RETRIEVING BROKEN INSTRUMENT IN HALF OF THE APIKAL ON CANINES TEETH WITH H-FILE BRAIDING TECHNIQUE

Yunita Styaningrum*  -  Department of Conservative Dentistry, Faculty of Dentistry, Universitas Islam Sultan Agung, Indonesia
Yoanita Dwi Andina  -  Dental Conservation Practice, RSUD Caruban, Districts Madiun, Indonesia
Yulita Kristanti  -  Departement of Conservative Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Indonesia

(*) Corresponding Author

ABSTRACT


Background: Broken instruments affect the outcome and prognosis. A broken instrument will prevent the procedure of cleaning and shaping, irrigation and obturation of the root canal on the obstructed root section causing failure in endodontic treatment. There are some treatments for broken instrument including retrieving a broken fragment file and bypassing it on the root canal. the aim of the case report aims to provide an alternative for retrieving broken instruments using the H-file braiding technique.
Method: A 38-year-old female patient came to the Dental Conservation Clinic RSGM Prof. Soedomo FKG UGM. A patient got a history of initial root canal treatment in a clinic, which ended with a separated file on canine teeth left upper. No complain pain, from the investigation radiographic there is an instrument broken in half apical. The teeth 23 seen temporary restoration cavity class I is still in good. Retrieving broken instruments using the H-file braiding technique, preparation with step back techniques, obturation with warm vertical condensation technique and class I composite resin restorations with fiber-reinforced retention.
Result: No complain pain after 2 weeks retrieving broken instrument.
Conclusion: The technique of the H-file braiding technique is one technique to retrieve a broken instrument, this procedure is simple, cost-effective, harmless to the teeth and gives root canal sealing.

Keywords: Failure in endodontic treatment; H-file braiding technique; Retrieving broken instrument

  1. Meidyawati R, Suprastiwi E, Setiati HD. Case Report Broken File Retrieval in the Lower Right First Molar Using an Ultrasonic Instrument and Endodontic Micro Forceps. Hindawi. 2019;2019.
  2. Subrata A, Hardini N. Removing a Fractured Instrument from the Root Canal Using Ultrasonic Tips. Sci Dent J. 2019;3(3):95–9.
  3. Tomer AK, Muni S, Bharadwaj G, Malik N. Broken File Retrieval : Puzzle in Endodontics. Int J Oral Care Res. 2016;4(January-March):75–8.
  4. Mehta A, Bhagwat S, Kulkarni R, Padhya L. Retrievel of Separated Istrument From The Root Canal- A Review Of Techniques and Management of A Case. Int J Oral Heal Dent. 2018;4(2):130–235.
  5. Gandevivala A, Parekh B, Poplai G, Sayed A. Surgical Removal of Fractured Endodontic Instrument in the Periapex of Mandibular First Molar. J Int Oral Heal. 2014;6(4 April):85–8.
  6. RekhaGoyal D, ShikhaKanodia D, GirishParmar D, AbhishekParmar D. Alternative methods of Retrieval of separated Instruments – A Simpler Approach. J Gov Dent Coll Hosp. 2016;02(02 March):34–9.
  7. Vyavahare N, Kulkarni M, Desai N. Retrieval of a Separated Nickel–titanium Instrument and a Stainless Steel H‑file Using a Novel Tube, Loop and File Technique. J Int Clin Dent Res Organ. 2018;10(10):88–92.
  8. Natanasabapathy V, Sundar S, Koteeswaran V. Case Report Retrieval of fractured Ni ‑ Ti rotary instrument using ultrasonics and file braiding technique under surgical operating microscope. Endodontology. 2017;29(1):65–8.
  9. Nanhe S, Nanda Z, Reddy K, Agarwal AR, Murarka R, Patil N. Case Report Retrieval of A Separated Instrument Using Masserann Kit. J Appl Dent Med Sci. 2017;3(June):64–8.
  10. Uddin MF, Alam MS, Howlader MMR, Moral AA. Retrieval Of A Fractured Instrument Using File Braiding Technique: A Case Report. Updat Dent Collage J. 2012;2(1):25–30.
  11. Alzahrani MS, Al-nazhan S. Retrieval of separated instruments using a combined method with a modified vista dental tip. Saudi Endod J. 2012;2(1):41–5

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