title: A new atraumatic method of removing fractured palatal root using endodontic H-files luted with resin modified glass ionomercement: A pilot study.
abstract: OBJECTIVE
  The purpose of this study is to evaluate the efficacy of using endodontic H-files luted with Resin modified glass ionomer cement (RMGIC) in removing fractured palatal root.
  
  
  METHODS
  This study consists of 30 patients, of which 16 were males and 14 were females with a mean age of 36 years. In which, 19 were maxillary first molar and 11 were maxillary second molar. In that, 18 were fractured at the level of apical 1/3(rd) and 12 were at the level of apical 2/3(rd). All cases were first tried with endodontic H-files, within few attempts, it was wedged tightly in the remaining pulp chamber with one or two clockwise direction and using sudden jerk with a downward pull the remnant part was removed. The cases, which fail to deliver after several attempts were taken up for study. After sufficient isolation with a rubber dam and the socket was dried using sterile gauze, under good lighting and vision again the same file was introduced, which was now luted with RMGIC, after 5 min of setting time, the same attempt using sudden jerk with a downward pull was given.
  
  
  RESULTS
  In those 30 cases, 20 cases were removed in the first few attempts using endodontic H-files. The 10 cases (7 cases were apical 2/3(rd) and 3 cases were of apical 1/3(rd)), which fails to come out were tried using endodontic H-files luted with RMGIC, in which 9 cases were successfully removed (90%) and 1 case of apical 1/3(rd) was again failed to come out.
  
  
  CONCLUSIONS
  Even though, the number of cases were too small to come to a definitive conclusion, the encouraging result (90%) and technically easy, this is a novel method of removing fractured palatal root atraumatically and devoid of any complication.
authors.affiliation: Consultant Maxillofacial Surgeon, BeWell Hospitals, The Dental Clinic, Lawspet, Puducherry, India.
authors.forename: V Sadesh
authors.initials: VS
authors.lastname: Kannan
authors.affiliation: Consultant Maxillofacial Surgeon, Appasamy Multispeciality Hospital, Arumbakkam, Chennai, India.
authors.forename: G R Sathya
authors.initials: GR
authors.lastname: Narayanan
authors.affiliation: Neu Face Hospitals, Thanjavur, India.
authors.forename: A Saneem
authors.initials: AS
authors.lastname: Ahamed
authors.affiliation: Impacts 32 Dental Clinic, Old Pallavaram, Chennai, India.
authors.forename: K
authors.initials: K
authors.lastname: Velavan
authors.affiliation: Consultant Oral and Maxillofacial Radiologist, Lawspet, Pondicherry, India.
authors.forename: E
authors.initials: E
authors.lastname: Elavarasi
authors.affiliation: Consultant Endodontist, DJ Dental Clinic, Reddiyarpalayam, Pondicherry, India.
authors.forename: C
authors.initials: C
authors.lastname: Danavel
keywords: Fractured palatal root; H- files; exodontia; resin modified glass ionomer cement