Case reports demonstrate that the bypass procedure effectively manages fractured instruments in endodontic practice, suggesting it may reduce complications.
In our routine dental practice, fractured instruments are among the most prevalent incidents. Numerous reasons can contribute to these endodontic complications, including canal curvatures and equipment fatigue. The management of situations involving a fractured instrument may be either conservative or surgical. Following file separation, clinicians generally endeavor to retrieve the file. Nonetheless, attempting to retrieve the separated file presents numerous problems that may diminish the likelihood of future success and result in clinical failure. Consequently, bypassing the separated instrument is often the judicious and least invasive strategy. These case reports examine the treatment of separated instruments using the bypass procedure, which has demonstrated efficacy as a conservative approach.
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Zarekar et al. (2025) studied this question.
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