Clinical practice guidelines on endodontic mishaps that occur during cleaning and shaping

Abstract

Introduction: Root canal treatment involves access cavity preparation, cleaning and shaping of the canal followed by three dimensional obturation of the canal. Close observation and strict adherence to the principles will allow the clinician to per-form the treatment correctly. However mishaps are bound to occur as patients bring in a variety of teeth with various canal anatomies which pose a challenge for the clinician. Failure to know the rationale behind the concept of biomechanical preparation can lead to the chances of occurrences of unnecessary complications such as canal blockage, ledge formation, transportation and perforation. Aim: The aim of this review is to compile the factors affecting the occurrence of mishaps while cleaning and shaping and their preventive and corrective measures. Materials and Methods: The guidelines were framed based on the data collected from the articles searched on electronic databases such as Pubmed, Pubmed central and google scholar. Conclusion: The incidence of endodontic mishaps can be reduced by accurate diagnosis, correct case selection and adherence to basic principles of endodontic therapy.