Surgical Management of Extruded Fractured Instrument Beyond the Periapical Area: A Case Report with Two-year Follow-up
https://doi.org/10.21315/aos2023.1802.CR01
- Author:
Afiq Azizi Jawami
1
;
Eason Soo
2
;
Dalia Abdullah
2
;
Wong Lishen
2
Author Information
1. Centre of Comprehensive Care Studies, Faculty of Dentistry, Universiti Teknologi MARA, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia
2. Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia
- Publication Type:Case Reports
- Keywords:
Cone-beam computer tomography;
endodontic microsurgery;
fractured instrument;
outcome;
periapical infection
- From:Archives of Orofacial Sciences
2023;18(no.2):167-177
- CountryMalaysia
- Language:English
-
Abstract:
A fractured instrument is an undesirable endodontic mishap that can prevent complete root canal disinfection, thereby affecting the root canal treatment outcome. The present case discussed the surgical
management of an extruded fractured barbed broach at the apical third of maxillary right first premolar.
A 28-year-old female presented with an endodontic failure on tooth 14 and was diagnosed as previously
root canal treated with symptomatic apical periodontitis. Radiographic examination revealed a straightline
radiopacity structure that was 2 mm in length extruded from the apical root-end, suggesting a fractured instrument. The case was successfully managed through endodontic microsurgery. The present case emphasises the significance of cone-beam computed tomography as a valuable tool for diagnosis and investigation, while also offering supplementary information for the planning of surgical treatment.
- Full text:2.2023my0007.pdf
