Prevention

Steps
Procedure
First
Ten vigorous strokes in a scouring sponge soaked in 0.2% chlorhexidine solution
Second
30-min presoak in an enzymatic cleaning solution
Third
15-min ultrasonication in the same solution
Fourth
20-s rinse in running tap water

9.2 Concluding Remarks

Prevention involves attention to detail and adherence to evidence-based approaches during endodontic procedures. Preventive measures reduce the frequency of instrument fracture and minimize the necessity for challenging management decisions. Most contributory factors to endodontic instrument fracture are related to operator’s clinical capacity and skills and can be minimized by proper training and extensive ex vivo practice prior to clinical application.
References
Alapati SB, Brantley WA, Svec TA, Powers JM, Nusstein JM, Daehn GS. SEM observations of nickel-titanium rotary endodontic instruments that fractured during clinical Use. J Endod. 2005;31(1):40–3.CrossrefPubMed
Barbakow F, Lutz F. The ‘Lightspeed’ preparation technique evaluated by Swiss clinicians after attending continuing education courses. Int Endod J. 1997;30(1):46–50.CrossrefPubMed
Berutti E, Negro AR, Lendini M, Pasqualini D. Influence of manual preflaring and torque on the failure rate of ProTaper rotary instruments. J Endod. 2004;30(4):228–30.CrossrefPubMed
Booth JR, Scheetz JP, Lemons JE, Eleazer PD. A comparison of torque required to fracture three different nickel-titanium rotary instruments around curves of the same angle but of different radius when bound at the tip. J Endod. 2003;29(1):55–7.CrossrefPubMed
Bortnick KL, Steiman HR, Ruskin A. Comparison of nickel-titanium file distortion using electric and air-driven handpieces. J Endod. 2001;27(1):57–9.CrossrefPubMed
Chan HW, Tan KH, Dashper SG, Reynolds EC, Parashos P. Sterilization of rotary NiTi instruments within endodontic sponges. Int Endod J. 2016;49(9):850–7.Crossref
Chandler NP, Bloxham GP. Effect of gloves on tactile discrimination using an endodontic model. Int Endod J. 1990;23(2):97–9.CrossrefPubMed
Cormier C, Von Fraunhofer J, Chamberlain J. A comparison of endodontic file quality and file dimensions. J Endod. 1988;14(3):138–42.CrossrefPubMed
Gabel WP, Hoen M, Steiman HR, Pink FE, Dietz R. Effect of rotational speed on nickel-titanium file distortion. J Endod. 1999;25(11):752–4.CrossrefPubMed
Girdler NM, Matthews RW, Scully C. Use and acceptability of rubber gloves for outpatient dental treatment. J Dent. 1987;15(5):209–12.CrossrefPubMed
Hartwell G, Bowles W, Peters O, Peikoff M, Torneck C. Single use instruments. Chicago: Americal Association of Endodontists; 2011.
Hatch GW, Roberts S, Joyce AP, Runner R, McPherson JC III. Comparative study of the variability of 0.06 tapered rotary endodontic files to current taper standards. J Endod. 2008;34(4):463–5.CrossrefPubMed
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  1. Comparative Evaluation of Techniques and Devices for the Removal of Fractured Instruments
  2. Parameters Influencing the Removal of Fractured Instruments
  3. Introduction: Prevalence of Fractured Instruments
  4. Complications During Attempts of Retrieval or Bypassing of Fractured Instruments
  5. Factors Affecting Intracanal Instrument Fracture
  6. Therapeutic Options for the Management of Fractured Instruments

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Oct 21, 2018 | Posted by in Endodontics | Comments Off on Prevention

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