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Separated Instrument Retrieval using Ultrasonic Vibration and the Braiding Technique: A case report

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

Section C: Conservative Dentistry

Abstract

Ultrasonic retrieval of endodontic separated instruments, although proven to be highly successful, is a technique-sensitive process that might be accompanied by various complications including root lateral perforations, instrument secondary fractures, and unnecessary removal of radicular dentin, which in turn increases the odds of dentinal microcracks development and root fractures. Such complications increase the case difficulty and might lead the operator to modify the original treatment plan. The current case report describes the management of a separated Endo-Z bur, in a maxillary canine, that underwent a secondary fracture during ultrasonic retrieval. Ultrasonic application retrieved the coronal segment of the instrument, leaving behind a more apically located secondary fractured segment that would have sacrificed much more radicular dentin if removed ultrasonically. Therefore, the remaining fragment was bypassed using stainless steel hand files, and the braiding technique was alternatively used and successfully removed the apically located instrument conservatively.

DOI

10.21608/erurj.2023.226672.1062

Keywords

Separated instrument, Ultrasonic, Retrieval, braiding technique, secondary fracture

Authors

First Name

Omnia

Last Name

Hakim

MiddleName

Abdel

Affiliation

Endodontic Department, Faculty of Dentistry, Egyptian Russian University, Badr City, Cairo, Egypt

Email

omnia-abdulhakimmohamed@eru.edu.eg

City

Cairo, Egypt

Orcid

https://orcid.org/00

Volume

2

Article Issue

4

Related Issue

44159

Issue Date

2023-10-01

Receive Date

2023-08-02

Publish Date

2023-10-01

Page Start

750

Page End

756

Print ISSN

2812-6211

Online ISSN

2812-622X

Link

https://erurj.journals.ekb.eg/article_323570.html

Detail API

https://erurj.journals.ekb.eg/service?article_code=323570

Order

323,570

Type

Short communication

Type Code

2,448

Publication Type

Journal

Publication Title

ERU Research Journal

Publication Link

https://erurj.journals.ekb.eg/

MainTitle

Separated Instrument Retrieval using Ultrasonic Vibration and the Braiding Technique: A case report

Details

Type

Article

Created At

29 Dec 2024