Retreatment & Complex Cases
Broken File & Perforation Management
Management of separated instruments and perforations that occurred during earlier treatment.
What is it?
When an instrument separates inside a canal, or the tooth wall has been perforated during previous treatment, specialist techniques and magnification are used to retrieve the fragment or bypass and seal the defect with appropriate biomaterials.
What does it address?
- Broken or separated endodontic files
- Root or furcation perforations
- Complications from earlier treatment
- Teeth referred for a second opinion
Who may benefit?
Patients referred with a known complication from previous treatment, following radiographic assessment.
What to expect
- 01
Consultation
Examination, symptom history and radiographic assessment of the tooth.
- 02
Diagnosis
The condition of the pulp and surrounding bone is explained to you clearly.
- 03
Treatment
Carried out under local anaesthesia with magnification and precision instruments.
- 04
Review
Healing is monitored and referral back to your dentist for the final restoration.
Results
Some fragments can be retrieved, others safely bypassed; the realistic prognosis is explained honestly before starting.
Frequently asked questions
Does a broken file mean I lose the tooth?+
Not necessarily — many cases can be managed successfully by a specialist.
How is a perforation repaired?+
With biocompatible sealing materials placed under magnification.