Abstract

Aim: Description of endodontic surgical procedure which was adopted to successfully retrieve the broken instrument from an aberrant site. Background: Management of broken or separated endodontic instrument has always been considered to be a challenge, demanding expertise in the field of endodontics and has generated all time interest among endodontists. Separated instruments in root canal system leads to metallic obstruction and prevents thorough cleaning and shaping which may culminate into endodontic failure. Instrument separation outside the root canal system is still more embarrassing. Case description: This is an unusual case of a broken file embedded in the apical half of periodontal ligament space of mandibular second molar, separated due to binding in the extraradicular space emerging out through a perforation in mesial wall of the pulp chamber during routine endodontic treatment. Conclusion: This unique case report represents how an endodontic surgical procedure was adopted to successfully retrieve the broken instrument with a McPherson ophthalmic forceps along with sealing of the perforations and completion of the routine endodontic treatment.

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