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. 2014 Jul;6(Suppl 1):S156-9.
doi: 10.4103/0975-7406.137431.

A new atraumatic method of removing fractured palatal root using endodontic H-files luted with resin modified glass ionomercement: A pilot study

V Sadesh Kannan  1 , G R Sathya Narayanan  2 , A Saneem Ahamed  3 , K Velavan  4 , E Elavarasi  5 , C Danavel  6
Affiliations

A new atraumatic method of removing fractured palatal root using endodontic H-files luted with resin modified glass ionomercement: A pilot study

V Sadesh Kannan et al. J Pharm Bioallied Sci. 2014 Jul.

Abstract

Purpose: The purpose of this study is to evaluate the efficacy of using endodontic H-files luted with Resin modified glass ionomer cement (RMGIC) in removing fractured palatal root.

Materials and methods: This study consists of 30 patients, of which 16 were males and 14 were females with a mean age of 36 years. In which, 19 were maxillary first molar and 11 were maxillary second molar. In that, 18 were fractured at the level of apical 1/3(rd) and 12 were at the level of apical 2/3(rd). All cases were first tried with endodontic H-files, within few attempts, it was wedged tightly in the remaining pulp chamber with one or two clockwise direction and using sudden jerk with a downward pull the remnant part was removed. The cases, which fail to deliver after several attempts were taken up for study. After sufficient isolation with a rubber dam and the socket was dried using sterile gauze, under good lighting and vision again the same file was introduced, which was now luted with RMGIC, after 5 min of setting time, the same attempt using sudden jerk with a downward pull was given.

Results: In those 30 cases, 20 cases were removed in the first few attempts using endodontic H-files. The 10 cases (7 cases were apical 2/3(rd) and 3 cases were of apical 1/3(rd)), which fails to come out were tried using endodontic H-files luted with RMGIC, in which 9 cases were successfully removed (90%) and 1 case of apical 1/3(rd) was again failed to come out.

Conclusion: Even though, the number of cases were too small to come to a definitive conclusion, the encouraging result (90%) and technically easy, this is a novel method of removing fractured palatal root atraumatically and devoid of any complication.

Keywords: Fractured palatal root; H- files; exodontia; resin modified glass ionomer cement.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Fractured palatal root engaged by Hedstrom endodontic file luted with Resin modified glass ionomer cement
Figure 2
Figure 2
Intraoral periapical X-ray shows fractured palatal root engaged by H-file luted with resin modified glass ionomer cement
Figure 3
Figure 3
Removed remnant of palatal root with apical granuloma
See this image and copyright information in PMC

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