Journal of Conservative Dentistry
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CASE REPORT
Year : 2018  |  Volume : 21  |  Issue : 2  |  Page : 230-232

Using a syringe needle to cut dentin and dislodge and remove a metallic obstruction from the root canal


1 Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Melaka Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia
2 Department of Conservative Dentistry and Endodontics, Penang International Dental College, Penang, Malaysia

Correspondence Address:
Dr. A R Vivekananda Pai
Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Melaka Manipal Medical College, Manipal Academy of Higher Education (MAHE), Jalan Batu Hampar, Bukit Baru, Melaka 75150
Malaysia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCD.JCD_316_16

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A metallic obstruction in the canal orifice of a maxillary right canine could not be bypassed during endodontic treatment. Aids such as ultrasonics and retrieval kits were not available for the removal of the obstruction. Therefore, a novel approach using a disposable syringe needle was employed. A 22-gauge needle was inserted into the orifice and turned in an arc with a gentle apical pressure and alternate rocking motion around the obstruction. This procedure was repeated few times to cut dentin and successfully dislodge and remove the obstruction using the sharp beveled tip of the needle. This case report demonstrates that, in the absence of other aids, the use of a disposable syringe needle is a simple, economical, and yet an effective technique for conservative removal of dentin and to dislodge and remove an obstruction from the root canal. However, its effectiveness depends on case selection and straight-line accessibility to the obstruction.


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