Gripping the Gripped: Removal of Foreign Bodies from Root Canal System

Abstract

Introduction: Presence of foreign body in the root canal system is a troublesome situation as they prevent the access to thorough root canal cleaning and shaping procedure apical to their level. They might also irritate the periapex when they protrude out of the root apex. This affects final outcome of endodontic therapy. Hence an attempt to bypass or retrieval of the foreign body should be made before leaving and obturating till the level of their presence or proceeding to surgery. The procedure for removal will vary depending on the nature of the foreign body and its position within the canal. Many different devices and techniques have been developed to retrieve foreign bodies from the root canal system, but none of them can consistently remove them from the canals. Case Presentation: Three cases requiring removal of foreign bodies from the different positions in the canals are presented. These cases present the conservative management of an inadvertently lodged foreign body in the root canal system during a routine dental procedure and describe the management strategies for their retrieval. Conclusion: Provided one has good patient cooperation, management of the situation can be quite straight forward if the appropriate diagnostic and treatment tools are utilized.