Influence of fractured instruments on the success rate of endodontic treatment.
The fracture of an instrument is a recognized complication in endodontics. The immediate response to a fractured instrument is frequently to regard the treatment as a failure. Several factors must, however, be taken into account to evaluate the prognosis of the tooth in this situation. The objective of the endodontic treatment with or without a fractured instrument remains the same, namely to disinfect the root canal system and prevent its recontamination. The time at which file fracture occurred during treatment and the degree of canal infection should be considered when determining the potential effect of instrument fracture on treatment outcome. Patients must be informed about an instrument fracturing in their tooth for ethical and legal reasons. The aim of this paper is to attempt to place fractured instruments in context, not to provide an in depth description of fractured instrument management techniques.


CONCLUSIONS
To understand the influence of fractured instruments on prognosis in endodontics.
University of Birmingham School of Dentistry, UK.
Stephane
S
Simon
Pierre
P
Machtou
Phillip
P
Tomson
Nick
N
Adams
Philip
P
Lumley
D003722:Dental Alloys / Q000737:chemistry; D003786:Dental Pulp Cavity / Q000187:drug effects / Q000382:microbiology; D003788:Dental Pulp Diseases / Q000382:microbiology; D003812:Dentist-Patient Relations / Q000941:ethics; D004867:Equipment Design; D004868:Equipment Failure; D004990:Ethics, Dental; D005547:Foreign Bodies / Q000628:therapy; D006801:Humans; D016365:Liability, Legal; D009532:Nickel / Q000737:chemistry; D010483:Periapical Diseases / Q000150:complications; D011379:Prognosis; D011670:Pulpectomy; D019233:Retreatment; D012388:Root Canal Irrigants / Q000627:therapeutic use; D018915:Root Canal Preparation / Q000295:instrumentation*; D012390:Root Canal Therapy; D014025:Titanium / Q000737:chemistry; D016896:Treatment Outcome; D014342:Truth Disclosure / Q000941:ethics
D003722:Dental Alloys; D012388:Root Canal Irrigants; C040654:titanium nickelide; D009532:Nickel; D014025:Titanium