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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

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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 […]

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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:

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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.

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Separated file dilemma

Separated files at different levels require different approaches

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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.

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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.

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Retrieve and repair

As Endodontists our daily work is an adrenaline fuel because we face new challenges on a daily basis and each case requires a strategy to fix it. Strategy before any retreatment consists of reading very carefully the preoperative X-Ray, in order to explain to the patient what is the problem, prognosis ,number of visits, possibility […]

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Apical control management with bioceramic sealer

One of the most critical steps in endodontic treatment is the filling of the root canal system. The goal of 3D obturation is to fill the entire root canal system with a biocompatible material to prevent the entry of bacteria and other irritants that can cause infection or inflammation (Camilleri J. 2015). Many techniques and […]

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Management of broken file in atresic canals

Fracture or separation of endodontic instruments is one of the main complications in our clinical practice in root canal treatment. This eventuality can negatively affect the outcome of treatment, as the blockage caused by the instrument fragments will prevent correct debridement and removal of pulp tissue, bacteria or smear layer. The prognosis in these cases […]

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Retrieval of a long fragment separated file using a loop system

The separation of a file during a root canal treatment is a complication with an incidence ranging from 0,4-5% of cases. The evidence has shown that the outcome of root canal treatment lowers if the broken file doesn’t allow a proper disinfection and obturation of the root canal space or if the file breaks at […]

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Retreatment series: Episode 3

The Root canal treatments is a way full of challenges, that may be the ANATOMY and also it may be The Dealing with the “PROCEDURAL ERRORS” in this article i will describe how I managed this Treatment Mishap. I have described in two Episodes before different approaches for Non-Surgical Root Canal Retreatment this time i […]

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