FILE BREAKAGE DURING ROOT CANAL TREATMENT: Understanding the Risks

FILE BREAKAGE DURING ROOT CANAL TREATMENT

Endodontic treatment, commonly known as root canal therapy, is a dental procedure that involves removing the infected or damaged pulp from inside a tooth and filling the resulting space with a biocompatible material. While endodontic treatment has a high success rate, complications can arise that may compromise the treatment outcome. One such complication is file breakage.

Endodontic treatment involves the use of small files to clean and shape the inside of the root canal system. Unfortunately, file breakage can occur during the procedure, which can be a frustrating and potentially harmful experience for both the dentist and the patient.

Endodontic files are thin, flexible instruments that are used to remove the pulp from inside a tooth during root canal therapy. They come in various sizes and shapes and are made of different materials, such as stainless steel, nickel-titanium alloy, and rotary files. During the course of treatment, files can break inside the tooth, posing a risk of infection, pain, and further damage to the tooth.

There are several reasons why file breakage may occur

  • Improper use of the instrument.
  • Excessive pressure or torque.
  • Fatigue, and material defects
  • Curved or calcified canals.
  • Inadequate lubrication.
  • Teeth that have undergone previous endodontic treatment
  • The type and quality of the files used can also play a role in their propensity for breakage.

When a file breaks inside the tooth, the dentist may attempt to retrieve it using specialized instruments and techniques. However, this process can be time-consuming, challenging, and unpredictable, and may require multiple visits. Moreover, if the file cannot be removed, it can act as a source of bacteria and irritants, leading to infection, inflammation, and ultimately, tooth loss.

In addition to the physical complications, file breakage can also have psychological effects on patients. Patients may experience anxiety, fear, and distrust towards the dental practitioner, and may also have concerns about the long-term consequences of the complication.

If a file does break during the procedure, the dentist will typically stop the treatment and take steps to remove the broken piece. This may involve using specialized tools or techniques, such as

  • Ultrasonic vibration.
  • A dental microscope, to carefully remove the fragment without damaging the surrounding tooth structure.

Or a dentist may try to bypass the broken file

Prevention of file breakage

Preventing file breakage in endodontic treatment requires proper training, technique, and equipment. Dentists should always use high-quality, properly lubricated files and avoid applying excessive force or torque. Additionally, they should be aware of the limitations of their instruments and adjust their technique accordingly for curved or calcified canals.

In conclusion, file breakage is a potential complication of endodontic treatment, but with proper training and technique, it can be minimized. Dentists should take care to use high-quality instruments, maintain proper lubrication, and be aware of the limitations of their tools to reduce the risk of file breakage and ensure successful treatment outcomes for their patients.

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