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

 

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Détails bibliographiques
Auteurs: Garrocho-Rangel, Arturo, Sánchez-Reynoso, Aránzazu, Rosales-Berber, Miguel Ángel, Ruiz-Rodríguez, Socorro, Pozos-Guillén, Amaury de Jesús
Format: artículo original
Statut:Versión publicada
Date de publication:2020
Description: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.
Pays:Portal de Revistas UCR
Institution:Universidad de Costa Rica
Repositorio:Portal de Revistas UCR
Langue:Inglés
OAI Identifier:oai:archivo.portal.ucr.ac.cr:article/43859
Accès en ligne:https://archivo.revistas.ucr.ac.cr/index.php/Odontos/article/view/43859
Mots-clés:Primary teeth; Pulpectomy; Broken endodontic file; Clinical management.
Dientes primarios; Pulpectomía; Instrumento endodóntico fracturado; Manejo clínico.