Transforming a Non-Visible Separated File into a Visible Fragment: A Conservative Retrieval Approach
Instrument separation is a well-recognized complication in endodontic practice, and its management can significantly influence the long-term prognosis of the tooth. While some fractured instruments are readily visible and accessible, others remain hidden, particularly when located beyond canal curvatures. Non-visible fragments pose a greater challenge, as blind retrieval attempts risk excessive dentin removal, perforation, or structural weakening of the root.
Management of separated instrument: retrieve, bypass or leave it
The management of a broken file refers to handling situations where an instrument, typically a file, breaks or separates during the process of cleaning and shaping the root canal. This […]
Decision making when dealing with broken instruments
The presence of a fractured instrument in a root canal is not, in itself, a cause of failure of the endodontic treatment. However, when this instrument prevents the complete disinfection […]
Retrieval and retreatment of mandibular molar
Retrieval along with Retreatment is one of the most challenging procedures in the endodontic therapy, This article showcases the management of a lower first molar with swparatedinstrumemnt and a periapical lesion. In […]
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 […]
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 […]
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 […]
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 […]
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. […]