Management of Broken Endodontic Instruments in the Apical Third of Right Central Incisor Using the Braid Technique
DOI:
https://doi.org/10.46862/interdental.v20i3.8343Keywords:
Apical third, braiding technique, broken instrumentAbstract
Introduction: Complication that can happened during root canal preparation is separation of endodontic instruments during cleaning and shaping Separated instruments can influence the cleaning of the root canal and the obturation of the root canal system becomes incomplete. Therefore, broken instruments in the root canal should be removed so that root canal cleaning can be carried out optimally. Retrieval of broken instruments in the root canal must be attempted manually or by using special instruments. This article discusses the procedure for removing broken endodontic instruments in the apical third of a tooth using the braid technique.
Case report and management: a 34-year-old male patient came with complaints of a broken instrument during root canal treatment. Currently the patient's are not in pain. The therapy was carried out by taking a broken lentulo instrument using a braiding technique. After the broken instrument was removed, calcium hydroxide was applied to the root canal as intracanal medicament. A week later the root canal was obturated using the lateral condensation technique. The patient was then instructed to return to the general dentist who had previously treated him for restoration of the tooth that had undergone root canal treatment.
Conclusion : Fracture of instruments in the root canal is influenced by the operator's ability, the instrumentation process and the anatomy and morphology of the root canal. One simple technique that can be used by operators to increase the success of retrieving broken instruments is the Braiding technique so that hermetic obturation can be achieved
Downloads
References
Dave P, Barve D. Instrument retrieval from central incisor-a case report 14 14 International Journal of Scientific Study. 2019. Available from: www.ijss-sn.com
Pallavi S, Nagaraj N. retrieval of separated endodontic ni-ti rotary file with the aid of hypodermic needle and k-file: A case report. Journal of Clinical and Diagnostic Research 2022; 16(3): 10–2. Doi: 10.7860/JCDR/2022/52253.16049
Rambabu T. Management of fractured endodontic instruments in root canal: A review. J Sci Dent. 2014;4(2):40–8.
Radeva E. Bypassing a broken instruments (clinical cases). International Journal of Science and Research (IJSR) 2017; 6(2): 227–9. Doi: 10.21275/ART2017644
Shaik I, Qadri F, Deshmukh R, Clement C, Patel A, Khan M. Comparing techniques for removal of separated endodontic instruments: Systematic review and meta-analysis . Int J Health Sci (Qassim) 2022; 6(1): 13792–805. Doi: 10.53730/ijhs.v6nS1.8497
Spili P, Parashos P, Messer HH. The Impact of instrument fracture on outcome of endodontic treatment. Journal of Endodontic 2005; 31(12): 845-50. Doi: 10.1097/01.don.0000164127.62864.7c
Olczak K, Grabarczyk J, Szyman W . Removing fractured endodontic files with a tube technique—the strength of the glued joint: tube-endodontic file setup. Materials 2023; 16(11): 1-13. Doi: https://doi.org/10.3390/ma16114100
Dave P, Barve D. Instrument retrieval from maxillary central incisor: A case report. IP Indian Journal of Conservative and Endodontics. 2020;3(1):26–8. Doi: 10.18231/2456-8953.2018.0007
Monteiro JC amilo do C, Kuga MC arlos, Dantas AA bi R, Jordão-Basso KC ristina F, Keine KC ristina, Ruchaya PJ ay, et al. A method for retrieving endodontic or atypical nonendodontic separated instruments from the root canal: a report of two cases. J Contemp Dent Pract 2014; 15(6): 770–4. Doi: 10.5005/jp-journals-10024-1615
Shiyakov KK, Vasileva RI. Success for removing or bypassing instruments fracturedbeyond the root canal curve – 45 Clinical Cases. Journal of IMAB - Annual Proceeding (Scientific Papers) 2014; 20(3): 567–71. Doi: 10.5272/jimab.2014203.567
Suter B, Lussi A ,Sequeira P. Probability of removing fractured instruments from root canals. International Endodontic Journal.2005; 38(2):112–23. Doi: 10.1111/j.1365-2591.2004.00916.x
Adl A, Shahravan A, Farshad M, Honar S. Success rate and time for bypassing the fractured segments of four NiTi rotary instruments. Iran Endod J 2017; 12(3): 349–53. Doi: 10.22037/iej.v12i3.16866
Parveen S, Hossain M, Uddin MdF. Management of broken instrument by file bypass technique. Bangabandhu Sheikh Mujib Medical University Journal 2017; 10(1): 41. Doi: https://doi.org/10.3329/bsmmuj.v10i1.31305
Sandhu DrMK. Techniques for removal of intracanal separated instruments (Part 2). International Journal of Applied Dental Sciences 2021; 7(4): 38–46. Doi: 10.22271/oral.2021.v7.i4a.1351
Aslan T,Ustun Y, Duzgun S. Effect of lentulo spiral usage at different speeds on apical extrusion of calcium hydroxide. J Dent Fac Atatürk Uni 2018; 28(2): 133-37. Doi: 10.17567/ataunidfd.418733
Pillay M, Vorster M, Van der Vyver PJ. Fracture of endodontic instruments - Part 1: Literature review on factors that influence instrument breakage. S. Afr. dent. J 2020; 75(10): 553-61. Doi: https://doi.org/10.17159/2519-0105/2020/v75no10a4
Simon SR, Tomson PLM, Machtou P. Influence of fractured instruments on the success rate of endodontic treatment. Dent Update 2008; 35(3): 172-4. Doi: 10.12968/denu.2008.35.3.172
Kumar S. Separated instrument retrieval (safe and predictable). Dentistry P 2020; 07(11): 8474–7.
Riany A. Crown down preparation technique with large taper endodontic hand instrument. Interdental Jurnal Kedokteran Gigi 2021; 7(1):41-8. Doi: https://doi.org/10.46862/interdental.v17i1.2424
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Putu Mariati Kaman Dewi
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- Every manuscript submitted to must observe the policy and terms set by the Interdental Jurnal Kedokteran Gigi (IJKG)
- Publication rights to manuscript content published by the Interdental Jurnal Kedokteran Gigi (IJKG) is owned by the journal with the consent and approval of the author(s) concerned.
- Full texts of electronically published manuscripts can be accessed free of charge and used according to the license shown below.
