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Bypass and fragments embedding (by Ilya Mer)

All clinical cases Cases by Ilya Mer Endodontics Fragment removal RetreatmentPublished October 26, 2012 at 5:16 am 1 Comment

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In most cases but not always separated instrument is possible to be retrieved.   In case like this retrieving could bring about terrible hard tissue lost and jeopardize the outcome. IMHO the best management strategy is bypassing and embedding fragments into RC filling.

Preoperative Xray shows two fragments in mesial root. Initial treatment was done 16 years before (the same time the bridge existed). LEO on mesial root but no symptoms

I managed to bypass MB canal at first visit and the ML at the the second one.

Pulp chamber view and fragments in mesial root

Obturation was done by injection technique (squirt)

 

 

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