Skip to main content

Instrumentation-Related Complications

  • Chapter
  • First Online:
Common Complications in Endodontics

Abstract

Similar to other disciplines of advanced dentistry, a clinician may encounter complications or unforeseen circumstances during endodontic therapy. Every clinician performing endodontic procedures would have experienced a range of outcomes ranging from a case well done to an unfavorable prognosis related to a procedural accident. Examples of complications during the root canal procedure include ledge formation, separated instruments, and over-instrumentation. However, fear of procedural accidents should not deter a practitioner from performing root canal treatment. An experienced clinician uses knowledge, clinical skill and acumen, experience, and awareness of his or her own limitations to minimize these accidents.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Similar content being viewed by others

References

  1. Schilder H. Cleaning and shaping the root canal. Dent Clin N Am. 1974;18(2):269–96.

    PubMed  Google Scholar 

  2. Ruddle CJ. The Protaper technique. Endod Topics online. 2005;10:187–90.

    Article  Google Scholar 

  3. Fors UG, Berg JO. Endodontic treatment of root canals obstructed by foreign objects. Int Endod J. 1986;19(1):2–10.

    Article  Google Scholar 

  4. Chenail BL, Teplitsky PE. Orthograde ultrasonic retrieval of root canal obstructions. J Endod. 1987;13(4):186–90.

    Article  Google Scholar 

  5. Berutti E, et al. Comparative analysis of torsional and bending stresses in two mathematical models of nickel-titanium rotary instruments: ProTaper versus ProFile. J Endod. 2003;29(1):15–9.

    Article  Google Scholar 

  6. Wong R, Cho F. Microscopic management of procedural errors. Dent Clin N Am. 1997;41(3):455–79.

    PubMed  Google Scholar 

  7. Mines P, et al. Use of the microscope in endodontics: a report based on a questionnaire. J Endod. 1999;25(11):755–8.

    Article  Google Scholar 

  8. Ward JR, Parashos P, Messer HH. Evaluation of an ultrasonic technique to remove fractured rotary nickel-titanium endodontic instruments from root canals: clinical cases. J Endod. 2003;29(11):764–7.

    Article  Google Scholar 

  9. Naidorf IJ. Endodontic flare-ups: bacteriological and immunological mechanisms. J Endod. 1985;11(11):462–4.

    Article  Google Scholar 

  10. Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. J Endod. 1985;11(11):472–8.

    Article  Google Scholar 

  11. Walton R, Fouad A. Endodontic interappointment flare-ups: a prospective study of incidence and related factors. J Endod. 1992;18(4):172–7.

    Article  Google Scholar 

  12. Imura N, Zuolo ML. Factors associated with endodontic flare-ups: a prospective study. Int Endod J. 1995;28(5):261–5.

    Article  Google Scholar 

  13. Morgan LF, Montgomery S. An evaluation of the crown-down pressureless technique. J Endod. 1984;10(10):491–8.

    Article  Google Scholar 

  14. Goldberg F, Massone EJ. Patency file and apical transportation: an in vitro study. J Endod. 2002;28(7):510–1.

    Article  Google Scholar 

  15. Feldman G, et al. Retrieving broken endodontic instruments. J Am Dent Assoc. 1974;88(3):588–91.

    Article  Google Scholar 

  16. Crump MC, Natkin E. Relationship of broken root canal instruments to endodontic case prognosis: a clinical investigation. J Am Dent Assoc. 1970;80(6):1341–7.

    Article  Google Scholar 

  17. Weine FS, Kelly RF, Lio PJ. The effect of preparation procedures on original canal shape and on apical foramen shape. J Endod. 1975;1(8):255–62.

    Article  Google Scholar 

  18. American Association of Endodontists. Glossary of endodontic terms. 9th ed. St. Louis: Mosby; 2015.

    Google Scholar 

  19. Tsesis I, et al. Flare-ups after endodontic treatment: a meta-analysis of literature. J Endod. 2008;34(10):1177–81.

    Article  Google Scholar 

  20. Torabinejad M, et al. Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod. 1988;14(5):261–6.

    Article  Google Scholar 

  21. Dahlen G, Magnusson BC, Moller A. Histological and histochemical study of the influence of lipopolysaccharide extracted from Fusobacterium nucleatum on the periapical tissues in the monkey Macaca fascicularis. Arch Oral Biol. 1981;26(7):591–8.

    Article  Google Scholar 

  22. Siqueira JF Jr. Microbial causes of endodontic flare-ups. Int Endod J. 2003;36(7):453–63.

    Article  Google Scholar 

  23. Tsesis I, et al. The precision of electronic apex locators in working length determination: a systematic review and meta-analysis of the literature. J Endod. 2015;41(11):1818–23.

    Article  Google Scholar 

  24. Siqueira JF Jr, et al. Chemomechanical reduction of the bacterial population in the root canal after instrumentation and irrigation with 1%, 2.5%, and 5.25% sodium hypochlorite. J Endod. 2000;26(6):331–4.

    Article  Google Scholar 

  25. Hulsmann M, Hahn W. Complications during root canal irrigation--literature review and case reports. Int Endod J. 2000;33(3):186–93.

    Article  Google Scholar 

  26. al-Omari MA, Dummer PM. Canal blockage and debris extrusion with eight preparation techniques. J Endod. 1995;21(3):154–8.

    Article  Google Scholar 

  27. Siqueira JF Jr, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J. 1999;32(5):361–9.

    Article  Google Scholar 

  28. Yingling NM, Byrne BE, Hartwell GR. Antibiotic use by members of the American Association of Endodontists in the year 2000: report of a national survey. J Endod. 2002;28(5):396–404.

    Article  Google Scholar 

  29. Pickenpaugh L, et al. Effect of prophylactic amoxicillin on endodontic flare-up in asymptomatic, necrotic teeth. J Endod. 2001;27(1):53–6.

    Article  Google Scholar 

  30. Gopikrishna V, Parameswaran A. Effectiveness of prophylactic use of rofecoxib in comparison with ibuprofen on postendodontic pain. J Endod. 2003;29(1):62–4.

    Article  Google Scholar 

  31. Menke ER, et al. The effectiveness of prophylactic etodolac on postendodontic pain. J Endod. 2000;26(12):712–5.

    Article  Google Scholar 

  32. Moore PA, et al. Analgesic regimens for third molar surgery: pharmacologic and behavioral considerations. J Am Dent Assoc. 1986;113(5):739–44.

    Article  Google Scholar 

  33. Gordon SM, et al. Blockade of peripheral neuronal barrage reduces postoperative pain. Pain. 1997;70(2–3):209–15.

    Article  Google Scholar 

  34. Rosenberg PA, et al. The effect of occlusal reduction on pain after endodontic instrumentation. J Endod. 1998;24(7):492–6.

    Article  Google Scholar 

  35. Krasner P, Jackson E. Management of posttreatment endodontic pain with oral dexamethasone: a double-blind study. Oral Surg Oral Med Oral Pathol. 1986;62(2):187–90.

    Article  Google Scholar 

  36. Ehrmann EH, Messer HH, Adams GG. The relationship of intracanal medicaments to postoperative pain in endodontics. Int Endod J. 2003;36(12):868–75.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Obadah H. Attar B.D.S., D.Sc.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Attar, O.H., Chogle, S.M., Hsu, TY. (2018). Instrumentation-Related Complications. In: Jain, P. (eds) Common Complications in Endodontics. Springer, Cham. https://doi.org/10.1007/978-3-319-60997-3_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-60997-3_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60996-6

  • Online ISBN: 978-3-319-60997-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics