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  1. 2 nov 2020 · Normal apical tissue. Broken instruments are not a reason for apical periodontitis. The proposed clinical algorithm is based upon the understanding of biological processes that are responsible for periapical lesions and tooth biomechanics. Its goal is the maintenance of a long-term functional tooth. 18.

  2. There are two approaches for the nonsurgical management of a broken instrument in the root canal system: fragment removal and fragment bypass. Optimally, the broken instrument should be removed from the root canal to facilitate effective cleaning and shaping .

  3. 19 nov 2013 · Allen Ali Nasseh discusses a clinical case and shares some ideas and techniques for avoiding file fractures and removal of separated instruments. Show more. RealWorldEndo.com presents: Broken...

    • 13 min
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    • AANasseh
  4. 4 apr 2022 · INTRODUCTION. The presence of fractured endodontic instruments within the root canal system has a negative prognostic effect on orthograde endodontic treatment (Spili et al., 2005) since they hinder the cleaning and shaping of the apical root canal (Lin et al., 2005 ).

  5. BROKEN INSTRUMENT REMOVAL. The Endodontic Challenge. by Cliford J. Ruddle, DDS. he procedural accident of breaking an instru-ment. Fortunately, when a file breaks, it is reassuring to know that CBCT imaging, in conjunction with a microscope, pro-motes 3D visualization and fulfills the endodontic.

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  6. 1 set 2018 · The good news is, today, most broken instruments can be safely removed using advanced technologies, in conjunction with training. Coronal and Radicular Access. Coronal access is the first step required for the successful removal of a broken instrument.

  7. Instrument removal attempts were undertaken on 63 straight and 30 curved canals containing a pre-fractured instrument using the ultrasonics under the visualization of an operating microscope or conventional methods. In straight canals, a Masseran Kit was additionally used to these techniques.