Remoción de un instrumento fracturado durante la terapia Endodóntica: Reporte de un caso

Authors

  • Rómulo Andres Vélez Astudillo
  • Maria Emilia Guerrero Coello
  • Paul Cordero López

DOI:

https://doi.org/10.31984/oactiva.v1i1.183

Keywords:

Endodontics, instrument, fracture, separated bur, outcome

Abstract

During root canal preparation procedures, the potential for instrument breakage is always present. When instrument breakage occurs, it leads to anxiety of the clinician as well as a metallic obstruction of the canal which hinders further cleaning and shaping. Separated instruments must always be attempted for retrieval and if retrieval is not possible bypass should be tried. The purpose of this work is to report a clinical case of removal of a fractured endodontic instrument in the root canal by creating a space around the fractured instrument and then engaging it with the help of two Hedström files by twisting around the fractured instrument and then pulling it out.

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References

1. Hulsmann M, Schinkel I. Influence of several factors on the success or failure of removal of fractured instruments from the root canal. Endod Dent Traumatol. 1999 Dec; 15(6):252-8.
2. Rubio D. Sistemas para la extracción de instrumentos separados en el interior de conductos radiculares. Dental Practice Report. Marzo 2008: 42-45.
3. Ruddle C. Retratamiento endodóncico no quirúrgico. En: Vías de la Pulpa. 8va ed. Madrid: Cohen S, Burns R. editores. Editorial Mosby; 2002.
4. Lasala A. Endodoncia.4ta ed. México, Salvat, 1993.
5. Panitvisai P, Parunnit P, Sathorn C, Messer HH. Impact of a retained instrument on treatment outcome: a systematic review and meta-analysis. J Endod. 2010; 36 (5): 775-780.
6. Souter NJ, Messer HH. Complications associated with fractured file removal using an ultrasonic technique. J Endod. 2005; 31 (6): 450452.
7. Ward JR, Parashos P, Messer HH. Evaluation of an ultrasonic technique to remove fractured rotary nickeltitanium endodontic instruments from root canals: clinical cases. J Endod. 2003; 29 (11): 764-767.
8. Ruiz P, San Martín S. Fractura de lima: posibilidades terapéuticas. Endodoncia 1998; 16(3):172-9.
9. Lovdahl PE, Gutmann JL. Problems in non-surgical root canal retreatment. En: Gutmann JL, Dumsha TC, Lovdahl PE, Hovland EJ, editors. Problem solving in endodontics. Missouri. Mosby, 1997:157-201.
10. Hülsmann M. The removal of silver cones and fractured instruments using the canal finder system. J Endodon 1990; 16(12)596-600.
11. Hülsmann M. Removal of fractured instruments using a combined automated/ultrasonic technique. J Endodon 1994; 20(3)144-6.
12. Lovdahl PE, Wade CK. Problems in tooth isolation and periodontal support for the endodontically compromised tooth. En: Gutmann JL, Dumsha TC, Lovdahl PE, Hovland EJ, editors. Problem solving in endodontics. Missouri. Mosby, 1997:203-27.
13. Stabholz A, Friedman S. Tamse A. Endodontic failures and re-treatment. En: Cohen S, Burns RC, editors. Pathways of the pulp. Missouri. Mosby, 1994:709-28.
14. Ruiz P, Vega JM, Zabalegui B, García J. Fracturas de instrumentos en el interior de los conductos radiculares: Casos clínicos. Endodoncia 1998; 16(3):127-31.
15. Walvekar SV, Al&endash; Duwain Y, Al-Kandasi AM, Al Quond OM. Unusual foreign objects in the root canal. J Endod. 1995; 21(10):526-7.
16. Glickman GN. Problems in canal cleaning and shaping. En: Gutmann JL, Dumsha TC, Lovdahl PE, Hovland EJ, editors. Problem solving in endodontics. Missouri. Mosby, 1997:91-121.
17. Crump MC, Natkin E. Relationship of broken root canal instruments to endodontic case prognosis: a clinical investigation. J Am Dent Assoc. 1970; 80: 1341-1347.
18. Spili P, Parashos P, Messer HH. The impact of instrument fracture on outcome of endodontic treatment. J Endod. 2005; 31: 845-850.
19. Friedman S. Expected outcomes in the prevention and treatment of apical periodontitis. In: Ørstavik D, Pitt Ford TR, eds. Essential endodontology: prevention and treatment of apical periodontitis. 2nd ed. Oxford: Blackwell Munksgaard Ltd; 2008. pp. 408-469.
20. Madarati AA, Watts DC, Qualtrough AJ. Opinions and attitudes of endodontists and general dental practitioners in the UK towards the intra-canal fracture of endodontic instruments: part 2. Int Endod J. 2008; 41: 1079-1087.

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Published

2016-01-01
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How to Cite

Vélez Astudillo, R. A., Guerrero Coello , M. E. ., & Cordero López, P. . (2016). Remoción de un instrumento fracturado durante la terapia Endodóntica: Reporte de un caso. Odontología Activa Revista Científica, 1(1), 22–26. https://doi.org/10.31984/oactiva.v1i1.183

Issue

Vol. 1 No. 1 (2016): REVISTA OACTIVA UC-CUENCA. ENERO-ABRIL 2016

Section

Caso clínico

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