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DENTAL SCIENCE - ORIGINAL ARTICLE
Year : 2014  |  Volume : 6  |  Issue : 5  |  Page : 156-159

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


1 Consultant Maxillofacial Surgeon, BeWell Hospitals, The Dental Clinic, Lawspet, Puducherry, India
2 Consultant Maxillofacial Surgeon, Appasamy Multispeciality Hospital, Arumbakkam, Chennai, India
3 Neu Face Hospitals, Thanjavur, India
4 Impacts 32 Dental Clinic, Old Pallavaram, Chennai, India
5 Consultant Oral and Maxillofacial Radiologist, Lawspet, Pondicherry, India
6 Consultant Endodontist, DJ Dental Clinic, Reddiyarpalayam, Pondicherry, India

Correspondence Address:
Dr. V Sadesh Kannan
Consultant Maxillofacial Surgeon, BeWell Hospitals, The Dental Clinic, Lawspet, Puducherry
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-7406.137431

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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.


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