ACTA SCIENTIFIC CLINICAL CASE REPORTS

Case Report Volume 8 Issue 8

Conservative Management of Broken Endodontic Instruments: Two Case Reports

Moez Zeddini1, Mayada Jemâa2*, Mahdi Tlili3 Mohamed Bassem Khattech4

1Resident, Department of Dental Medicine, Military Principal Hospital of Instruction, Laboratory of Dento- Facial Clinical and Biological Approach (ABCDF) LR12ES10, Faculty of Dental Medicine, University of Monastir, Avicenne Avenue, Tunisia
2Associate Professor, Department of Dental Medicine, Military Principal Hospital of Instruction, Oral Health and Oro-facial Rehabilitation Laboratory Research (LR12ES11), Faculty of Dental Medicine, University of Monastir, Avicenne Avenue, Tunisia
3Assistant Professor, Department of Dental Medicine, Military Principal Hospital of Instruction, Oral Diseases in the military UR17DN04, Faculty of Dental Medicine, University of Monastir, Avicenne Avenue, Tunisia
4Professor, Department of Dental Medicine, Military Principal Hospital of Instruction, Oral Diseases in the military UR17DN04, Faculty of Dental Medicine, University of Monastir, Avicenne Avenue, Tunisia

*Corresponding Author: Mayada Jemâa, Associate Professor, Department of Dental Medicine, Military Principal Hospital of Instruction, Oral Health and Oro-facial Rehabilitation Laboratory Research (LR12ES11), Faculty of Dental Medicine, University of Monastir, Avicenne Avenue, Tunisia.

Received: June 11, 2024; Published: July 06, 2024

Abstract

In our daily dental practice, broken instruments are one of the most common accidents. Many factors can lead to these endodontic mishaps such as canal curvatures and instrumental fatigue. The prognosis depends on file location, presence or absence of periapical lesion and canal curvature. Removing these broken instruments appears to be the best option in terms of regaining the canal patency and cleaning and shaping it to its full length. However, in some cases this effort of retrieval can fail, for example, when the instrument is located beyond the canal curvature and can’t be reached, and if so, it can lead to a poor prognosis or tooth fracture. In these situations, bypassing the broken file and being able to clean and shape the canal can be as good and effective. The aim of this paper is to describe the file bypass technique and a conservative removal method. Then, to discuss the outcomes through two clinical cases.

Keywords: Fractured Instrument; Bypassing; Broken Instrument Retrieval; Endodontic Treatment; Instrument Removal

References

  1. Madarati AA., et al. “Management of Intracanal Separated Instruments”. Journal of Endodontics 5 (2013): 569-581.
  2. Meidyawati R., et al. “Broken File Retrieval in the Lower Right First Molar Using an Ultrasonic Instrument and Endodontic Micro Forceps”. Case Reports in Dentistry 2019 (2019): e7940126.
  3. US Elsevier Health. Cohen’s Pathways of the Pulp - 9780323673037.
  4. Suciu I., et al. “Etiology and Prevention of an Endodontic Iatrogenic Event: Instrument Fracture”. Journal of Medicine and Life 3 (2020): 378-381.
  5. McGuigan MB., et al. “Endodontic instrument fracture: causes and prevention”. British Dental Journal7 (2013): 341-348.
  6. Vouzara T ElC and Lyroudia K. “Separated instrument in endodontics: Frequency, treatment and prognosis”. Balkan Journal of Dental Medicine 3 (2018): 123-132.
  7. Tang WR., et al. “Prevention and management of fractured instruments in endodontic treatment”. World Journal of Surgical Procedures 1 (2015): 82-98.
  8. Fu M., et al. “Effects of Ultrasonic Removal of Fractured Files from the Middle Third of Root Canals on the Resistance to Vertical Root Fracture”. Journal of Endodontics 11 (2019): 1365-1370.
  9. “Management of fractured endodontic instruments: a clinical guide 978-3-319-60651-4, 3319606514, 978-3-319-60650-7.
  10. “Management of Fractured Endodontic Instruments In Root Canal: A Review”. Journal of Dental Sciences4.2 (2014): 40-48.
  11. Suter B., et al. “Probability of removing fractured instruments from root canals”. International Endodontic Journal 2 (2005): 112-123.
  12. Souter NJ and Messer HH. “Complications Associated with Fractured File Removal Using an Ultrasonic Technique”. Journal of Endodontics 6 (2005): 450-452.
  13. Madarati AA., et al. “A Microcomputed Tomography Scanning Study of Root Canal Space: Changes after the Ultrasonic Removal of Fractured Files”. Journal of Endodontics 1 (2009): 125-128.
  14. Nevares G., et al. “Success rates for removing or bypassing fractured instruments: a prospective clinical study”. Journal of Endodontics 4 (2012): 442-444.
  15. Radeva E. “Bypassing a Broken Instruments (Clinical Cases)” 6.2 (2015).
  16. Saunders JL., et al. “Effect of a Separated Instrument on Bacterial Penetration of Obturated Root Canals”. Journal of Endodontics 3 (2004): 177-179.
  17. McGuigan MB., et al. “Clinical decision-making after endodontic instrument fracture”. British Dental Journal 8 (2013): 395-400.
  18. J Cujé., et al. “The outcome of retained instrument removal in a specialist practice – Cujé”. International Endodontic Journal - Wiley Online Library (2010).
  19. Terauchi Y., et al. “Present status and future directions: Removal of fractured instruments”. International Endodontic Journal S3 (2022): 685-709.
  20. Shen Y., et al. “Factors associated with the removal of fractured NITI instruments from root canal systems”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 5 (2004): 605-610.
  21. Banerjee S., et al. “Bypassing a broken instrument in a severely curved root canal: A case report (2017).

Citation

Citation: Mayada Jemâa., et al. “Conservative Management of Broken Endodontic Instruments: Two Case Reports".Acta Scientific Dental Sciences 8.8 (2024): 15-21.

Copyright

Copyright: Mayada Jemâa., et al. 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.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

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