Surgical Management of Extruded Fractured Instrument Beyond the Periapical Area: A Case Report with Two-year Follow-up

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 pre...

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Published in:Archives of Orofacial Sciences
Main Author: Jawami A.A.; Soo E.; Abdullah D.; Lishen W.
Format: Article
Language:English
Published: Penerbit Universiti Sains Malaysia 2023
Online Access:https://www.scopus.com/inward/record.uri?eid=2-s2.0-85184069200&doi=10.21315%2fAOS2023.1802.CR01&partnerID=40&md5=a01fd17788cea82e400473e0be3a6b41
id 2-s2.0-85184069200
spelling 2-s2.0-85184069200
Jawami A.A.; Soo E.; Abdullah D.; Lishen W.
Surgical Management of Extruded Fractured Instrument Beyond the Periapical Area: A Case Report with Two-year Follow-up
2023
Archives of Orofacial Sciences
18
2
10.21315/AOS2023.1802.CR01
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85184069200&doi=10.21315%2fAOS2023.1802.CR01&partnerID=40&md5=a01fd17788cea82e400473e0be3a6b41
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 straight-line 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. © Penerbit Universiti Sains Malaysia. 2023. This work is licensed under the terms of the Creative Commons Attribution (CC BY) (http://creativecommons.org/licenses/by/4.0/).
Penerbit Universiti Sains Malaysia
18238602
English
Article
All Open Access; Gold Open Access
author Jawami A.A.; Soo E.; Abdullah D.; Lishen W.
spellingShingle Jawami A.A.; Soo E.; Abdullah D.; Lishen W.
Surgical Management of Extruded Fractured Instrument Beyond the Periapical Area: A Case Report with Two-year Follow-up
author_facet Jawami A.A.; Soo E.; Abdullah D.; Lishen W.
author_sort Jawami A.A.; Soo E.; Abdullah D.; Lishen W.
title Surgical Management of Extruded Fractured Instrument Beyond the Periapical Area: A Case Report with Two-year Follow-up
title_short Surgical Management of Extruded Fractured Instrument Beyond the Periapical Area: A Case Report with Two-year Follow-up
title_full Surgical Management of Extruded Fractured Instrument Beyond the Periapical Area: A Case Report with Two-year Follow-up
title_fullStr Surgical Management of Extruded Fractured Instrument Beyond the Periapical Area: A Case Report with Two-year Follow-up
title_full_unstemmed Surgical Management of Extruded Fractured Instrument Beyond the Periapical Area: A Case Report with Two-year Follow-up
title_sort Surgical Management of Extruded Fractured Instrument Beyond the Periapical Area: A Case Report with Two-year Follow-up
publishDate 2023
container_title Archives of Orofacial Sciences
container_volume 18
container_issue 2
doi_str_mv 10.21315/AOS2023.1802.CR01
url https://www.scopus.com/inward/record.uri?eid=2-s2.0-85184069200&doi=10.21315%2fAOS2023.1802.CR01&partnerID=40&md5=a01fd17788cea82e400473e0be3a6b41
description 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 straight-line 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. © Penerbit Universiti Sains Malaysia. 2023. This work is licensed under the terms of the Creative Commons Attribution (CC BY) (http://creativecommons.org/licenses/by/4.0/).
publisher Penerbit Universiti Sains Malaysia
issn 18238602
language English
format Article
accesstype All Open Access; Gold Open Access
record_format scopus
collection Scopus
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