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Navigating Separated Instrument Retrieval: A Case Report.

Manoj Chandak¹, Paridhi Agrawal¹, Nikhil Mankar¹

¹Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

|January 15, 2024

Summary

This summary is machine-generated.

The Masserann technique successfully retrieves separated endodontic instruments in 55% of cases, offering a viable alternative to surgery. This method is crucial for managing common endodontic complications.

Keywords:

broken instrument endodontic mishaps fractured fragment instrument retrieval masseran

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Area of Science:

Endodontic Therapy
Dental Instrument Retrieval

Background:

Instrument separation is a frequent complication in endodontic therapy, occurring in 2% to 6% of cases.
Surgical intervention is often considered for deeply lodged fragments.

Observation:

The Masserann technique, utilizing specialized tools like trephine burs and extractors, was employed.
A case study focused on retrieving a separated instrument from a mandibular first premolar.

Findings:

The Masserann technique demonstrated a 55% success rate in retrieving separated endodontic instruments.
The technique proved effective in dislodging tightly wedged fragments, as shown in the case study.

Implications:

The Masserann technique offers a reliable, non-surgical approach for managing separated instruments.
Attempting retrieval with the Masserann kit is recommended before resorting to surgical procedures.
Radiographic monitoring is essential during the procedure, despite limitations in certain tooth types.