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Decision Tree Analysis On The Management Of Fractured Instrument In The Root Canal Treated Teeth
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| Author:
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MULUMOODI SOWMYA, AJITHA.P, PRADEEP.S
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| Abstract:
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The most common complication during cleaning and shaping of the root canal procedure is breakage or separation of the instrument. The fractured instrument creates a hindrance for proper obturation. Hence efforts should be made to retrieve the instrument and obturate. Because only after the removal of the fractured instruments, will the canal be negotiated, cleaned, and shaped thoroughly and then obturated. But however, the attempts to remove the fractured instruments might also lead to certain complications such as ledge formation, transportation, perforation, or over the enlargement of the canal. Hence, the dentist should contemplate the options of management of the fractured instrument. The treatment options like retrieval of the instrument, bypassing the instrument and obturating should be considered based on several clinical factors. Thus the dentist should assess the options of either retrieval of the instrument or bypassing it or leaving the broken fragment in the canal. A brief pubmed search was performed on management of broken instrument in the root canal in endodontics using MeSH terms “broken instruments,” “fractured instruments,” “instrument retrieval.” In addition some websites and local guidelines were also screened. The aim of this review is to develop a decision tree for the management of broken instruments in a root canal. By developing and adhering to strict protocols in the management of broken instruments, the cleaning and shaping and obturation of the tooth can be precisely done. With a decision tree, the dentist will be able to analyse and make an appropriate call for the line of management of the broken instrument. This decision tree analysis can save a lot of time for the clinician in evaluating and making an appropriate intervention.
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| Keyword:
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Broken instrument; Bypassing the instrument; Fractured instrument; Instrument retrieval; Obturation;Separated instrument.
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.03.447
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| Download:
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