Retrieval of broken file and retreatment of previously treated mandibular left second molar

https://doi.org/10.22146/majkedgiind.83545

Sukma Paramastri(1*), Kurnia Fitriningtyas(2), Pribadi Santosa(3), Ema Mulyawati(4), Margareta Rinastiti(5), Yulita Kristanti(6)

(1) Dentist Education Program Specialist in Dental Conservation, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) RSUD Prambanan, Yogyakarta, Indonesia
(3) Department of Conservation Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
(4) Department of Conservation Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
(5) Department of Conservation Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
(6) Department of Conservation Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Broken files in the root canal system which are not removed may interfere with thorough cleaning of the root canals. As a result, they cannot be hermetically obturated. This imperfect cleaning can leave necrotic tissue which can potentially cause failure in root canal treatment. The purpose of this paper is to describe the management of retrieval of broken files and re-treating root canals in previously treated mandibular left second molars. The retrieval of the broken file used conventional techniques combined with a Satelec ultrasonic scaler to remove the files from the root canal. It was operated under an endodontic microscope, and after retreatment of the root canal, the tooth was restored with final restoration of endocrown. Retrieval of fractured files using conventional techniques combined with Satelec ultrasonic scaler and the root canal re-treatment followed by final endocrown restoration could restore all four tooth functions properly.


Keywords


broken instruments; extraction technique; re-root canal treatment

Full Text:

2. Sukma Paramastri


References

1. Shaik I, Qadri F, Deshmukh R, Clement C, Patel A, Khan M. Comparing techniques for
removal of separated endodontic instruments: Systematic review and meta-analysis. IJHS.
2022; 6(S1): 13792-13805. doi:10.53730/ijhs.v6ns1.8497

2. Chandak M, Sarangi S, Dass A, et al. Demystifying failures behind separated instruments: a review. Cureus. 2022; 14(9): e29588. doi: 10.7759/cureus.29588

3. Cunha TC, Matos F de S, Paranhos LR, Moura CCG. Treatment outcome of young molars obstructed by fractured endodontic instruments: two case reports. Research, Society and Development. 2020; 9(10): e3149108537. doi: 10.33448/rsd-v9i10.8537

4. Sandhu DMK. Techniques for removal of intracanal separated instruments (Part 2). IJADS. 2021; 7(4): 38-46. doi: 10.22271/oral.2021.v7.i4a.1351

5. Rambabu T. Management of fractured endodontic instruments in root canal: a review. J Sci Dent. 2014; 4(2): 40-48.

6. Rödig T, Arnold M. Removal of root canal filling materials. Pocket Dentistry. 2022.
https://pocketdentistry.com/removal-of-rootcanal-filling-materials/

7. Pedir SS, Mahran AH, Beshr K, Baroudi K. Evaluation of the factors and treatment options
of separated endodontic files among dentists and undergraduate students in Riyadh Area.
J Clin Diagn Res. 2016; 10(3): ZC18-ZC23. doi: 10.7860/JCDR/2016/16785.7353

8. Patel M. Infection control in dentistry during COVID – 19 pandemic: what has changed?
Heliyon. 2020; 6(10): e05402. doi: 10.1016/j.heliyon.2020.e05402

9. Meidyawati R, Suprastiwi E, Setiati HD. Broken file retrieval in the lower right first molar using
an ultrasonic instrument and endodontic micro forceps. Case Rep Dent. 2019; 2019: 7940126.
doi: 10.1155/2019/7940126

10. Terauchi Y, Ali WT, Abielhassan MM. Present status and future directions: Removal of
fractured instruments. Int Endod J. 2022; 55(3): 685–709. doi: 10.1111/iej.13743

11. Tang WR. Prevention and management of fractured instruments in endodontic treatment.
World J Surg Proced. 2015; 5(1): 82-98. doi: 10.5412/wjsp.v5.i1.82

12. Pillay M, Vorster M, Van der Vyver PJ. Fracture of endodontic instruments - Part 1: Literature
review on factors that influence instrument breakage. South African Dent J. 2020; 75(10):
553-563. doi: 10.17159/2519-0105/2020/v75no10a4

13. Subrata A, Hardini N. Removing a fractured instrument from the root canal using ultrasonic
tips. Sci Dent J. 2019; 3(3): 95. doi: 10.4103/sdj.sdj_15_19

14. Meidyawati R, Suprastiwi E, Setiati HD. Broken file retrieval in the lower right first molar using an ultrasonic instrument and endodontic micro forceps. Case Reports in Dentistry. 2019;
2019: 7940126. doi: 10.1155/2019/7940126

15. Glii W, Kikly A, Brigui F, Belguith A C, Zokkar N, Douki N. Broken file retrieval in the lower left second molar using the ultrasonic technique. Mathews J Dentistry. 2023; 7(2): 1-7. doi:
10.30654/MJD.10036

16. Tzimas K, Tsiafitsa M, Gerasimou P, Tsitrou E. Endocrown restorations for extensivel
damaged posterior teeth: clinical performance of three cases. Restor Dent Endod. 2018;
43(4): e38. doi: 10.5395/rde.2018.43.e38

17. Alassa R, AbdelKafy H, Mohamed EA. Endocrowns as permanent restorations for endodontically treated permanent molars in young age: 2-year follow-up. Tanta Dental Journal. 2022; 19(2): 61-67. doi: 10.4103/tdj.tdj_26_21

18. Belleflamme MM, Geerts SO, Louwette MM, Grenade CF, Vanheusden AJ, Mainjot AK.
No post-no core approach to restore severely damaged posterior teeth: an up to 10-year
retrospective study of documented endocrown cases. J Dent. 2017; 63: 1-7.
doi: 10.1016/j.jdent.2017.04.009



DOI: https://doi.org/10.22146/majkedgiind.83545

Article Metrics

Abstract views : 1135 | views : 655

Refbacks

  • There are currently no refbacks.




Copyright (c) 2023 Majalah Kedokteran Gigi Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


 

 View My Stats


real
time web analytics