[Management of intracanal separated instruments with the microsonic technique and its clinical outcome].
OBJECTIVE
To evaluate the clinical effect of microsonic technique on removal of intracanal separated instruments.


METHODS
Forty-four teeth with 47 intracanal separated instruments, which could not be successfully managed by conventional methods, were endodontically treated with ultrasonic instruments under dental operating microscope. The success rate was calculated and the cases were reviewed 5 to 19 months after retreatment.


RESULTS
Thirty-four (34/47) separated instruments in 33 (33/44) teeth were completely removed with a success rate of 75%. Thirteen separated instruments in 11 teeth, however, could not be eliminated from the canals. Root canal perforation or vertical fracture was not found. None of these teeth showed periapical deterioration in the follow-up.


CONCLUSIONS
The combined use of dental operating microscope and ultrasonic instruments in endodontic treatment enriched the way of managing complicated cases of intracanal separated instruments.
Wei
Xi
X
Department of Operative Dentistry and Endodontics, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China. xi-wei@21cn.com
Ling
Jun-qi
JQ
Gao
Yan
Y
Huang
Xiang-ya
XY
Li
Xiu-xia
XX
D000328:Adult; D000368:Aged; D003762:Dental Instruments / Q000009:adverse effects; D003786:Dental Pulp Cavity / Q000648:ultrastructure*; D005260:Female; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000628:therapy*; D006801:Humans; D008297:Male; D008853:Microscopy; D008875:Middle Aged; D016896:Treatment Outcome; D014464:Ultrasonic Therapy