Koteeswaran Vishnupriya, Vasudevan Aishwarya, Natanasabapathy Velmurugan, Balasubramanian Hemalatha P, Sivalingam Rajeswari
Department of Conservative Dentistry and Endodontics, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India.
J Conserv Dent Endod. 2025 Feb;28(2):204-208. doi: 10.4103/JCDE.JCDE_786_24. Epub 2025 Feb 3.
Intracanal separation of endodontic instruments is a common iatrogenic error that can be successfully managed by various instrument retrieval techniques. However, separation in an aberrant perforation site occurs rarely and it is challenging to assess and retrieve. This report of two cases elaborates the successful retrieval of extraradicularly separated instruments using a looping device in difficult clinical scenarios. The teeth were subsequently restored to function with the aid of dental operating microscope, diode laser, and deep margin elevation followed by suitable postendodontic rehabilitation.
根管内牙髓治疗器械分离是一种常见的医源性失误,可通过多种器械取出技术成功处理。然而,器械在异常穿孔部位的分离很少见,评估和取出都具有挑战性。本报告通过两个病例详细阐述了在困难临床情况下使用环形装置成功取出根管外分离器械的过程。随后,借助牙科手术显微镜、二极管激光和深层边缘提升技术,牙齿恢复了功能,并进行了适当的根管治疗后修复。