Management of Intracanal Separated Instruments Using Ultrasonics: A Case Series

Cleaning and shaping of the root canal system is an important step in non-surgical endodontic treatment. One of the mishaps associated with this step is intracanal instrument separation. Endodontic instruments separation often results from overuse or incorrect use. Such an event impedes shaping, disinfection and subsequent filling of the canal space apical to the instrument fragment. The use of ultrasonics has shown appreciable success for management of these cases especially when supported with magnification and illumination. With adequate knowledge, suitable armamentaria, fine clinical skills, and experience successful management of such cases, without further complications, is possible. If not well managed, intracanal separated instrument fragments adversely affect the long-term treatment outcome of endodontically treated teeth. This report presents three cases with intracanal separated instruments which were successfully managed with the use of ultrasonics under magnification with dental loupes. Keywords: Instrument Separation, Retrieval, Root Canal Treatment, Ultrasonics