NS-13 - Mishaps During Root Canal Irrigation - Prevention, Symptomatology, and Management

Being a rather delicate and complicated procedure root canal treatment automatically is associated with a certain risk of intraoperative mishaps, among these wrong diagnosis, perforation, ledging, loss of working length or overextension of preparation and obturation, instrument fracture, loss of working length, overpreparation, apical extrusion of microorganisms or materials, irrigation mishaps, and some more. As some of these mishaps may be associated with pain or finally even treatment failure and frequently will disrupt the patients` confidence into the performance of the endodontist good knowledge of origin, nature, and consequences of such mishaps is of utmost importance for daily practice.
Irrigation mishaps are among the most frequently reported mishaps during root canal treatment and may show a wide range of symptoms and sequelae and sometimes may be difficult to manage timely and sufficiently.
Etiology, prevention, symptomatology, and management of irrigation mishaps, will be discussed in this lecture.