Citation Information :
Misal SD, Kale YJ, Dadpe MV, Dahake PT, Kendre SB. Retrieval of Separated Endodontic Instrument and Management of Ellis Class 3 Fracture in Children: A Case Report. J Mahatma Gandhi Univ Med Sci Tech 2022; 7 (1):18-22.
Incisal fracture of the teeth of the anterior segment of the jaw is a relatively more popular form of dental trauma. Various treatment modus operandi for complicated crown fractures are put forward depending on the severity of the fracture in addition to soft tissue damage. The trauma to the teeth can be contemplated as a concern to public health. The amplified occurrence of fracture of anterior tooth necessitates a most cautious approach for the treatment of the same. During the biomechanical preparation of the root canal, there is always a possibility for the instrument to break in the canal itself. It causes a metallic obstruction of the canal which hinders further cleaning and shaping. Our primary goal in these instances should be an attempt for retrieval of the broken instrument and in case it is not possible bypass should be sought. The broken instrument in the canal not only creates anxiety for the clinician but also causes discomfort in the form of pain to the patient. In order to understand the numerous factors leading to the fracture of the instrument, a substantial amount of research has been done to minimize its occurrence. Several methods and techniques are available for the retrieval of the separated instruments from the root canal. The present article portrays the victorious removal of a broken instrument from the root canal of a maxillary central incisor using an H file followed by the management of Ellis 3 fracture in children.
Hülsmann M. Methods for removing metal obstructions from the root canal. Endod Dent Traumatol 1993;9(6):223–237. DOI: 10.1111/j.1600-9657.1993.tb00278.x
Suter B, Lussi A, Sequeira P. Probability of removing fractured instruments from root canals. Int Endod J 2005;38(2):112–123. DOI: 10.1111/j.1365-2591.2004.00916.x
Gencoglu N, Helvacioglu D. Comparison of the different techniques to remove fractured endodontic instruments from root canal systems. Eur J Dent 2009;3(2):90–95.
Öztan MD. Endodontic treatment of teeth associated with a large periapical lesion. Int Endod J 2002;35(1):73–78. DOI: 10.1046/j.1365-2591.2002.00455.x
Soares JA, Brito-Junior M, Silveira FF, et al. Favorable response of an extensive periapical lesion to root canal treatment. J Oral Sci 2008;50(1):107–111. DOI: 10.2334/josnusd.50.107
Ghose LJ, Baghdady VS, Hikmat YM. Apexification of immature apices of pulpless permanent anterior teeth with calcium hydroxide. J Endod 1987;13(6):285–290. DOI: 10.1016/s0099-2399(87)80045-6
Siqueira Jr JF, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J 1999;32(5):361–369. DOI: 10.1046/j.1365-2591.1999.00275.x
Spanaki-Voreadi AP, Kerezoudis NP, Zinelis S. Failure mechanism of ProTaper Ni-Ti rotary instruments during clinical use: fractographic analysis. Int Endod J 2006;39(3):171–178. DOI: 10.1111/j.1365-2591.2006.01065.x
Spili P, Parashos P, Messer HH. The impact of instrument fracture on outcome of endodontic treatment. J Endod 2005;31(12):845–850. DOI: 10.1097/01.don.0000164127.62864.7c
Andrabi SM, Kumar A, Iftekhar H, et al. Retrieval of a separated nickel-titanium instrument using a modified 18-guage needle and cyanoacrylate glue: a case report. Restor Dent Endod 2013;38(2):93. DOI: 10.5395/rde.2013.38.2.93