Moez Zeddini¹, Mayada Jemâa²*, and 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

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Citation

Citation: Mayada Jemâa., et al. “Conservative Management of Broken Endodontic Instruments: Two Case Report".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.