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Retrieval of the Separated Canal Instruments Within the Root Canal During Root Canal Treatment Procedures: Case Series

Year 2015, , 63 - 69, 01.01.2015
https://doi.org/10.21306/jids.2015.1.12

Abstract

Separation of endodontic instrument within the root canal is an unwanted complication during root canal preparation that could effect treatment outcome negatively. Main reasons of instrument separations are using extensive force and repeated use of file. When an instrument separation occurs clinician should inform the patients about the treatment options which are removing the fragment, bypassing the fragment or cleaning/shaping and fiiling of the root canal to the level of the fragment. This article reports series of separeted instrument cases that occurs in clinics and its managment. In these cases Masserann kit and ultrasonics were used. While removing a broken instrument, using the combination of improved armamentarium and treatment by an experienced specialist might increase the success rate

References

  • 1. Strindberg L. The dependence of the results of pulp therapy on certain factors: an analytic study based on radiographic and clinical follow-up examination. Acta Odontol Scand 1956; 14: 1-175.
  • 2. Torabinejad M, McDonald NJ. Endodontic surgery. In: Torabinejad M, Walton RE, editors. Endodontics Principles and Practice. 4th ed. St Louis: Elsevier Health Sciences; 2009. 357-375.
  • 3. Bahcall JK, Carp S, Miner M, Skidmore L. The causes, prevention, and clinical management of broken endodontic rotary files. Dent Today 2005;24:74-80.
  • 4. Madarati AA, Watts DC, Qualtrough AJ. Factors contributing to the separation of endodontic files. Br Dent J 2008; 204: 241-245.
  • 5. Iqbal MK, Kohli MR, Kim JS. A retrospective clinical study of incidence of root canal instrument separation in an endodontics graduate program: a PennEndo database study. J Endod 2006; 32: 1048-1052.
  • 6. Spili P, Parashos P, Messer HH. The impact of instrument fracture on outcome of endodontic treatment. J Endod 2005; 31: 845-850.
  • 7. Wu J, Lei G, Yan M, Yu Y, Yu J, Zhang G. Instrument separation analysis of multi-used ProTaper Universal rotary system during root canal therapy. J Endod 2011; 37: 758-763.
  • 8. Ramirez-Solomon M, Soler-Bientz R, de la Garza-Gonzalez R, Palacios-Garza CM. Incidence of LightSpeed separation and the potential for bypassing. J Endod 1997; 23: 586-587.
  • 9. Crump MC, Natkin E. Relationship of broken root canal instruments to endodontic case prognosis: a clinical investigation. J Am Dent Assoc 1970; 80: 1341-1347.
  • 10. Peters OA, Barbakow F, Peters CI. An analysis of endodontic treatment with three nickel-titanium rotary root canal preparation techniques. Int Endod J 2004; 37: 849-859.
  • 11. Panitvisai P, Parunnit P, Sathorn C, Messer HH. Impact of a retained instrument on treatment outcome: A systematic review and meta-analysis. J Endod 2010; 36: 775-780.
  • 12. Ungerechts C, Bårdsen A, Fristad I. Instrument fracture in root canals - where, why, when and what? A study from a student clinic. Int Endod J 2014; 47: 183-190.
  • 13. Madarati AA, Hunter MJ, Dummer PM. Management of intracanal sapereted instruments. J Endod 2013; 39: 569-581.
  • 14. Gencoglu N, Helvacioglu D. Comparison of the different techniques to remove fractured endodontic instruments from root canal systems. Eur J Dent 2009; 3: 90-95.
  • 15. Okiji T. Modified usage of the Masserann kit for removing intracanal broken instruments. J Endod 2003; 29: 466-467.
  • 16. Torabinejad M, Lemon RR. Procedural accidents. In: Walton R, Torabinejad M, editors. Principles and Practice of Endodontics. 3rd ed. Philadelphia,Saunders; 2002. 310-330.
  • 17. Plotino G, Pameijer CH, Grande NM, Somma F. Ultrasonics in endodontics: a review of the literature. J Endod 2007; 33: 81-95.
  • 18. Krell KV, Fuller MW, Scott GL. The conservative retrieval of silver cones in difficult cases. J Endod 1984; 10: 269-273.
  • 19. Cujé J, Bargholz C, Hülsmann M. The outcome of retained instrument removal in a specialist practice. Int Endod J 2010; 43: 545-554.
  • 20. D’Arcangelo C, Varvara G, De Fazio P. Broken instrument removal: two cases. J Endod 2000; 26: 368-370.
  • 21. Choksi D, Idnani B, Kalaria D, Patel RN. Management of an intracanal separated instrument: a case report. Iran Endod J 2013; 8: 205-207.
  • 22. Al-Fouzan KS Incidence of rotary ProFile instrument fracture and the potential for bypassing in vivo. Int Endod J 2003; 36: 864-867.
  • 23. Cheung GS, Cuje J, Bargholz C, Hulsmann M. Instrument fracture: mechanisms, removal of fragments, and clinical outcomes. Endod Topics 2007; 16: 1-26.
  • 24. Ward JR, Parashos P, Messer HH. Evaluation of an ultrasonic technique to remove fractured rotary nickeltitanium endodontic instruments from root canals: an experimental study. J Endod 2003; 29: 756-763.
  • 25. Friedman S, Stabholtz A, Tamse A. Endodontic treatment: case selection and techniques. J Endod 1990; 16: 543-549.
  • 26. Yared G. In vitro study of the torsional properties of new and used Profile nickel titanium rotary files. J Endod 2004; 30: 410-412.
  • 27. Yousuf W, Khan M, Mehdi H. Endodontic procedural errors: frequency, type of error, and the most frequently treated tooth. Int J Dent 2015;2015:673914.
  • 28. Grossman LI. Guidelines for the prevention of fracture of root canal instruments. Oral Surg Oral Med Oral Pathol 1969; 28: 746-752.
  • 29. Madarati AA, Qualtrough AJ, Watts DC. Vertical fracture resistance of roots after ultrasonic removal of fractured instruments. Int Endod J 2010; 43: 424-429.
  • 30. Abbott PV. Incidence of root fractures and methods used for post removal. Int Endod J 2002; 35: 63-67.
  • 31. Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990; 16: 498-504.
  • 32. Sano S. A clinical study on the removal of the broken instrument in the root canal using Masserann kit. Kanagawashikagu 1974; 9: 50-57.
  • 33. Terauchi Y, O’Leary L, Kikuchi I, Asanagi M, Yoshioka T, Kobayashi C, Suda H. Evaluation of the efficiency of a new file removal system in comparison with two conventional systems. J Endod 2007; 33: 585-588.
  • 34. Suter B, Lussi A, Sequeira P. Probability of removing fractured instruments from root canals. Int Endod J 2005; 38: 112-123.

Kök Kanal Tedavi İşlemleri Esnasında Kök Kanal İçerisinde Kırılan Kanal Aletlerinin Uzaklaştırılması: Olgu Serisi

Year 2015, , 63 - 69, 01.01.2015
https://doi.org/10.21306/jids.2015.1.12

Abstract

Kök kanal sisteminin şekillendirilmesi sırasında oluşan kanal içinde alet kırılması istenmeyen ve tedavi başarısını olumsuz etkileyebilen komplikasyonlardan biridir. Kanal aletlerine aşırı kuvvet uygulanması ve defalarca kullanılması alet kırılmarının başlıca nedenlerindendir. Klinikte alet kırığı ile karşılaşan hekim hastayı bilgilendirmeli ve aletin yanından geçme, aleti çıkarma ya da olduğu yerde bırakma gibi tedavi seçenekleri konusunda hastayı bilgilendirmelidir. Bu olgu serisinde klinikte karşımıza çıkan çeşitli alet kırığı vakaları ve tedavileri anlatılmıştır. Bu vakalarda Masserann kiti ve ultrasonikler kullanılmıştır. Alet kırıklarının çıkarılmasında gelişmiş alet ve yöntemlerin kullanılmasının yanısıra hekimin klinik tecrübesi de bu olgulardaki başarı şansını artırmaktadır

References

  • 1. Strindberg L. The dependence of the results of pulp therapy on certain factors: an analytic study based on radiographic and clinical follow-up examination. Acta Odontol Scand 1956; 14: 1-175.
  • 2. Torabinejad M, McDonald NJ. Endodontic surgery. In: Torabinejad M, Walton RE, editors. Endodontics Principles and Practice. 4th ed. St Louis: Elsevier Health Sciences; 2009. 357-375.
  • 3. Bahcall JK, Carp S, Miner M, Skidmore L. The causes, prevention, and clinical management of broken endodontic rotary files. Dent Today 2005;24:74-80.
  • 4. Madarati AA, Watts DC, Qualtrough AJ. Factors contributing to the separation of endodontic files. Br Dent J 2008; 204: 241-245.
  • 5. Iqbal MK, Kohli MR, Kim JS. A retrospective clinical study of incidence of root canal instrument separation in an endodontics graduate program: a PennEndo database study. J Endod 2006; 32: 1048-1052.
  • 6. Spili P, Parashos P, Messer HH. The impact of instrument fracture on outcome of endodontic treatment. J Endod 2005; 31: 845-850.
  • 7. Wu J, Lei G, Yan M, Yu Y, Yu J, Zhang G. Instrument separation analysis of multi-used ProTaper Universal rotary system during root canal therapy. J Endod 2011; 37: 758-763.
  • 8. Ramirez-Solomon M, Soler-Bientz R, de la Garza-Gonzalez R, Palacios-Garza CM. Incidence of LightSpeed separation and the potential for bypassing. J Endod 1997; 23: 586-587.
  • 9. Crump MC, Natkin E. Relationship of broken root canal instruments to endodontic case prognosis: a clinical investigation. J Am Dent Assoc 1970; 80: 1341-1347.
  • 10. Peters OA, Barbakow F, Peters CI. An analysis of endodontic treatment with three nickel-titanium rotary root canal preparation techniques. Int Endod J 2004; 37: 849-859.
  • 11. Panitvisai P, Parunnit P, Sathorn C, Messer HH. Impact of a retained instrument on treatment outcome: A systematic review and meta-analysis. J Endod 2010; 36: 775-780.
  • 12. Ungerechts C, Bårdsen A, Fristad I. Instrument fracture in root canals - where, why, when and what? A study from a student clinic. Int Endod J 2014; 47: 183-190.
  • 13. Madarati AA, Hunter MJ, Dummer PM. Management of intracanal sapereted instruments. J Endod 2013; 39: 569-581.
  • 14. Gencoglu N, Helvacioglu D. Comparison of the different techniques to remove fractured endodontic instruments from root canal systems. Eur J Dent 2009; 3: 90-95.
  • 15. Okiji T. Modified usage of the Masserann kit for removing intracanal broken instruments. J Endod 2003; 29: 466-467.
  • 16. Torabinejad M, Lemon RR. Procedural accidents. In: Walton R, Torabinejad M, editors. Principles and Practice of Endodontics. 3rd ed. Philadelphia,Saunders; 2002. 310-330.
  • 17. Plotino G, Pameijer CH, Grande NM, Somma F. Ultrasonics in endodontics: a review of the literature. J Endod 2007; 33: 81-95.
  • 18. Krell KV, Fuller MW, Scott GL. The conservative retrieval of silver cones in difficult cases. J Endod 1984; 10: 269-273.
  • 19. Cujé J, Bargholz C, Hülsmann M. The outcome of retained instrument removal in a specialist practice. Int Endod J 2010; 43: 545-554.
  • 20. D’Arcangelo C, Varvara G, De Fazio P. Broken instrument removal: two cases. J Endod 2000; 26: 368-370.
  • 21. Choksi D, Idnani B, Kalaria D, Patel RN. Management of an intracanal separated instrument: a case report. Iran Endod J 2013; 8: 205-207.
  • 22. Al-Fouzan KS Incidence of rotary ProFile instrument fracture and the potential for bypassing in vivo. Int Endod J 2003; 36: 864-867.
  • 23. Cheung GS, Cuje J, Bargholz C, Hulsmann M. Instrument fracture: mechanisms, removal of fragments, and clinical outcomes. Endod Topics 2007; 16: 1-26.
  • 24. Ward JR, Parashos P, Messer HH. Evaluation of an ultrasonic technique to remove fractured rotary nickeltitanium endodontic instruments from root canals: an experimental study. J Endod 2003; 29: 756-763.
  • 25. Friedman S, Stabholtz A, Tamse A. Endodontic treatment: case selection and techniques. J Endod 1990; 16: 543-549.
  • 26. Yared G. In vitro study of the torsional properties of new and used Profile nickel titanium rotary files. J Endod 2004; 30: 410-412.
  • 27. Yousuf W, Khan M, Mehdi H. Endodontic procedural errors: frequency, type of error, and the most frequently treated tooth. Int J Dent 2015;2015:673914.
  • 28. Grossman LI. Guidelines for the prevention of fracture of root canal instruments. Oral Surg Oral Med Oral Pathol 1969; 28: 746-752.
  • 29. Madarati AA, Qualtrough AJ, Watts DC. Vertical fracture resistance of roots after ultrasonic removal of fractured instruments. Int Endod J 2010; 43: 424-429.
  • 30. Abbott PV. Incidence of root fractures and methods used for post removal. Int Endod J 2002; 35: 63-67.
  • 31. Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990; 16: 498-504.
  • 32. Sano S. A clinical study on the removal of the broken instrument in the root canal using Masserann kit. Kanagawashikagu 1974; 9: 50-57.
  • 33. Terauchi Y, O’Leary L, Kikuchi I, Asanagi M, Yoshioka T, Kobayashi C, Suda H. Evaluation of the efficiency of a new file removal system in comparison with two conventional systems. J Endod 2007; 33: 585-588.
  • 34. Suter B, Lussi A, Sequeira P. Probability of removing fractured instruments from root canals. Int Endod J 2005; 38: 112-123.
There are 34 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Ersan Çiçek This is me

Burcu Bilgin This is me

Publication Date January 1, 2015
Published in Issue Year 2015

Cite

APA Çiçek, E., & Bilgin, B. (2015). Kök Kanal Tedavi İşlemleri Esnasında Kök Kanal İçerisinde Kırılan Kanal Aletlerinin Uzaklaştırılması: Olgu Serisi. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi)(1), 63-69. https://doi.org/10.21306/jids.2015.1.12
AMA Çiçek E, Bilgin B. Kök Kanal Tedavi İşlemleri Esnasında Kök Kanal İçerisinde Kırılan Kanal Aletlerinin Uzaklaştırılması: Olgu Serisi. J Int Dent Sci. January 2015;(1):63-69. doi:10.21306/jids.2015.1.12
Chicago Çiçek, Ersan, and Burcu Bilgin. “Kök Kanal Tedavi İşlemleri Esnasında Kök Kanal İçerisinde Kırılan Kanal Aletlerinin Uzaklaştırılması: Olgu Serisi”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), no. 1 (January 2015): 63-69. https://doi.org/10.21306/jids.2015.1.12.
EndNote Çiçek E, Bilgin B (January 1, 2015) Kök Kanal Tedavi İşlemleri Esnasında Kök Kanal İçerisinde Kırılan Kanal Aletlerinin Uzaklaştırılması: Olgu Serisi. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 1 63–69.
IEEE E. Çiçek and B. Bilgin, “Kök Kanal Tedavi İşlemleri Esnasında Kök Kanal İçerisinde Kırılan Kanal Aletlerinin Uzaklaştırılması: Olgu Serisi”, J Int Dent Sci, no. 1, pp. 63–69, January 2015, doi: 10.21306/jids.2015.1.12.
ISNAD Çiçek, Ersan - Bilgin, Burcu. “Kök Kanal Tedavi İşlemleri Esnasında Kök Kanal İçerisinde Kırılan Kanal Aletlerinin Uzaklaştırılması: Olgu Serisi”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 1 (January 2015), 63-69. https://doi.org/10.21306/jids.2015.1.12.
JAMA Çiçek E, Bilgin B. Kök Kanal Tedavi İşlemleri Esnasında Kök Kanal İçerisinde Kırılan Kanal Aletlerinin Uzaklaştırılması: Olgu Serisi. J Int Dent Sci. 2015;:63–69.
MLA Çiçek, Ersan and Burcu Bilgin. “Kök Kanal Tedavi İşlemleri Esnasında Kök Kanal İçerisinde Kırılan Kanal Aletlerinin Uzaklaştırılması: Olgu Serisi”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), no. 1, 2015, pp. 63-69, doi:10.21306/jids.2015.1.12.
Vancouver Çiçek E, Bilgin B. Kök Kanal Tedavi İşlemleri Esnasında Kök Kanal İçerisinde Kırılan Kanal Aletlerinin Uzaklaştırılması: Olgu Serisi. J Int Dent Sci. 2015(1):63-9.

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