Retrieval of separated instrument with instrument removal system

One of the most frequent endodontic mishaps is the separation of the endodontic instrument in the root canal. The separation influences the final outcome of the root canal therapy. It interferes with the proper debridement and shaping procedures as well as with irrigation of the canal portion apical to the level of obstruction. It also prevents three dimensional fluid tight sealing of the root canal system. When an attempt to bypass such a fragment becomes difficult it is advised to retrieve it by mechanical devices. Instrument removal system (IRS) is one such a device for orthograde removal of intracanal metallic obstructions. This clinical case describes the usage of IRS for retrieval of separated instrument in the posterior teeth

Conservative management of displaced horizontal root fracture

Traumatic injuries of teeth are the main cause of emergency treatment in dental practice. Radicular fractures in permanent teeth are uncommon, being only 0.5-7% of the cases. Horizontal root fractures are more frequently observed in the maxillary anterior region of young male patients and vary in severity from enamel fractures to avulsions. Fracture occurs often in the middle-third of the root followed by apical and coronal third. The present case report describes a clinical case of a horizontal root fracture located at the middle third of a maxillary left-central incisor treated endodontically after approximating fracture segment with the help of orthodontic appliance. After 6 months follow-up, the tooth was asymptomatic with normal periodontal health