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Evaluation of the use of dental operating microscope and ultrasonic instruments in the management of blocked canals

LING Jun-qi,WEI Xi, GAO Yan. Department of Operative Dentistry and Endodontics, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China  
Objective To evaluate the use of dental operating microscope (DOM) and ultrasonic instruments in treating blocked canals. Methods 135 blocked canals in 92 teeth were treated with ultrasonic tips and files under DOM. The etiology of canal blockage included calcification, broken instruments, post, resinifying therapy or ledge. These canals were negotiated and root canal therapy or retreatment was performed. The success rates were calculated. Results 77 teeth were successfully managed with a success rate of 83.7%. 84.4% of the blocked canals were negotiated. The success rates of each category of the blocked canals were: 88.1% for calcified canals; 76.9% for canals blocked by instrument fragments; 100% for canals blocked by post; 81.1% for canals subjected to resinifying therapy;and 78.6% for ledged canals. Complications such as root canal perforation or vertical fracture did not occur. Conclusion The use of DOM and ultrasonic instruments is proved to be an effective way in the management of blocked canals.
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