Management of Fractured Endodontic Instruments

1. Front Matter

   Pages i-ix

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2. Introduction: Prevalence of Fractured Instruments

   • Theodor Lambrianidis

   Pages 1-29

3. Factors Affecting Intracanal Instrument Fracture

   • Christos Boutsioukis, Theodor Lambrianidis

   Pages 31-60

4. Mechanisms of Instrument Failure

   • Spiros Zinelis

   Pages 61-73

5. Therapeutic Options for the Management of Fractured Instruments

   • Theodor Lambrianidis

   Pages 75-195

6. Parameters Influencing the Removal of Fractured Instruments

   • Theodor Lambrianidis, Emmanuel Mazinis

   Pages 197-206

7. Comparative Evaluation of Techniques and Devices for the Removal of Fractured Instruments

   • Michael Hülsmann, Theodor Lambrianidis

   Pages 207-224

8. Complications During Attempts of Retrieval or Bypassing of Fractured Instruments

   • Theodor Lambrianidis, Michael Hülsmann

   Pages 225-245

9. Prognosis of Root Canal Treatment with Retained Instrument Fragment(s)

   • Peter Parashos

   Pages 247-269

10. Prevention

    • Theodor Lambrianidis

    Pages 271-277

11. Back Matter

    Pages 279-283

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This superbly illustrated book provides detailed information on the causes of instrument failure during endodontic treatment, the factors influencing the management of such cases, and the diverse management options that may be employed to resolve the problem. Readers will find clear descriptions and comparative evaluation of the available methods, techniques, and devices. Complications that may arise during the management of fractured instruments are described, and the impact of retained file fragments on the prognosis of endodontic treatment is discussed. In addition, means of preventing iatrogenic errors from occurring in the first place (the best form of management) are explained, emphasizing that the risk of instrument failure is reduced if proper guidelines are carefully considered and followed. The book will assist both endodontists and general dental practitioners in achieving an optimal outcome when confronted with the time-consuming and challenging task of dealing with a fractured instrument within the root canal – a still frequent circumstance despite the plethora of improvements in instrument design, alloy composition, and manufacturing processes.

• Endodontic Complications
• Endodontic Fragment Retrieval
• Rotary NiTi files
• Separated Instruments
• Endodontic Instrument Failure

• Department of Endodontics, Aristotle University of Thessaloniki, School of Dentistry, Thessaloniki, Greece

  Theodor Lambrianidis

Theodor Lambrianidis is Professor of Endodontics at the Dental School, Aristotle University of Thessaloniki (AUTH), Greece. He graduated from AUTH Dental School in 1976 and then completed postgraduate studies at the Oral Surgery Department, Queen Mary's Hospital, London and at King’s College Hospital Dental School, London, UK. He completed his PhD studies in 1981 at AUTH Dental School. Dr. Lambrianidis became an Assistant Professor at AUTH in 1993, an Associate Professor in 1999, and Full Professor in 2006. Since 1980 he has also held a private practice specializing exclusively in endodontics.  He was elected vice – president and president of the Hellenic Endodontic Society. Professor Lambrianidis has served on the Editorial Board and review panels for numerous scientific and endodontic journals and was also appointed as Editor in chief of  “Endodologia”, the official journal of the Hellenic Endodontic Society.

He is a regular  lecturer in national and international congresses and meetings, and has published more than 100 papers in peer-reviewed journals, including 70 in international journals. He is also the sole author or co-author of five previous books in endodontics.

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