“…In addition, Satterthwaite et al showed that most of extracted teeth (46/60) submitted to endodontic post removal exceeded 47 °C of temperature after 5 min of ultrasonic vibration [ 42 , 44 ]. Additionally, Huttula et al concluded that the ultrasonic vibration increases the temperature over 47C which irreversible bone damage may occur, even though a heat sink was used [ 40 , 42 , 46 , 47 ]. Furthermore, reported that the application of a ultrasonic thechnique without irrigation for endodontic post removal for 4 min generated enough heat at the root surface to potentially affect the adjacent teeth [ 48 ] However, Gooty et al recommended the use of an ultrasonic scaler to successfully remove a fractured abutment screw by creating a 1 mm depth hole in the occlusal surface of the fractured abutment screw by a round bur, followed by placing the tip of the scaler in this slot to further unscrew the fractured abutment screw [ 49 ].…”