Radicular separation of endodontic instruments is the worst nightmare facing every dentist in the modern dentistry. Instrument separation inside the canal worsens the root canal procedures and make cleaning and shaping the canal more difficult.
Hindering the procedures will affect the outcome and the prognosis of the case.
Separation mode is a complicated phenomenon affected by many factors which I will clarify in my lecture and how to prevent that.
Managing a separated instrument will range from orthograde to surgical option.
Orthograde conservative conventional options including removal or bypassing the fragment will be the specific part of our lecture not only clinically but also theoretically.
A decision should be taken either to bypass or to retrieve according to many affecting factors which I will clarify.
The main goal is not only removing the separated fragment but also the tooth integrity should be maintained so bypass is a good option in many situations.
I will clarify when, why and how to bypass a broken file fragment through different protocols and trials.
Clinicians should be familiar with all options in facing broken file cases even before referral if needed.
Finally how ethically we can deal with the broken file cases and how legally we can avoid problems!
Objectives
-how to deal with broken file cases clinically
-how to deal with broken file cases ethically
-how to deal with broken file cases legally