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 SCIENCE
Main Authors: Jawami, Afiq Azizi; Soo, Eason; Abdullah, Dalia; Lishen, Wong
Format: Article
Language:English
Published: PENERBIT UNIV SAINS MALAYSIA 2023
Subjects:
Online Access:https://www-webofscience-com.uitm.idm.oclc.org/wos/woscc/full-record/WOS:001133290200004
author Jawami
Afiq Azizi; Soo
Eason; Abdullah
Dalia; Lishen
Wong
spellingShingle Jawami
Afiq Azizi; Soo
Eason; Abdullah
Dalia; Lishen
Wong
Surgical Management of Extruded Fractured Instrument Beyond the Periapical Area: A Case Report with Two-year Follow-up
Dentistry, Oral Surgery & Medicine
author_facet Jawami
Afiq Azizi; Soo
Eason; Abdullah
Dalia; Lishen
Wong
author_sort Jawami
spelling Jawami, Afiq Azizi; Soo, Eason; Abdullah, Dalia; Lishen, Wong
Surgical Management of Extruded Fractured Instrument Beyond the Periapical Area: A Case Report with Two-year Follow-up
ARCHIVES OF OROFACIAL SCIENCE
English
Article
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.
PENERBIT UNIV SAINS MALAYSIA
1823-8602
2231-7163
2023
18
2
10.21315/aos2023.1802.CR01
Dentistry, Oral Surgery & Medicine
gold
WOS:001133290200004
https://www-webofscience-com.uitm.idm.oclc.org/wos/woscc/full-record/WOS:001133290200004
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
container_title ARCHIVES OF OROFACIAL SCIENCE
language English
format Article
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 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.
publisher PENERBIT UNIV SAINS MALAYSIA
issn 1823-8602
2231-7163
publishDate 2023
container_volume 18
container_issue 2
doi_str_mv 10.21315/aos2023.1802.CR01
topic Dentistry, Oral Surgery & Medicine
topic_facet Dentistry, Oral Surgery & Medicine
accesstype gold
id WOS:001133290200004
url https://www-webofscience-com.uitm.idm.oclc.org/wos/woscc/full-record/WOS:001133290200004
record_format wos
collection Web of Science (WoS)
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