Removal of fractured instrument in the root canal using the loop technique with orthodontic wire and ultrasonic: Case report

Authors

DOI:

https://doi.org/10.33448/rsd-v12i8.43021

Keywords:

Root canal preparation; Ultrasonic; Endodontics.

Abstract

The removal of fractured instruments during endodontic treatment is a challenge that can compromise the success of the procedure. The purpose of this case report is to highlight the efficacy and safety of using ultrasonic in conjunction with the orthodontic wire snare technique in removing fractured files, providing a reliable alternative for the treatment of these complicated situations. Patient, female, 57 years old, during an anamnesis, reported that an instrument had been fractured during a specialization course, without being able to specify the date of the occurrence. After radiographic evaluation, removal was indicated for correct obturation and subsequent placement of an intracanal pin. The procedure was performed in three sessions. In the first session, the crown was opened and the post was worn, which revealed the presence of a fractured file in the apical third of the root canal. In the second session, using ultrasonic and the appropriate uncertainties, grinding was performed around the fractured file. Then, a loop was made with orthodontic wire in a hypodermic needle, which resulted in the successful removal of the file. After confirming the removal of the instrument, the root canal was prepared and the endodontic treatment was completed in the third session. The case report highlights the effectiveness and safety of the combination of the loop technique with orthodontic wire and ultrasonic for the removal of fractured instruments in the root canal. This approach represents a reliable alternative for the treatment of complex situations during endodontics, ensuring the success of the procedure.

References

Aguiar, B. A., Frota, L. M. A., Silva, F. D. A., Teixeira, A. H., Sousa, B. C., & Vasconcelos, B. C. (2017). Conduta clínica frente à fratura de instrumentos endodônticos: relato de dois casos clínicos. Dental Press Endod, 7(2), 39-45.

Andrade, G. O. R., & Quintino, M. A. (2018). Fratura de instrumento endodôntico - relato de caso (Trabalho de conclusão de curso). Universidade de Uberaba, Uberaba, Minas Gerais, Brasil.

Duarte, M. M., Macedo, I. F. A., Chaves, H. G. dos S., & Araújo, C. V. (2022). Remoção de instrumento endodôntico fraturado no canal mésio-lingual de um segundo molar inferior: relato de caso. Research, Society and Development, 11(5), e36411528400.

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Gonzalez, A. T., (2018). Remoção de instrumentos fraturados dentro do canal (Trabalho de conclusão de curso). Universidade Fernando Pessoa, Porto, Porto, Portugal.

Hindlekar, A., Kaur, G., Kashikar, R., & Kotadia, P. (2023). Retrieval of Separated Intracanal Endodontic Instruments: A Series of Four Case Reports. Cureus, 15(3), e35694.

Maciel, P. F. L. L., Veras, I. T. M. de M., Neto, S. P. dos S., Cardoso, R. M., & Alves, N. C. C., Ferreira, G. dos S. (2020). Different techniques to remove a fractured endodontic instrument in an upper first molar: case report. Journal of Surgical and Clinical Dentisty, 21(1), 05-09.

Madarati, A. A., Hunter, M. J., & Dummer, P. M. (2013). Management of intracanal separated instruments. J Endod, 39(5), 569-581.

Maffei, C. M., Santos, E. R., Cazassa, G. M. S., Santos, S. G. S., & Castro, V. L. D. (2022). Remoção de instrumento fraturado em endodontia: um relato de experiência. E-Scientia. Recuperado de https://repositorio.animaeducacao.com.br/handle/ANIMA/31152.

McGuigan, M. B., Louca, C., & Duncan, H. F. (2013). Clinical decision-making after endodontic instrument fracture. Br Dent J, 214(8), 395-400.

McGuigan, M. B., Louca, C., & Duncan, H. F. (2013). Endodontic instrument fracture: causes and prevention. Br Dent J, 214(7), 341-348.

Penukonda, R., Amlani, H., Pattar, H., & Lin, G. S. S. (2023). The management of separated endodontic instruments using a custumed syringe and loop technique: a case series. Endodontology, 35(1), 65-71.

Prill, M. V. S., & Salomão, M. B. (2021). Acidentes e complicações em endodontia: fratura de lima. Revista Cathedral, 3(4), 35-43.

Ribeiro Camargo, C. H., Bittencourt, T. S., Hasna, A. A., Palo, R. M., Talge Carvalho, C. A., & Valera, M. C. (2020). Cyclic fatigue, torsional failure, and flexural resistance of rotary and reciprocating instruments. Journal of conservative dentistry: JCD, 23(4), 364–369.

Roig-Greene, J. L. (1983). The retrieval of foreign objects from root canals: a simple aid. J Endod, 9(9), 394-397.

SÁ, K. S. (2019). Tratamento endodôntico após remoção de instrumento fraturado: Relato de caso (Trabalho de conclusão de curso de especialização). Centro de Pós-Graduação em Odontologia - CPGO, Recife,Pernambuco, Brasil.

Silva, L. A., & Almeida, L. N. D. N. (2020). Métodos de remoção de instrumentos endodônticos fraturados no interior de canais radiculares: Revisão de literatura (Trabalho de conclusão de curso). Universidade de Uberaba, Minas Gerais, Brasil.

Terauchi, Y., Ali, W. T., & Abielhassan, M. M. (2022). Present status and future directions: Removal of fractured instruments. Int Endod J, 55 Suppl 3, 685-709.

Terauchi, Y., O'Leary, L., & Suda, H. (2006). Removal of separated files from root canals with a new file-removal system: Case reports. J Endod, 32(8), 789-797.

Terauchi, Y., Sexton, C., Bakland, L. K., & Bogen, G. (2021). Factors Affecting the Removal Time of Separated Instruments. Journal of endodontics, 47(8), 1245–1252.

Yang, Q., Shen, Y., Huang, D., Zhou, X., Gao, Y., & Haapasalo, M. (2017). Evaluation of Two Trephine Techniques for Removal of Fractured Rotary Nickel-titanium Instruments from Root Canals. J Endod, 43(1), 116-120.

Published

27/08/2023

How to Cite

DIAS , A. L. da C. .; REZENDE, N. F. G. .; OLIVEIRA , R. J. de .; GUIMARÃES, B. M. . Removal of fractured instrument in the root canal using the loop technique with orthodontic wire and ultrasonic: Case report. Research, Society and Development, [S. l.], v. 12, n. 8, p. e14212843021, 2023. DOI: 10.33448/rsd-v12i8.43021. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/43021. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences