What is it about?

This paper reviewed the anecdotal evidence & described surgical and restorative management to reinstate the fractured tooth as a functional member of dental arch.

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Why is it important?

This article reinforces that using standardized orthograde technique along with surgical retrieval of separated periapical instrument, heals the lesion of endodontic origin. Retrieval of separated instrument and placing bone graft in a large periradicular defect hastens the osseous healing. Saving the natural tooth preserves the propioception necessary for mastication.

Perspectives

This conservative approach seems pragmatic due to the lack of cogent evidence to condemn the involved tooth; and obtaining higher-level evidence for, this complication, is unrealistic.

Shivkumar Mantri
Hitkarini Dental College

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This page is a summary of: Management of fractured root canal treated mandibular molar with separated endodontic instrument extending in periapical region, SAGE Open Medical Case Reports, January 2018, SAGE Publications,
DOI: 10.1177/2050313x18809253.
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