Year: 2024 | Month: October | Volume: 11 | Issue: 10 | Pages: 273-279
DOI: https://doi.org/10.52403/ijrr.20241025
Management of Intracanal Separated Instruments Using Ultrasonics: A Case Series
Fredrick Ikhabi Weboko1, Lawrence Kiptoo Kiptiony2, Grace Mukami Wandera2, Mercy Naswa Makhanu3, Mary Kanyi4
1Department of Conservative Dentistry and Prosthetics, School of Dentistry, Moi University, P.O Box 4606-30100, Eldoret, Kenya
2School of Dentistry, Moi University, P.O Box 4606-30100, Eldoret, Kenya
3Department of Community, Preventive Dentistry and Periodontology, School of Dentistry, Moi University, P.O Box 4606-30100, Eldoret, Kenya
4Directorate of Dental Services, Moi Teaching and Referral Hospital, P.O Box 3-30100, Eldoret, Kenya
Corresponding Author: Fredrick Ikhabi Weboko
ABSTRACT
Cleaning and shaping of the root canal system is an important step in non-surgical endodontic treatment. One of the mishaps associated with this step is intracanal instrument separation. Endodontic instruments separation often results from overuse or incorrect use. Such an event impedes shaping, disinfection and subsequent filling of the canal space apical to the instrument fragment. The use of ultrasonics has shown appreciable success for management of these cases especially when supported with magnification and illumination. With adequate knowledge, suitable armamentaria, fine clinical skills, and experience successful management of such cases, without further complications, is possible. If not well managed, intracanal separated instrument fragments adversely affect the long-term treatment outcome of endodontically treated teeth. This report presents three cases with intracanal separated instruments which were successfully managed with the use of ultrasonics under magnification with dental loupes.
Keywords: Instrument Separation, Retrieval, Root Canal Treatment, Ultrasonics
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