The removal of separated files is favourable when the file is visible, located in a relatively straight canal and there is a significant portion of the file protruding in the pulp chamber above the canal orifice.
Gentle teasing with Stieglitz Forceps usually represents the best approach in this situations similarly to silver points’ removal.
Unfortunately in the presented case the use of grasping action and pull was not sufficient due to engagement of the file past the apical foramen.
A tailored trial and error approach is required for each individual case.