Instrument Retrieval In Endodontics

The endodontic management of a fractured instrument or any metallic object within the root canal is a sophisticated process that requires training, experience, and knowledge of the techniques that can be used. It is a time consuming and challenging procedure often associated with anxiety for both clinician and patient with variable success rate. Many factors must be considered before attempting to manage the instrument fragment.The prime therapeutic option for the management of instrument fracture is non-surgical aiming in the retrieval of the fragment. If this attempt fails, bypassing is the option to follow and this also fails, instrumentation and obturation of the canal up to the fragment is performed. Surgical management is performed when the conservative approach fails or is considered from the outset to lead to failure.