Abiddinda, Abiddinda and Agustin, Wandita Swasti and Rinastiti, Margareta and Ratih, Diatri Nari (2023) Management missed canal tooth and broken file using ultrasonic instrument. Dental Journal, 56 (4). 255 – 260. ISSN 19783728
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Abstract
Background: Endodontic mishaps, such as missed canal and broken file, are procedural accidents that can affect the prognosis of endodontic treatment. A missed canal can lead to endodontic failure because of bacterial remnants in the root canal. A broken file may cause obstruction of the canal, inhibiting the process of shaping and cleaning. An ultrasonic instrument can be used under a dental microscope to manage a missed canal or broken file fragment. Purpose: This study aimed to show the management of missed canal and instrument separation by endodontic retreatment using an ultrasonic instrument under dental microscope. Case: A 31-year-old female patient presented to Dental Hospital Universitas Gadjah Mada with discomfort from chewing her upper left molar since 2 weeks (January 4, 2022). The tooth was subjected to root canal treatment 2 years ago (November 18, 2019). The percussion test yielded a positive result. The examination of radiographs showed the presence of a broken file in the middle third of the mesiobuccal root canal. Case Management: The first stage of the retreatment was removal of the gutta-percha. This was followed by exploration of the missed canal and retrieval of the broken file using an ultrasonic instrument under a dental microscope. Then, the root canals, including the messiobuccal2 canal, that was missed at the previous treatment, were prepared. The final step was zirconia crown restoration with a fiber post. Conclusion: An ultrasonic device along with a dental microscope can be used to manage a missed canal and instrument separation conservatively. Copyright © 2023 Dental Journal (Majalah Kedokteran Gigi)
Item Type: | Article |
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Additional Information: | Cited by: 1; All Open Access, Gold Open Access |
Uncontrolled Keywords: | broken file; dental microscope; endodontic mishap; missed canal; ultrasonic instrument |
Subjects: | R Medicine > RK Dentistry |
Divisions: | Faculty of Dentistry > Dental Study Program Academic Phase |
Depositing User: | Desy Natalia Anggorowati Anggorowati |
Date Deposited: | 15 Oct 2024 08:47 |
Last Modified: | 15 Oct 2024 08:47 |
URI: | https://ir.lib.ugm.ac.id/id/eprint/8387 |