SEPARATED INSTRUMENTS- A MIND-SET BETWEEN HARD AND ROCK- A REVIEW
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 87
Abstract
BACKGROUND With an increased practice of rotary endodontics in recent years separated rotary nickel-titanium (NiTi) files in root canals is the most commonly reported mishap, causing lot of stress and anxiety among clinicians and patients. No clear guidelines can be drawn from the literature available, because there are either too few studies about the effects of broken files on prognosis or few studies that have been performed on patients. The prognosis is also dependent on file location, prior condition of the pulp, presence or absence of periapical lesion and many other factors. Intracanal separation of endodontic instruments may hinder cleaning and shaping procedures within the root canal system with a potential impact on the outcome of treatment. This article presents an overview of the literature regarding management of separated intracanal instruments. LITERATURE AND DATA SOURCES Pertinent literature search was carried out with the focus of management of separated instruments and its impact on treatment outcome and recent techniques used for retrieval. Search engines from PubMed and Google Scholar were used to identify relevant English language studies and literature published till the year 2017 and we have selected 50 articles using the following keywords: Fractured, instruments, nickel titanium, retrieval, bypassing, management. The scientific papers were then screened for their relevance to the intended objectives and were shortlisted to 30 articles. This review article presents an overview of the literature regarding management of separated intracanal instruments and its impact on treatment outcome.
Authors and Affiliations
Geeth Deepika, Suresh Mitthra, Balasubramaniam Anuradha, Arumugam Karthick
SENSORY NERVE CONDUCTION VELOCITY IN SUBJECTS WITH IRON-DEFICIENCY ANAEMIA
BACKGROUND The predominant cause of anaemia in the general population is iron-deficiency anaemia, but there are little data about the peripheral nerve sensory function in subjects with iron-deficiency anaemia....
PREVALENCE OF CHRONIC SUP
BACKGROUND Otitis media is an inflammation of the middle ear cleft. It is known to be one of the most common childhood infections. Children from developing countries having unfavourable environment witness an extraordina...
CLINICOPATHOLOGICAL EVALUATION OF NECK MASSES- A DESCRIPTIVE STUDY
BACKGROUND There is a wide variation in the presentation of neck masses in respect to its site of origin and clinical presentation as well as nature of progression of disease. This study is performed to have an idea abou...
CLINICAL EVALUATION AND MANAGEMENT OF PERITONITIS SECONDARY TO HOLLOW VISCUS PERFORATION
BACKGROUND Peritonitis is often caused by introduction of an infection into the otherwise sterile peritoneal environment through perforation of bowel, introduction of a chemically irritating material, such as g...
CLINICAL STUDY AND MANAGEMENT OF PERITONITIS SECONDARY TO HOLLOW VISCOUS PERFORATION
BACKGROUND Hollow viscous perforation causing peritonitis (Secondary) is the most common surgical emergency worldwide. Peptic ulcer perforation is being the most common cause in developing countries like India,1 whereas...