IP Indian Journal of Conservative and Endodontics 2021;6(1):3–6
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IP Indian Journal of Conservative and Endodontics
Journal homepage: https://www.ipinnovative.com/journals/IJCE
Review Article
Literature review on procedural endodontic errors
Zeeshan Heera Ahmad
1,
*, Syed Saqhib Suhail
2
, Gajendra Singh
3
, Faizan Masarat Jan
3
,
Vishwanath Kumar
4
, Syed Tousif Ulla
5
1
Dept. of Restorative Dentistry, College of Dentistry, King Saud Iniversity Medical City, Riyadh, Saudi Arabia
2
Private Clinician, Bangalore, Karnataka, India
3
Kalka Dental College and Hospital, Meerut, Uttar Pradesh, India
4
Darshan Dental College and Hospital, Udaipur, Rajasthan, India
5
Dept. of Orthodontics, Kalka Dental College and Hospital, Meerut, Uttar Pradesh, India
ARTICLE INFO
Article history:
Received 14-02-2021
Accepted 03-03-2021
Available online 16-03-2021
Keywords:
Missed canals
Perforation
Emphysema
Pain
ABSTRACT
Lack of knowledge or its poor application in clinicals can lead to a number of accidental errors during the
root canal therapy. The preventive measures and management of these mishaps is must for the success of
the endodontic therapy and to maintain the natural integrity of the teeth. Thus, in this paper we are going
to discuss about the different types of endodontic procedural mishaps with their management briefly.
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1. Introduction
Endodontics is the branch to maintain the natural integrity
of the teeth by removing the microbial flora & cleaning of
the root canals either by surgically or non-surgical root canal
treatment followed by the restoration of the teeth. In other
words, we can say that purpose of the endodontic treatment
is to restore the health of pulp and peri-radicular tissues. As
like in other medical or dental procedures, the complications
may occur during the root canal or endodontic procedure.
Thus, endodontic mishaps are the unfortunate accidental
error occurs during the endodontic therapy iatrogenicaly or
due to lack of knowledge.
1.1. Classification of endodontic mishaps
The procedural errors in the endodontic are classified as:
* Corresponding author.
E-mail address: zeeshanheeraahmad@gmail.com (Z. H. Ahmad).
1. Related to access opening of the pulp space : These
includes.
1
• Treating the wrong tooth
• Missed canals
• Damage to existing restoration
• Access cavity perforations
• Crown fractures
2. Related to canal shaping and cleaning : The
common procedural errors encountered during
cleaning and shaping are as follows.
2
• Ledge formation & canal blockage
• Cervical canal perforations
• Deviation from normal canal anatomy
• Separated instruments
• Obstruction by previous obturating materials
3. Related to obturation : These are accidental mishaps
that occur during the obturation of the canal, these are
sub-classified as follows.
3
• Over- or underextended root canal fillings
• Nerve paresthesia
https://doi.org/10.18231/j.ijce.2021.002
2581-9534/© 2021 Innovative Publication, All rights reserved. 3