Clinical Management of Intra-Pulp Canal Broken Endodontic Files in Primary Teeth: Literature Review

 

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Dades bibliogràfiques
Autors: Garrocho-Rangel, Arturo, Sánchez-Reynoso, Aránzazu, Rosales-Berber, Miguel Ángel, Ruiz-Rodríguez, Socorro, Pozos-Guillén, Amaury de Jesús
Format: artículo original
Estat:Versión publicada
Data de publicació:2020
Descripció:Fracture of an endodontic file inside a primary root canal is a rare but critical complication during the pulpectomy treatment, because the mechanical obstruction impedes the optimal cleaning and obturation of the pulp canal, compromising seriously the clinical outcome. This accidental event is mainly associated with over-use and excessive torque of intracanal files. Most clinicians opt to proceed with the extraction of the affected tooth followed by a space maintainer placement. Other practitioners attempt the non-surgical retrieval of the separated fragment through available proven techniques in permanent teeth; however, these methods may involve significant damage to the tooth and surround tissues. On the other hand, preservation of the metallic fragment might affect the treatment prognosis and interfere with the physiological root resorption.
Pais:Portal de Revistas UCR
Institution:Universidad de Costa Rica
Repositorio:Portal de Revistas UCR
Idioma:Inglés
OAI Identifier:oai:portal.ucr.ac.cr:article/43859
Accés en línia:https://revistas.ucr.ac.cr/index.php/Odontos/article/view/43859
Paraula clau:Primary teeth; Pulpectomy; Broken endodontic file; Clinical management.
Dientes primarios; Pulpectomía; Instrumento endodóntico fracturado; Manejo clínico.