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.
Similar content being viewed by others
References
Schilder H. Cleaning and shaping the root canal. Dent Clin N Am. 1974;18(2):269–96.
Ruddle CJ. The Protaper technique. Endod Topics online. 2005;10:187–90.
Fors UG, Berg JO. Endodontic treatment of root canals obstructed by foreign objects. Int Endod J. 1986;19(1):2–10.
Chenail BL, Teplitsky PE. Orthograde ultrasonic retrieval of root canal obstructions. J Endod. 1987;13(4):186–90.
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.
Wong R, Cho F. Microscopic management of procedural errors. Dent Clin N Am. 1997;41(3):455–79.
Mines P, et al. Use of the microscope in endodontics: a report based on a questionnaire. J Endod. 1999;25(11):755–8.
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.
Naidorf IJ. Endodontic flare-ups: bacteriological and immunological mechanisms. J Endod. 1985;11(11):462–4.
Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. J Endod. 1985;11(11):472–8.
Walton R, Fouad A. Endodontic interappointment flare-ups: a prospective study of incidence and related factors. J Endod. 1992;18(4):172–7.
Imura N, Zuolo ML. Factors associated with endodontic flare-ups: a prospective study. Int Endod J. 1995;28(5):261–5.
Morgan LF, Montgomery S. An evaluation of the crown-down pressureless technique. J Endod. 1984;10(10):491–8.
Goldberg F, Massone EJ. Patency file and apical transportation: an in vitro study. J Endod. 2002;28(7):510–1.
Feldman G, et al. Retrieving broken endodontic instruments. J Am Dent Assoc. 1974;88(3):588–91.
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.
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.
American Association of Endodontists. Glossary of endodontic terms. 9th ed. St. Louis: Mosby; 2015.
Tsesis I, et al. Flare-ups after endodontic treatment: a meta-analysis of literature. J Endod. 2008;34(10):1177–81.
Torabinejad M, et al. Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod. 1988;14(5):261–6.
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.
Siqueira JF Jr. Microbial causes of endodontic flare-ups. Int Endod J. 2003;36(7):453–63.
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.
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.
Hulsmann M, Hahn W. Complications during root canal irrigation--literature review and case reports. Int Endod J. 2000;33(3):186–93.
al-Omari MA, Dummer PM. Canal blockage and debris extrusion with eight preparation techniques. J Endod. 1995;21(3):154–8.
Siqueira JF Jr, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J. 1999;32(5):361–9.
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.
Pickenpaugh L, et al. Effect of prophylactic amoxicillin on endodontic flare-up in asymptomatic, necrotic teeth. J Endod. 2001;27(1):53–6.
Gopikrishna V, Parameswaran A. Effectiveness of prophylactic use of rofecoxib in comparison with ibuprofen on postendodontic pain. J Endod. 2003;29(1):62–4.
Menke ER, et al. The effectiveness of prophylactic etodolac on postendodontic pain. J Endod. 2000;26(12):712–5.
Moore PA, et al. Analgesic regimens for third molar surgery: pharmacologic and behavioral considerations. J Am Dent Assoc. 1986;113(5):739–44.
Gordon SM, et al. Blockade of peripheral neuronal barrage reduces postoperative pain. Pain. 1997;70(2–3):209–15.
Rosenberg PA, et al. The effect of occlusal reduction on pain after endodontic instrumentation. J Endod. 1998;24(7):492–6.
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.
Ehrmann EH, Messer HH, Adams GG. The relationship of intracanal medicaments to postoperative pain in endodontics. Int Endod J. 2003;36(12):868–75.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
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)