Instrument Separation Outside the Root Canal: Handling Methods and Difficulties

Instrument Separation Outside the Root Canal: Handling Methods and Difficulties

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Author Info

Corresponding Author
Zhifeng Song
Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai, China

A B S T R A C T

In endodontics, fracturing of the instrument in the root canal can arise as an inevitable problem for the dentist, especially during the application of the metal-nickel-titanium devices to the root canal. What is more, the broken parts of the instruments may be beyond the point of the apex, which can produce a range of symptoms and cause additional physical and mental pain to the patients that must be relieved as fast as possible. A few cases are available, in which the separated endodontic instruments beyond the apex are addressed with surgical approaches, indicating that some cases can be resolved by surgical management. However, it is difficult to achieve the ideal results often due to bleeding, a lack of clinic experience, and an inability to accurately comprehend soft tissue activities. The best way, then, is to prevent the occurrence entirely if possible.

Article Info

Article Type
Case Report
Publication history
Received: Thu 16, Jan 2020
Accepted: Fri 14, Feb 2020
Published: Wed 19, Feb 2020
Copyright
© 2023 Zhifeng Song. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.DOBCR.2020.01.06