Instrument fracture management in endodontics

Instrumental fracture in endodontics is a complication that hinders the success of endodontic treatment. Several treatment options may be available to the practitioner. Management of instrumental fracture should be based on a thorough understanding of the success rates of each treatment option.The management of instrumental fractures ranges from a conservative orthograde approach represented essentially by removal or bypass, to a more radical and invasive surgical approach such as apical resection or root amputation, which should be indicated only as a last resort.A wide range of removal kits are available, including tube extractors, and some practitioners even use homemade techniques using H-files or syringe needles. However, when properly mastered, the use of ultrasound has proved to be the safest and most effective method for instrument removal. The aim of this paper is to detail the management of instrument fractures in endodontics.