Separated Instruments why access Canal curva ture

Separated Instruments

why? access Canal curva ture uch pressure overuse Too m Instrument design e inuous us Cont tings set rque To Operator experie nce Glide path

Torsional fatigue Cyclic fatigue

Torsional fatigue

Cyclic fatigue

Cyclic fatigue

What can I do Nonsurgical approaches Mechanical removal Bypass Clean and fill Surgical approaches Radicular surgery Intentional replantation Root amputation Hemisection

Dental $hop

Mini forceps

Maybe this one. . .

The Masserann kit

Break your file Open access Clear fragment Grip & remove fragment

Komet® Endo Rescue Kit

User Guide

Endo safety system

Endo Extractor

Post Removal System

Instrument removal system

IRS inside

IRS in acion

handmade IRS

Canal finder system

Endo Pulse System

Ultrasonic

Terauchi File Retrieval Kit

of Braiding Endodon. Tic file

Try to push it. . .

Wire loop

Bypass

Bypass

Glue it

Maybe. . .

irrigation needle re aks b in the canal

try hedstroem

but if I can't remove it. . . clean and fill

clean and fill

What you really need is. . .

Magnification

Magnification

J Clin Dent. 2006; 17(5): 131 -3. Effect of a separated rotary instrument on bacterial penetration of obturated root canals. Mohammadi Z, Khademi AA CONCLUSION: Under the conditions of the present study, the separated instrument itself does not play a significant role in the sealing ability of the obturation material

OUTCOME OF ENDODONTIC TREATMENT AND RE-TREATMENT J. Ingle, J. Simon, P. Machtou and P. Bogaerts Endodontics - 5 th Ed. (2002) Chapter 13 0. 96% failure

Eur J Dent. 2009 Apr; 3(2): 90– 95. Comparison of the Different Techniques to Remove Fractured Endodontic Instruments from Root Canal Systems Nimet Gencoglu and Dilek Helvacioglu 93. 3% with ultrasonics 47. 6% with Masserann Kit