Management of separated instruments in root canal using ultrasonics – a case series

Abstract

Separation of instruments in the root canal while shaping and cleaning process is one of the frequent mishaps seen in endodontic practice. Such an event has shown to compromise the success of root canal therapy as it hinders shaping and disinfection apical to the broken fragment. The use of ultrasonic has shown considerable success for management of these case scenarios. Adequate knowledge, good clinical skills, proper armamentarium and experience enable successful management of such iatrogenic events by the operator without further complications. In this report, we present four cases with separated instruments in root canal which were successfully managed with the use of ultrasonics under magnification with dental operating microscope.