Removal of intracanal metal fragment: case report

Authors

  • Matheus da Silva Alves Faculdade do Amazonas (IAES), Brasil Author
  • Natália Stefany da Silva Pereira Faculdade do Amazonas (IAES), Brasil Author
  • Jefter Haad Ruiz da Silva Faculdade do Amazonas (IAES), Brasil Author
  • Luciana Aleixo dos Santos de Melo Faculdade do Amazonas (IAES), Brasil Author
  • Jorge Alberto Carrazana Moya Faculdade do Amazonas (IAES), Brasil Author
  • Camila Valente Smith Faculdade do Amazonas (IAES), Brasil Author
  • Lizete Karla Filgueiras de Souza Faculdade do Amazonas (IAES), Brasil Author
  • Márcio Langbeck Castelo Branco Faculdade do Amazonas (IAES), Brasil Author

DOI:

https://doi.org/10.70614/x2xrjg18

Keywords:

Endodontics, Endodontic fragment fracture, Endodontic fragment removal

Abstract

The purpose of endodontics is to promote the elimination of bacteria and their by-products from inside the root canal so that the infection is stopped and the functions of the dental elements are maintained. Endodontic treatment has a high success rate and, therefore, protocols must be followed. However, during the stages of the endodontic procedure, the professional is subject to errors, either due to instrument failures and/or root anatomy of the tooth, or due to the dentist's lack of skill/knowledge. The present study aims to present, report and discuss a clinical case of a 62-year-old patient, of fracture of an endodontic instrument, more precisely of a metal tip or an irrigation syringe, in element 23, attended at the IAES Dental Clinic, which After carrying out clinical and radiographic examinations, the recommended protocol was endodontic treatment of the root canal. The result of the treatment was satisfactory, as it maintained the integrity of the dental element, promoting oral health and a better quality of life for the patient

Downloads

Download data is not yet available.

References

1. Souza, J. P., Oliveira, L. K.L., Araújo, W. R., Lopes, L. P. B., Instrumentação endodôntica mecanizada e suas evoluções- Revisão de literatura. 2020. Braz. J. Of Develop., Curitiba, v.6, n.12,p.96231-96240.

2. Ramos MD. Remoção de instrumento fraturado e prognóstico do tratamento endodôntico após fratura. Monografia apresentada à Associação Paulista de Cirurgiões Dentista Regional de Santo André. São Paulo, 2009. Disponível em:https://www.imed.edu.br/Uploads/3f847104-1d63-43a6-b47a0ce512ee1236.pdf

3. Oliveira Santos, S., et al. Tratamento Endodôntico Em Dentes Com Instrumentos Fraturados: Relato De Um Caso Clínico, 2014. Disponível em:<https://bdigital.ufp.pt/bitstream/10284/5558/1/PPG_25658.pdf> Acesso em 08/05/2023.

4. Khalid H. Alomairy. Evaluating Two Techniques on Removal of Fractured Rotary Nickel-Titanium Endodontic Instruments from Root Canals: An In Vitro Study. JournalofEndodontics - JOE 2009, 35(4):559- 562. Disponível em:<https://www.ncbi.nlm.nih.gov/pubmed/19345805> Acesso em 10/05/2023.

5. Melo, Carvalho, M., Comparação entre instrumentação mecanizada e instrumentação manual. Repositório U.L. Universidade de Lisboa. 2021.

6 Soares I, J.; Goldberg, F. Endodontia: técnica e fundamentos. Ed. Artmedia, ed. 1. Porto Alegre, RS, Brasil, 2001.

7. Pereira Lopes, H., et al. Fractura dos instrumentos endodônticos. Recomendações clínicas, 2011. Revista Brasileira de Odontologia, 68, pp. 152-6

8. Santos, J. V., Hilário, J. S., Carvalho, R. K. H. C., Silva, L. H. V., Lins, T. R. S., Mello, E. L., L, I. P. L. Fratura de limas endodônticas no canal radicular: revisão de literatura. Brazilian Journal of Health Review, Curitiba, 2021, v.4, n.3, p. 11983-11994 may./jun.

9. Haapasalo, M. et al. Irrigation in endodontics. 2014. British Dental Journal, v. 216, n. 6,p.299-303, mar. Disponível em: <https://www.nature.com/articles/sj.bdj.2014.204> Acesso em: 06/05/2023

10. Ruddle C. J. Nonsurgical retreatment. Journal of endodontics, 2004. 30(12), 827–845. Disponível em: <https://www.endoruddle.com/tc2pdfs/49/NSRCTOverview_Jun2004.pdf> acesso em 07/05/2023.

11. Cohen, S. e Hargreaves, K. Cohen Caminhos da Polpa. Rio de Janeiro. Elsevier, 2007.

12. Suter, B., Lussi, A. e Sequeira, P. Probability of removing fractured instruments from root canals. International Endodontic Journal, 2005, 38, pp. 112-23.

13. Frota LMA, Aragão MGB, Vasconcelos BC. Removal of Separated Endodontic K-File with the Aid of Hypodermic Needle and Cyanoacrylate. Hindawi 2016, 2016:4. Disponível em:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5066008/

14. Parashos P, Messer HH. Rotary NiTi instrument fracture and its consequences. J Endod. 2006 Nov;32(11):1031-43. Disponível em:https://www.ncbi.nlm.nih.gov/pubmed/17055902. Acesso em 09/05/2023.

15. Estrela, C. et al. Mechanism of Action of Sodium Hypochlorite, Brazilian Dental Journal, 2002, 13(2), pp.113-117.

16. Leoni G. et al. Ex vivo evaluation of four fifinal irrigation protocols on the removal of hard-tissue debris from the mesial root canal system of mandibular fifirst molars. International Endodontic Journal, 2017, 50,pp 398–406.

Published

2024-10-18

Most read articles by the same author(s)

1 2 > >>