A method for retrieving endodontic or atypical nonendodontic separated instruments from the root canal: a report of two cases

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Monteiro, Jardel C.amilo do Carmo
Kuga, Milton C.arlos
Dantas, Andrea A.bi Rached
Jordão-Basso, Keren C.ristina Fagundes
Keine, Katia C.ristina
Ruchaya, Prashant J.ay
Faria, Gisele
Leonardo, Renato de Toledo
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AIM: This clinical report presents a new method for retrieving separated instruments from the root canal with minimally invasive procedures. BACKGROUND: The presence of separated instrument in root canal may interfere in the endodontic treatment prognosis. There are several recommended methods to retrieve separated instruments, but some are difficult in clinically practice. CASE REPORT: This study describes two cases of separated instrument removal from the root canal using a stainless-steel prepared needle associated with a K-file. Case 1 presented a fractured gutta-percha condenser within the mandibular second premolar, it was separated during incorrect intracanal medication calcium hydroxide placement. Case 2 had a fractured sewing needle within the upper central incisor that the patient used to remove food debris from the root canal. After cervical preparation, the fractured instruments were fitted inside a prepared needle and then an endodontic instrument (#25 K-file) was adapted with clockwise turning motion between the needle inner wall and the fragment. CONCLUSION: The endodontic or atypical nonendodontic separated instrument may be easily pull on of the root canal using a single and low cost device. CLINICAL SIGNIFICANCE: The methods for retrieving separated instruments from root canal are difficult and destructive procedures. The present case describes a simple method to solve this problem.
Broken, Dantas AAR, de Toledo Leonardo R. A Method for retrieving Endodontic or Atypical Nonendodontic separated Instruments from the Root Canal: A Report of Two Cases. J Contemp Dent Pract 2014;15(6):770-774. Source of support: Nil Conflict of interest: None declared., Endodontic, Faria G, Fracture, Instruments, Jordão-Basso KCF, Keine KC, Kuga MC, retrieval, Ruchaya PJ, Separated. How to cite this article: do Carmo Monteiro JC
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The journal of contemporary dental practice, v. 15, n. 6, p. 770-774, 2014.