{"id":845,"date":"2018-02-28T20:26:02","date_gmt":"2018-02-28T20:26:02","guid":{"rendered":"http:\/\/www.endostlaurent.ca\/?p=845\/"},"modified":"2018-02-28T20:26:03","modified_gmt":"2018-02-28T20:26:03","slug":"retreatment-separated-instrument-retrieval","status":"publish","type":"post","link":"https:\/\/endostlaurent.com\/en\/2018\/02\/28\/retreatment-separated-instrument-retrieval\/","title":{"rendered":"A Retreatment with a Separated Instrument Retrieval"},"content":{"rendered":"<h3 style=\"text-align: center;\"><em>A case study by Dr. Chafic Safi, Centre Endodontique St-Laurent<\/em><\/h3>\n<p>&nbsp;<\/p>\n<p>A 65-year-old female patient presented to our clinic with\u00a0the following chief complaint:<\/p>\n<blockquote><p>\u201cMy dentist sent me here to get an instrument out of my tooth.\u201d<\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<h2 class=\"title left\">Analysis<\/h2>\n<p>A clinical examination revealed a restoration on tooth #17.<\/p>\n<p>Percussion testing was positive. Probing and mobility were within normal limits.<\/p>\n<p>A radiological examination revealed a previous root canal and a separated rotary file in the mesio-buccal canal.<\/p>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-1 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-1 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-1' class='gallery galleryid-845 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-1-Retreatment.png'><img loading=\"lazy\" decoding=\"async\" width=\"205\" height=\"300\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-1-Retreatment-205x300.png\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-1-Retreatment-205x300.png 205w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-1-Retreatment.png 307w\" sizes=\"(max-width: 205px) 100vw, 205px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<h3>Diagnosis<\/h3>\n<p>The diagnosis was a\u00a0<b>previously treated tooth <\/b>and<b> symptomatic apical periodontitis.<\/b><\/p>\n<p>&nbsp;<\/p>\n<h2 class=\"title left\">Treatment<\/h2>\n<p>The treatment options offered to the patient were:<\/p>\n<ol>\n<li>A non-surgical retreatment with bypass or retrieval of the instrument<\/li>\n<li>An extraction<\/li>\n<\/ol>\n<h3 id=\"tw-target-text\" class=\"tw-data-text tw-ta tw-text-medium\" dir=\"ltr\" data-placeholder=\"Translation\"><span lang=\"fr\">Treatment Selection<\/span><\/h3>\n<p>The patient opted for saving her tooth via\u00a0<strong><a href=\"http:\/\/www.endostlaurent.ca\/en\/retraitement-of-canal\/\">retreatment<\/a><\/strong>.<\/p>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-2 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-2 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-2 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-2 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-2' class='gallery galleryid-845 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-2-Retreatment.png'><img loading=\"lazy\" decoding=\"async\" width=\"205\" height=\"300\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-2-Retreatment-205x300.png\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-2-Retreatment-205x300.png 205w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-2-Retreatment.png 307w\" sizes=\"(max-width: 205px) 100vw, 205px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<h3><b>Potential Complications<\/b><\/h3>\n<p>The following potential complications were discussed with\u00a0the patient:<\/p>\n<ul>\n<li>perforation<\/li>\n<li>separation of another instrument<\/li>\n<li>blockage\/not being able to retrieve or to bypass the separated instrument.<\/li>\n<\/ul>\n<h3 id=\"tw-target-text\" class=\"tw-data-text tw-ta tw-text-medium\" dir=\"ltr\" data-placeholder=\"Translation\"><span lang=\"fr\">The Treatment<\/span><\/h3>\n<p>Retreatment was completed with file retrieval and reinstrumentation of the canals in 3 dimensions using the XP-3D shaper and XP-3D Finisher files. Root canal obturation was achieved using Bioceramic Sealer and Bioceramic Gutta-Percha.<\/p>\n<p>The patient was referred back to her dentist for her final restoration.<\/p>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-3 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-3 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-3 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-3 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-3' class='gallery galleryid-845 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-3E-Retreatment.png'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"104\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-3E-Retreatment-300x104.png\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-3E-Retreatment-300x104.png 300w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-3E-Retreatment-768x267.png 768w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-3E-Retreatment-1024x356.png 1024w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-3E-Retreatment.png 1335w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<p>&nbsp;<\/p>\n<hr \/>\n<h2 class=\"title left\">Additional Information<\/h2>\n<h3><b>Reasons for file separation<\/b><\/h3>\n<ul>\n<li>Cyclic fatigue: Over-use of the file<\/li>\n<li>Torsional stress: Locking and\u00a0over-twisting of the file<\/li>\n<\/ul>\n<h3><b>XP files<\/b><\/h3>\n<ul>\n<li>MaxWire special alloy<\/li>\n<li>Conservative and anatomical root canal preparations<\/li>\n<li>Less risks of iatrogenic errors such as file separation<\/li>\n<\/ul>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-4 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-4 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-4 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-4 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-4' class='gallery galleryid-845 gallery-columns-1 gallery-size-thumbnail'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-4-Retreatment.png'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2018\/02\/C10-4-Retreatment-150x150.png\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<h3><strong>Bioceramic Sealer<\/strong>:<\/h3>\n<ul>\n<li>Biocompatible and antimicrobial<\/li>\n<li>Hermetic seal in 3 dimension<\/li>\n<li>Does not resorb nor shrink upon setting<\/li>\n<li>Hydroxyapatite formation<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>A case study by Dr. Chafic Safi, Centre Endodontique St-Laurent &nbsp; A 65-year-old female patient presented to our clinic with\u00a0the following chief complaint: \u201cMy dentist&hellip;<\/p>\n","protected":false},"author":2,"featured_media":852,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[44],"tags":[31,32,33,34,35,36],"class_list":["post-845","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-etude-de-cas-case-study-en","tag-canal-radiculaire-en","tag-cas-dentaire-en","tag-clinique-dentaire-en","tag-endodontie-en","tag-etudes-de-cas-en","tag-traitement-de-canal-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts\/845"}],"collection":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/comments?post=845"}],"version-history":[{"count":0,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts\/845\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/media\/852"}],"wp:attachment":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/media?parent=845"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/categories?post=845"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/tags?post=845"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}