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Messerann Kiti Kullanılarak Kırık Kök Kanal Aletinin Çıkarılması: Olgu Sunumu

Year 2020, Volume: 1 Issue: 1, 42 - 47, 17.12.2020

Abstract

Bu vaka raporunun amacı kök kanal tedavisinin komplikasyonlarından olan ve başarısını olumsuz etkileyen, kök kanalında kırılan eğenin Messerann kiti kullanılarak çıkartılmasını değerlendirmektir. 37 yaşında bir kadın hasta 16 no’lu dişinde ağrı şikayetiyle kliniğimize başvurmuştur. Alınan anamnezde hastanın 2 ay önce çiğneme sırasında ağrı nedeniyle diş hekimine başvurduğu ve kök kanal tedavisine başlanıldığı daha sonra kliniğimize sevk edildiği öğrenilmiştir. Hastanın klinik muayenesinde, dişte geçici restorasyon olduğu ve dişin palpasyon ve perküsyonunda pozitif cevap gözlenmiştir. Radyografik muayenede ise meziobukkal kanalın servikal üçlüsünden orta üçlüsüne uzanan radyoopak bir cisim olduğu izlenmiştir. Geçici dolgu kaldırıldı meziobukkal kökte kırık eğe tespit edilmiştir. Kırık eğe Masserann Kitinin (Micromega, Besancon, France) trepan frezi ve ekstraktörü kullanılarak çıkarılmıştır. Kök kanalları crown down tekniği ile temizleme ve şekillendirmesi tamamlandıktan sonra, tek kon tekniği kullanılarak doldurulmuştur. Kırık aletin kök kanal içerisindeki pozisyonunun uygun olması, çıkartılmasında doğru ekipman seçimi ve hekim tecrübesi ile bu tür komplikasyonların üstesinden gelinerek başarılı kanal tedavileri yapılabilmektedir.

References

  • 1. Iqbal A. The Factors Responsible for Endodontic Treatment Failure in the Permanent Dentitions of the Patients Reported to the College of Dentistry, the University of Aljouf, Kingdom of Saudi Arabia. Journal of clinical and diagnostic research : JCDR. 2016;10(5):ZC146-ZC8.
  • 2. Siqueira JF, Jr. Aetiology of root canal treatment failure: why well-treated teeth can fail. Int Endod J. 2001;34(1):1-10.
  • 3. Madarati AA, Watts DC, Qualtrough AJ. Factors contributing to the separation of endodontic files. Br Dent J. 2008;204(5):241-5.
  • 4. Lin LM, Rosenberg PA, Lin J. Do procedural errors cause endodontic treatment failure? J Am Dent Assoc. 2005;136(2):187-93; quiz 231.
  • 5. Spili P, Parashos P, Messer HH. The impact of instrument fracture on outcome of endodontic treatment. J Endod. 2005;31(12):845-50.
  • 6. Thirumalai AK, Sekar M, Mylswamy S. Retrieval of a separated instrument using Masserann technique. Journal of conservative dentistry : JCD. 2008;11(1):42-5.
  • 7. Suter B, Lussi A, Sequeira P. Probability of removing fractured instruments from root canals. Int Endod J. 2005;38(2):112-23.
  • 8. Hülsmann M. Methods for removing metal obstructions from the root canal. Endod Dent Traumatol. 1993;9(6):223- 37.
  • 9. Okiji T. Modified usage of the Masserann kit for removing intracanal broken instruments. J Endod. 2003;29(7):466-7.
  • 10. D’Arcangelo C, Varvara G, De Fazio P. Broken instrument removal—two cases. Journal of endodontics. 2000;26(6):368-70.
  • 11. Hülsmann M. Removal of fractured instruments using a combined automated/ultrasonic technique. Journal of Endodontics. 1994;20(3):144-6
  • 12. Gencoglu N, Helvacioglu D. Comparison of the different techniques to remove fractured endodontic instruments from root canal systems. European journal of dentistry. 2009;3(2):90-5.
  • 13. Gerek M, Başer ED, Kayahan MB, Sunay H, Kaptan RF, Bayırlı G. Comparison of the force required to fracture roots vertically after ultrasonic and Masserann removal of broken instruments. Int Endod J. 2012;45(5):429-34.
  • 14. Pai A, Kamath M, Basnet P. Retrieval of a separated file using Masserann technique: A case report. Kathmandu University Medical Journal. 2006;4(2):238-42.
  • 15. Ruddle CJ. Micro-endodontic nonsurgical retreatment. Dent Clin North Am. 1997;41(3):429-54.
  • 16. Jonker CH, van der Merwe CB. Removal of fractured endodontic instruments: A report of two cases. International Dentistry. 2019;8(5):6-12.
  • 17. Abbott PV. Incidence of root fractures and methods used for post removal. Int Endod J. 2002;35(1):63-7.

Removal of the Fractured Root Canal Instrument Using Masserann Kit: Case Report

Year 2020, Volume: 1 Issue: 1, 42 - 47, 17.12.2020

Abstract

of the complications of root canal treatment and which adversely affects its success. A 43- year-old female patient was admitted to our clinic with the complaint of pain in her 16 tooth. In the anamnesis, it was learned that the patient applied to the dentist because of the pain during chewing and the root canal treatment was started 2 months ago and then she was referred to our clinic. Clinical examination revealed temporary restoration of the tooth and a positive response in the palpation and percussion of the tooth. Radiographic examination revealed a radiopaque body extending from the cervical triad of the mesiobuccal canal to the middle triple. Temporary filling root was detected. The fracture file was removed using the trepan drill and extractor of the Masserann Kit (Micromega, Besancon, France). The root canals were filled with gutta-percha a single cone method after cleaning and shaping with the crown down technique. Successful canal treatments can be performed by eliminating such complications with the appropriate position of the broken instrument in the root canal, selection of the right equipment in the removal and the experience of the physician.

References

  • 1. Iqbal A. The Factors Responsible for Endodontic Treatment Failure in the Permanent Dentitions of the Patients Reported to the College of Dentistry, the University of Aljouf, Kingdom of Saudi Arabia. Journal of clinical and diagnostic research : JCDR. 2016;10(5):ZC146-ZC8.
  • 2. Siqueira JF, Jr. Aetiology of root canal treatment failure: why well-treated teeth can fail. Int Endod J. 2001;34(1):1-10.
  • 3. Madarati AA, Watts DC, Qualtrough AJ. Factors contributing to the separation of endodontic files. Br Dent J. 2008;204(5):241-5.
  • 4. Lin LM, Rosenberg PA, Lin J. Do procedural errors cause endodontic treatment failure? J Am Dent Assoc. 2005;136(2):187-93; quiz 231.
  • 5. Spili P, Parashos P, Messer HH. The impact of instrument fracture on outcome of endodontic treatment. J Endod. 2005;31(12):845-50.
  • 6. Thirumalai AK, Sekar M, Mylswamy S. Retrieval of a separated instrument using Masserann technique. Journal of conservative dentistry : JCD. 2008;11(1):42-5.
  • 7. Suter B, Lussi A, Sequeira P. Probability of removing fractured instruments from root canals. Int Endod J. 2005;38(2):112-23.
  • 8. Hülsmann M. Methods for removing metal obstructions from the root canal. Endod Dent Traumatol. 1993;9(6):223- 37.
  • 9. Okiji T. Modified usage of the Masserann kit for removing intracanal broken instruments. J Endod. 2003;29(7):466-7.
  • 10. D’Arcangelo C, Varvara G, De Fazio P. Broken instrument removal—two cases. Journal of endodontics. 2000;26(6):368-70.
  • 11. Hülsmann M. Removal of fractured instruments using a combined automated/ultrasonic technique. Journal of Endodontics. 1994;20(3):144-6
  • 12. Gencoglu N, Helvacioglu D. Comparison of the different techniques to remove fractured endodontic instruments from root canal systems. European journal of dentistry. 2009;3(2):90-5.
  • 13. Gerek M, Başer ED, Kayahan MB, Sunay H, Kaptan RF, Bayırlı G. Comparison of the force required to fracture roots vertically after ultrasonic and Masserann removal of broken instruments. Int Endod J. 2012;45(5):429-34.
  • 14. Pai A, Kamath M, Basnet P. Retrieval of a separated file using Masserann technique: A case report. Kathmandu University Medical Journal. 2006;4(2):238-42.
  • 15. Ruddle CJ. Micro-endodontic nonsurgical retreatment. Dent Clin North Am. 1997;41(3):429-54.
  • 16. Jonker CH, van der Merwe CB. Removal of fractured endodontic instruments: A report of two cases. International Dentistry. 2019;8(5):6-12.
  • 17. Abbott PV. Incidence of root fractures and methods used for post removal. Int Endod J. 2002;35(1):63-7.
There are 17 citations in total.

Details

Primary Language Turkish
Subjects Endodontics
Journal Section Case Report
Authors

Hüseyin Gündüz

Esin Özlek

Publication Date December 17, 2020
Published in Issue Year 2020 Volume: 1 Issue: 1

Cite

APA Gündüz, H., & Özlek, E. (2020). Messerann Kiti Kullanılarak Kırık Kök Kanal Aletinin Çıkarılması: Olgu Sunumu. Van Diş Hekimliği Dergisi, 1(1), 42-47.