Broken File Retrieval in the Maxillary Central Incisor Using an H-file and Endodontic Micro Forceps - A Case Report

Abstract

Introduction: Instrument separation is one of the most stressful endodontic mishaps, that can occur any time during the root canal treatment. Several techniques have been employed to facilitate instrument retrieval, however, most of them are technique sensitive, expensive and require great expertise. It is possible to successfully remove broken file from the root canal using sonic agitation coupled with H-files with minimal damage to radicular dentin, if the file separation is in the straight and visible part of the canal. Case Report: A 29-year-old man reported to the Department of Conservative Dentistry and Endodontics, with a chief complaint of pain in the upper front teeth for which the patient had undergone previous dental treatment, but with no relief in pain. The patient gave a history of treatment in the same tooth at a private clinic 3 months back. Conclusion: The technique used in this case report might be considered a conservative, secure, simple and low-cost option that can be performed by any professional in the day-to-day of the endodontic clinic.