Non Surgical treatment of a Maxillary first molar with Orthograde Retrieval of an Unintentionally Separated File

AbstractInstrument separation is one of the most stressful endodontic mishaps, that can occur any time during the root canal treatment. Several techniques have been employed to facilitate instrument retrieval, however, most of them are technique sensitive, expensive and require great expertise. Through this paper, an economic and convenient technique is suggested to retrieve the fractured segment with a combination of both ultrasonic agitation and the file braiding techniques. This case report describes the non surgical root canal treatment of a maxillary first molar in which file separation occurred during the cleaning and shaping procedure. The separated file was successfully retrieved utilizing a combination of ultrasonic and braiding techniques. The field of ultrasonics has undergone a thorough investigation and has been demonstrated to be aconservative technique with minimal radicular dentin trephination. The braiding technique is also a conservative method that involves the use of several braided H-files to apply a gripping force, facilitating the removal of foreign bodies. The utilization of this methodology has been documented in the number of endodontic academic literature.Categories: Dentistry