatment failure. 5,1 When broken instrument occurs, the operator has the choice of (1) bypassing and obturating the canal (2) leaving the instrument in the canal, or (3) retrieving the file segment either non-surgical or surgical.…”

Section: Introductionmentioning

confidence: 99%

“…5,1 When broken instrument occurs, the operator has the choice of (1) bypassing and obturating the canal (2) leaving the instrument in the canal, or (3) retrieving the file segment either non-surgical or surgical. 3,6 The success rate for retrieval of fragment instruments in canal root to be between fifty-five 55% and seventy-nine79%. 7 Armamentarium and techniques for retrieving of file segment in root canals such as endodontic ultrasonic tips, GG Drills, masserann kit, roydent extractor, brasseler endo extractor, microtube retrieval methods, proultra endo, H-file braiding technique and separated instrument removal system.…”

Section: Introductionmentioning

confidence: 99%

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Retrieving Broken Instrument in Half of the Apikal on Canines Teeth With H-File Braiding Technique

Styaningrum

Andina²,

Kristanti

2021

ODONTO : Dental Journal

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Background: Broken instruments affect the outcome and prognosis. A broken instrument will prevent the procedure of cleaning and shaping, irrigation and obturation of the root canal on the obstructed root section causing failure in endodontic treatment. There are some treatments for broken instrument including retrieving a broken fragment file and bypassing it on the root canal. the aim of the case report aims to provide an alternative for retrieving broken instruments using the H-file braiding technique. Method: A 38-year-old female patient came to the Dental Conservation Clinic RSGM Prof. Soedomo FKG UGM. A patient got a history of initial root canal treatment in a clinic, which ended with a separated file on canine teeth left upper. No complain pain, from the investigation radiographic there is an instrument broken in half apical. The teeth 23 seen temporary restoration cavity class I is still in good. Retrieving broken instruments using the H-file braiding technique, preparation with step back techniques, obturation with warm vertical condensation technique and class I composite resin restorations with fiber-reinforced retention. Result: No complain pain after 2 weeks retrieving broken instrument.Conclusion: The technique of the H-file braiding technique is one technique to retrieve a broken instrument, this procedure is simple, cost-effective, harmless to the teeth and gives root canal sealing.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Retrieving Broken Instrument in Half of the Apikal on Canines Teeth With H-File Braiding Technique

Styaningrum

Andina²,

Kristanti

2021

ODONTO : Dental Journal

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“…[4] Instrument retrieval depends on diameter and cross section of the separated instrument, length of file, curvature of root, dentin thickness and morphology of the root canal, cutting action, length of instrument, location, and area of file binding to canal. [56] However, the best prognosis occurs after complete removal of all obstructions. Different techniques have been described to retrieve the obstruction from canal including the Masserann kit[7] (Micro-Mega, Besancon, France), the Endosicherheits system[8] (Meisinger, Dusseldorf, Germany), the braiding technique,[9] ultrasonics,[10] the combined technique,[11] the wire loop technique,[12] and the endo-extractor technique.…”

Section: Discussionmentioning

confidence: 99%

3P’s in retreatment endodontics—An often forgotten virtue

Lohar

Sood

Gosai³

et al. 2019

J Pharm Bioall Sci

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Separation of instrument in the root canal is a common mishap that occurs during the cleaning and shaping procedure. So many different methods have been developed to retrieve fractured instruments from root canal. Separated instrument leads to incomplete cleaning of root canal and eventually causes posttreatment disease. For successful completion of treatment, a separated instrument must be retrieved and if not, a bypass must be attempted. This article presents four cases requiring removal of separated instruments from the root canal. All four cases were successfully treated by conservative means of instrument retrieval by using two different techniques.

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“…When instrument separation occurs, the clinician has the following choices: -leaving the instrument in the canal, bypassing and obturating the canal, or retrieving the file segment either surgically or nonsurgically [4].…”

mentioning

confidence: 99%

Retrieving Broken Metallic Instruments from Root Canal by Using the Ultrasound System and Endodontic Microscope

Moraru¹,

Gheorghe²,

Raca³

et al. 2019

Rev. Chim.

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During root canal instrumentation several accidents may occur, one of them being the separation of the instrument.The chemical structure of metallic boken instrumenthas an important role in the therapeutic approach. Due to metal fatigue, over instrumentation, incorrect speed, bad technique, and several other reasons, the endodontic instruments, manual or rotative, may break inside the root canal. The broken piece usually gets stuck inside the dentine walls. Several years ago, such accident was equal to the loss of the tooth, but nowadays, with the use of the endodontic microscope and ultrasonic tips, the teeth can be fully restored as the separated instrument can be removed safely.

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Broken File Retrieval: Puzzle in Endodontics

Cited by 3 publications

References 4 publications

Retrieving Broken Instrument in Half of the Apikal on Canines Teeth With H-File Braiding Technique

Retrieving Broken Instrument in Half of the Apikal on Canines Teeth With H-File Braiding Technique

3P’s in retreatment endodontics—An often forgotten virtue

Retrieving Broken Metallic Instruments from Root Canal by Using the Ultrasound System and Endodontic Microscope

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