Background: Separation of endodontic instruments is one
of the most frequent procedural complications in root canal therapy. A
fractured fragment may obstruct access to the apical third of the canal,
hindering effective debridement and disinfection, and thereby jeopardizing
treatment success.
Case
Report: This paper presents a 2 case reports with
separated instruments located at different levels within the middle and apical
thirds of mandibular molars. Following radiographic and clinical evaluation,
staging of the canal orifice was performed. Retrieval of the separated
instruments was achieved using ultrasonics under dental operating microscope.
After successful removal, chemomechanical preparation and obturation were
completed to the full working length, followed by appropriate post-endodontic
restorations.
Results: Both the cases showed favorable clinical and
radiographic outcomes. Patient satisfaction was high, with preservation of
tooth integrity and functionality.
Conclusion: Successful management of separated
instruments depends on accurate case evaluation, proper use of advanced
armamentarium, and operator expertise. Ultrasonics under microscope enables
efficient and safe retrieval, while preservation of radicular dentin remains
essential for long-term prognosis.
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