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Separated Instrument Removal Case with Recall

Terry Pannkuk, DDS, MScDRetreatment Strategies, All by Date


Radiograph demonstrating the successful bypassing of the SI on the first treatment visit

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How Aggressively Should an Attempt be Made to Remove a Separated Instrument from a Root?

Patient: 55 year old male in excellent health

Chief Complaint" Asymptomatic (referred by dentist for examination of suspected chronic abscess revealed on routine dental radiographic exam (Tooth #19)

Dental History: The patient presented with a previously treated mandibular left first molar having had previous endodontic treatment with a porcelain fused to metal crown (5 years prior to the time of initial examination). The patient reported that an instrument had been separated during the previous endodontic procedure.

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