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Foreign body in the apical portion of a root canal in a tooth with an immature apex: a case report
Author(s) -
Prabhakar A. R.,
Namineni S.,
Subhadra H. N.
Publication year - 2008
Publication title -
international endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.988
H-Index - 119
eISSN - 1365-2591
pISSN - 0143-2885
DOI - 10.1111/j.1365-2591.2008.01423.x
Subject(s) - root canal , foreign body , crown (dentistry) , impaction , apexification , medicine , foreign bodies , apex (geometry) , dentistry , orthodontics , surgery , anatomy
Aim To describe the successful retrieval of a foreign object located in the apical portion of an immature root canal by simple orthograde techniques, avoiding the need for surgery or intentional reimplantation. Summary A radio‐opaque foreign object lodged in the apical portion of an immature root canal was discovered on radiographic examination of a patient with a complicated crown fracture. Attempts to retrieve it resulted in displacement into the periapical area. Eventually, the object was retrieved by a simple technique, followed by successful apexification, root canal filling and jacket crown placement. Key learning points • Foreign bodies in root canals should be carefully evaluated to determine their nature, position, size and the degree of difficulty that may be encountered during retrieval. • Patience, care and appropriate techniques may be helpful in retrieving foreign bodies and avoiding periapical surgery. • Complicated crown fractures should be managed promptly, and prolonged open drainage avoided in children if the risks of foreign body impaction are to be minimized.