Comprehensive Analysis of the Use of Individual Instrumentation in Endodontic Practice

Abstract

Despite advances in endodontic instruments, such as the use of nickel and titanium, avoiding instrument separation during root canal shaping and cleaning remains a challenge for endodontists due to cyclic fatigue and torsional stress. Therefore, it is necessary to carry out a comprehensive search for original articles related to the handling of separated instruments in endodontic practice between 2018 and 2022. The objective is to obtain knowledge on how to approach situations with fractured instruments during endodontic procedures. Twenty articles were analyzed using a documentary methodology and a content matrix. The occurrence of instrument fractures can affect the prognosis of treatment and the endodontic triad. However, it was concluded that there are several successful techniques to address this problem, both surgical and non-surgical, and the use of magnification and CT is also relevant to achieve successful long-term treatments.