The broken file to retrieve or to leave ?
Endodontic cases involving broken instruments are among the most challenging and stressful in the field. Even the top experienced endodontists will agree that removing broken tools demands unwavering calm and exceptional self-control. This procedure isn't for everyone, as a rushed decision or improper removal can lead to failure. It's important to remember that any attempt […]
One canal, two broken files
The position and anatomy of upper molars can make root canal treatment challenging, and instrument separation is common. In the presented case, tooth 1.6 had an abscess, and an attempt at root canal treatment was made. Unfortunately, the previous dentist encountered difficulties and broke a paste carrier approximately 4 mm beyond the apex. In the […]
The vicious cycle of errors in retreatment cases
A simple step by step technique of separated instrument removal, gaining patency and perforation repair.
Inner wall Vs outer wall
This article is about showing the way of bypassing SI from both inner and outer wall, and which is correct in order to obtain satisfying outcome away from any unnecessary complications.
Removal of separated files; More than one way to achieve.
Fractured endodontic instruments visualized on the initial radiograph of a case that calls for retreatment may pose a great challenge to the clinician who is being asked to undertake an already complicated task. Conventional conservative management of separated instruments includes attempts to remove or bypass the fragment, or prepare and fill the root canal system […]
Custom loop: Removing broken root canal instruments
Fracture of root canal instruments used in root canals is a common complication in endodontics. In this article, I will demonstrate the creation of a custom loop that can be used to retrieve a broken root canal instrument
By-pass with style
The main purpose of an endodontic treatment is to render the root canal system free of bacteria. This will facilitate the resolution of inflammation and the alleviation of symptoms. But most of the time, the clinician faces obstacles that must be overcome to properly disinfect the root canals. Failure to remove these interferences means that […]
Management of separated instruments in different location
Separation of nickel-titanium instrument during root canal treatment can cause serious complications that may lead to treatment failure. It prevents complete cleaning and filling of the entire root canal space. Therefore, retrieval of the instrument should be tried to achieve better outcome for the therapy. There are two ways to manage this problem:
Triple trouble
In this article we are going to share management of a pulp stone associated with c-shaped canals in a lower second molar.
The tricky lower first premolar with 4 canals
The mandibular first premolar can be considered one of the most challenging teeth for the endodontist during endodontic procedures; because of the complexity of its root canal morphology and increased incidence of multiple canals. The knowledge of internal anatomy of root canals and their possible variations as well as use of magnification, operating microscope, radiographic examination and illumination, can increase the chances of finding additional canals and contribute to the success of endodontic treatment.
Management of a separated instrument beyond the apex
One of the common mishaps that may occur during shaping of the root canals is separated instrument which can hinder the proper cleaning and disinfection leaving residual tissues behind.
