The Journal of the American Dental Association
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J Am Dent Assoc, Vol 133, No 7, 811.
© 2002 American Dental Association

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LETTERS

ROOT TIPS

I enjoyed the creative and nicely documented technique for removing fractured root tips in Dr. Kenneth Stoner’s "Using a Hedström Endodontic File to Retrieve a Root Tip" (April JADA).

As an endodontist, I have two comments. First, something important is missing from the photograph of the successfully removed root tip: a floss ligature to prevent the file from being swallowed or aspirated if it should be dropped accidentally in the retrieval attempt.

Second, although H-files are more aggressive in their engagement of the root, they are well-known for their tendency to separate under torsional loads. It is possible that an operator less familiar with the instrument in this application might be more "safe" using a K-file of similar size.

Although I no longer extract root tips, I’m sure there are plenty of clinicians who will appreciate Dr. Stoner’s technique.



Stephen M. Weeks, D.D.S., Clinical Assistant Professor

Department of Endodontics, University of Illinois at Chicago, College of Dentistry



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