Year: 2024
Type: article
Study design: Case Report
Abstract: Background: Instrument separation during endodontic treatment is a common complication that can hinder the cleaning and shaping of root canals, potentially affecting the treatment outcome. Properly managing separated instruments is crucial to ensure the long-term success of the endodontic procedure. This case series Methods: presents various clinical scenarios involving separated instruments in molar canals. Techniques employed included retrieval using ultrasonic tips and bypassing using K-files, depending on the instrument's location, size, and the canal's anatomy. Each case was evaluated based on the feasibility of instrument retrieval and the potential risks associated with each approach. In cases where retrieval was feasible, ultrasonic tips under magnification successfully re Results: moved the separated instruments, allowing for complete canal cleaning and obturation. For cases where retrieval posed high risks, bypassing techniques were used to navigate around the separated instruments, enabling continued canal preparation. Both approaches resulted in well-obturated canals, confirmed by post-operative radiographs, and the patients reported no symptoms during follow-up. This case series demonstrates that both retrieval and bypassing Conclusion: techniques can effectively manage separated instruments in endodontic treatment. The choice of method should be guided by the specific clinical scenario, instrument position, and potential risks. Advanced endodontic tools and meticulous technique are essential for successful outcomes. Future research should focus on long-term success rates and the development of new technologies to further improve the management of separated instruments.
Authors: Kartika Goswami, Panna Mangat, Mandeep Solanki, Neha Rajput
Institution: Chaudhary Charan Singh University
Language: English
Subfield: Oral Surgery
Field: Dentistry
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4404505023