DAEN
TREATMENTS / STIFT / FIL FJERNELSE
AVANCERET ENDODONTISK BEHANDLING

Removal of Fractured Instruments and Posts

Precision treatment using a microscope, with a focus on preserving the tooth and its natural structure.

Learn about the treatment
Røntgenbilleder før og efter fjernelse af et fraktureret rodkanalinstrument
CLINICAL CASE · BEFORE AND AFTER
01 · INTRODUCTION

When treatment demands additional precision

Occasionally, an instrument may fracture inside a root canal, or an existing post may obstruct access during retreatment. In many cases, these challenges can be managed with advanced endodontic techniques and specialised equipment.

BEHANDLING MED SPECIALUDSTYR

Small details. Significant impact.

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Operating microscope

High magnification provides a detailed view of the tooth’s internal anatomy.

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Ultrasonics

Specialised instruments can be used to loosen fractured instruments and posts in a controlled manner.

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An approach focused on preserving the tooth

The aim is to preserve as much sound tooth structure as possible.

02 · FRACTURED INSTRUMENTS

When a root canal instrument fractures

Treatment is assessed individually according to the fragment’s position, canal anatomy and the tooth’s prognosis.

Root canal instruments are very fine and flexible so they can follow the tooth’s natural anatomy. In narrow, curved or calcified canals, an instrument may occasionally fracture and remain inside the canal.

A fractured instrument does not necessarily cause symptoms, but it may prevent thorough cleaning and disinfection of the root canal system. Bacteria remaining beyond the fragment can contribute to persistent infection or impaired healing.

With an operating microscope, ultrasonic instruments and advanced techniques, it is often possible to locate and remove the fragment conservatively. In some cases, bypassing or safely retaining the fragment may be preferable, depending on the anatomy and clinical circumstances.

03 · POST REMOVAL

Regaining access to the root canals

A post may have been placed in a tooth that has previously received root canal treatment to support a core or crown. If retreatment is later required, removing the post is often necessary to regain access to the canals.

Post removal requires precision to minimise stress on the tooth and reduce the risk of cracks or other damage. Microscopy and ultrasonics can help loosen the post in a controlled manner while preserving sound tooth structure.

04 · ADVANCED AND PRECISE TREATMENT

Focused on the tooth’s future over the long term

Complex retreatment often requires high magnification, specialised instruments and detailed diagnostics. Modern endodontic techniques make it possible to manage many cases that might previously have resulted in tooth loss.

The goal is always to optimise healing, reduce symptoms and preserve the tooth over the long term.

05 · BEFORE AND AFTER

Compare the radiographs

Drag the slider left or right to compare the radiographs before and after treatment.

Radiograph after treatment
Radiograph before treatment
BEFOREAFTER

The radiographs were taken at different angles and cannot therefore be aligned precisely.

REFERRALS

Do you have a patient with a fractured instrument or a difficult post?

Refer for assessment and treatment focused on precision and tooth preservation.

Refer a patient