Volume 24, Issue 103, May - June, 2020

Management of separated endodontic instrument: 2 case reports

Chanchal Rathi^1♦, Manoj Chandak², Richa Modi³, Rakesh Gogiya⁴, Kajol Relan⁵, Madhulika Chandak⁶

¹Post graduate student, Conservative Dentistry and Endodontics, Sharad Pawar Dental College and hospital, Datta meghe institute of medical and dental sciences, Deemed to be University (DU) Sawangi; Email: chanchalrathidr@gmail.com
²Professor, Conservative Dentistry and Endodontics, Sharad Pawar Dental College and hospital, Datta meghe institute of medical and dental sciences, Deemed to be university (DU) Sawangi; Email: drmanojchandak@yahoo.com
³Post graduate student, Conservative Dentistry and Endodontics, Sharad Pawar Dental College and hospital, Datta meghe institute of medical and dental sciences, Deemed to be University (DU) Sawangi; Email: richa.modi55@gmail.com
⁴Post graduate student, Conservative Dentistry and Endodontics, Sharad Pawar Dental College and hospital, Datta meghe institute of medical and dental sciences, Deemed to be University (DU) Sawangi; Email: rakesh.gogiya@gmail.com
⁵Post graduate student, Conservative Dentistry and Endodontics, Sharad Pawar Dental College and hospital, deemed to be university (DU) Sawangi; Email: kajolrelan10@gmail.com
⁶Post graduate student, Conservative Dentistry and Endodontics, Sharad Pawar Dental College and hospital, Deemed to be University (DU), sawangi; Email: chandakmadhulika40@gmail.com

^♦Corresponding author
Post graduate student, Conservative Dentistry and Endodontics, Sharad Pawar Dental College and hospital, Datta meghe institute of medical and dental sciences, Deemed to be University (DU) Sawangi; Email: chanchalrathidr@gmail.com

ABSTRACT

One of the most common iatrogenic error occurred by clinician is separation of endodontic instrument. It interfere with proper cleaning and shaping of root canal which will ultimately lead to endodontic treatment failure. Different treatment modalities are available for managing separated instrument. 1. Treating the rest of the portion of the canal while the broken instrument left in the place. 2. Treat the canal by bypassing the broken fragment. 3. Retrieval of the broken fragment. 4. Retrieval of the separated fragment using surgical approach. Development of different techniques, use of ultrasonics, dental operating microscope Provide good results. Adequate knowledge, good clinical skill, as well as experience enable good management of instrument fractured in the root canal. In this report, present two cases with separated which was managed by two different technique. In first case instrument retrieval was done with ultrasonics and dental operating microscope. In case 2 bypassing technique was used.

Keywords: Retrieval, bypassing separated instrument, ultrasonics, dental operating microscope.

Medical Science, 2020, 24(103), 1663-1668

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