Analyzing the Effectiveness of Different Methods for Instrument Retrieval: A Comprehensive Systematic Review

Abstract

Introduction: The rate of success of retrieval of instruments that have been fractured differs because it depends upon several variables, such as the visibility of the broken instrument, the size of the broken instrument relative to the canal's curvature, and the methods used in every instance. The separation of endodontic instruments in the intracanal area can hinder shaping and cleaning processes in the canal and could negatively affect the procedure results. This descriptive analysis of distinct instruments set out to  (1) look over the research concerning treatment options, influences aspects, and complications. (2) propose the best method for the management of these instruments..

Methods: Research was conducted through peer-reviewed journals in PubMed, Lialac, Ebsco, ProQuest, open gray, and J gate to locate experiments and clinical studies and reviews, by utilizing the key phrases Instruments, Files obstructions, fractured or broken instruments, separation removal, retrieval treatment, bypassing, as well as problems with or without the endodontic canal or root canal.

Results:. The results show an absence of evidence at a higher level about properly managing separate instruments. The conventional conservative treatment includes eliminating or avoiding the fracture or filling the root canal system to an extent that is coronal to the fragment. The surgical procedure is an option. This is influenced by several aspects and could be linked with issues. Based on recent clinical research an approach to decision-making for treatment is recommended.

Conclusions: This comprehensive review provides insights from laboratory studies that examine the correlation between the curvature of root canals and the specific location where instrument fractures occur, offering valuable insights into their impact on overall treatment success. Significantly, the ultrasonic approach demonstrated the most favorable outcomes. It underscores the importance of anchoring clinical practice in rigorously conducted clinical trials