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How to Bypass A Broken File: Friday Questions

In This Friday Questions, Dr. Nasseh shares some ideas on how to bypass a separated instrument in the root canal.




  1. ๐Ÿคข๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿคค๐Ÿคค๐Ÿคค๐Ÿคค๐Ÿคค๐Ÿคค๐Ÿคค๐Ÿคค๐Ÿคค๐Ÿคค๐Ÿคค๐Ÿคค๐Ÿคค๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคฎ๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿคข๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ฎโ€๐Ÿ’จ๐Ÿ˜ˆ๐Ÿ˜ˆ๐Ÿ˜ˆ๐Ÿ˜ˆ๐Ÿ˜ˆ๐Ÿ˜ˆ๐Ÿ˜ˆ๐Ÿ˜ˆ๐Ÿ˜ˆ๐Ÿ˜ˆ๐Ÿ˜ˆ๐Ÿ˜ˆ๐Ÿ˜ˆ๐Ÿ˜ˆ๐Ÿคฒ๐Ÿปeat this ๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿ’ฉ๐Ÿ’ฉ

  2. For now on if I ever need a root canal I will go to an Entodontis, I also tell everyone to have an Entodontis do your root canal than a regular Dentis. Entodontis are extremely good at doing root canals. I had a so called Dentis do a root canal on my front tooth and he broke like 4 files and left them there. My Entodontis removed all of them but one, because the last one went up pass the tooth. But later he removed it by surgery. Iโ€™m really happy now my Entodontis saved my front tooth and I have no more pain.

  3. Dr. Nasseh , i just broke a #10 k manual file in the apical third past a curvature ,measured around 7mm ,i already had achieved patency in that canal prior to separation.

    i was able to bypass the broken file and even file till 35 taper 4 with rotary files to almost full wl ( lost half a mm), the obturation GP goes along the broken file , but it's almost 2mm short of the end of the file.

    any tips for proper obturation after bypassing, i wish i could share x-ray but youtube doesn't allow links, on x-ray it looks as if i broke a 2mm file and then slapped a gp on top of it.

  4. Useless video
    You talked a lot generally ! when you arrived to the main subject you passed quickly

  5. I have a question, can't we invent something like magnet to iron by which can just make the broken file attach to it without widening the canal?

  6. Hello dr i got my rct for 4 teeth and now i have pain in all four, dr says i have broken file in all so these should be removed, is there any possible way to save these

  7. U just watched this video https://realworldendo.com/apical-gauging-in-larger-canals/ and I was amazed how it is different and unique. Getting inside the house, making the fire and starting a topic. So creative. I recommend it to everyone! Very good job Doctor Nasseh! Wish you all the best!

  8. What do you think about the komet endo rescue retrieval kit? Have you used any other kit?

  9. Hi I have a file broken in my root canal 13 years ago doctor said itโ€™s ok nothing to be worry about ! What do you think ? In the same time I donโ€™t have any pain in that tooth, I am always worried if that file move from that spot and goes somewhere else inside my mouth

  10. Sir today I did a root canal…but my 8 no. File at least 1.5mm broken in canal… what should b the best treatment onwards…tooth no. Is 37

  11. My mother is 55 years old ,she have no tooth left in mouth , please suggest me best treatment So that She chew again ….she have high BP and Sugar also ….I am waiting for your reply Doctor .. thanks

  12. Hello Dr. Nasseh ,
    Just a question. I had a root canal done on one of my molars by an endodontist. He said my tooth was one of the hardest he treated yet. When we looked at the X-Rays after, 2 files got seperated, each in a different root. The fragments are minuscule, probably less than a millimeter, and located at the very end of the roots. The endodontist admitted it could have went better, but that the prognostic is "good", and that the cleaning was done "to perfection" regardless. He said I shouldnt be worried, but check once a year or so to be sure. My tooth had a big cavity, but according to him it was in overall very good condition, a healthy strong tooth, hence his prognostic.

    Not going to lie, I am extremely worried. I've been scrolling trying to find advices from other endodontists and to get some peace of mind. At face value, would you say that his opinion is correct, or was he trying to save face?

    Thank you. I know its never clear to answer without inspecting the images yourself but I appreciate your opinion.

  13. what to do if even the bypass fail …. i have had two broken files in my rooth canal and my tooth is not healing after 3 month of treatment of the RCT

  14. Can I use a c plus file to bypass

  15. I'm still a student but can you chop off an instrument ?(the GG) is that a thing?

  16. What about the file broken beyond apex

  17. Very good video and helpful thank you do much but where is part but where is part 2

  18. I am having broken file beyond tooth root in bone what should I have to do.
    After 8 months pain reduced.
    But can it cause cancer as it may cause repeated wound

  19. Sir, most of yout tutorial videos are incomplete. Kindly share the full videos if possible.

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