Management of Fractured Endodontic Instruments In Root Canal: A Review

Abstract

Ra m ba bu T ABST RACT Wi t h th e i n cr ea sed pr a ct i ce of r ot a r y en dod on t i cs i n r ecen t yea r s, sepa r a t ed r ot a r y n i ckel-t i t an i um (Ni T i) fi l es i n r oot ca n a l s i s t h e m ost c om m on l y r ep or t ed m i sh a p, ca usi n g l ot o f st r ess a n d an xi et y a m on g cl i n i ci an s an d pa ti en ts. No cl ea r gui del in es ca n be dr a wn fr om t h e l i t er at ur e a va i l a bl e be ca use t h er e a r e ei th er t oo fe w st udi es of t h e e ffect s of br ok en fi l es on pr ogn osi s, or t h e fe w st udi es t h a t h a ve been per for m ed i n vol ved s o fe w pa t i en t s. Th e pr ogn osi s i s a l so dep en den t on fi l e l oca t i on , pr i or condi t i on of t h e pul p, pr esen ce or a bsen ce o f per i a pi ca l l esi on a n d m an y ot h er fa ct or s. E a ch ca se i s di ffer en t. Thi s pa per offer s a fl owch a rt t o h el p th e gen er a l den t i st s an d n on-en dodon t i st s deci d e wh i ch st ra t eg y i s best wh en fa c ed wi t h a br oken fi l e in r oot ca n a l .