Retrieval of a fractured instrument using File Braiding technique: A case report

Abstract

In the present study, a conservative approach for removal of a fractured instrument located at the apical root area of maxillary left central incisor of a 35 years old male was performed and the clinical outcome was evaluated. On clinical examination, localized swelling associated with discharge of pus was seen near to the affected tooth. Furthermore, the tooth was restored with temporary filling and it was severely discolored. On radiographic examination, a radiolucent area around the apex was seen and there was a fractured instrument at the apex of the tooth. Tooth was then treated as nonsurgical endodontic technique and an attempt to remove the fractured instrument was undertaken. The results confirms that fractured instrument was successfully removed by using the File Braiding technique and after 3 months follow up, the tooth was asymptomatic and radiograph shows complete healing of the periapical lesion.DOI: http://dx.doi.org/10.3329/updcj.v2i1.13957 Update Dent. Coll. j: 2012; 2 (1): 25-30

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

“…15% EDTA is a chelating agent that functions as a lubricant. 10 The bypass technique is considered the safest treatment used in the case of a broken instrument file because it does not remove excessive amounts of dentin from the root canal. The operator chose to use the custom post fiber technique because the prefabricated fiber post has optimal adaptation to teeth with small and circular root canals.…”

“…4 H-file braiding technique is useful in retrieving pieces of a fractured instrument from the root canal and in general a success rate of 55% has been reported. 10 The aim of the case report aims to provide an alternative for retrieving broken instruments using the H-file braiding technique.…”