When dealing with a broken instrument fragment retained within a root canal, the primary aspect to assess is its:

A Size of the fragment

B Location within the canal

C Type of instrument broken

D Duration since fracture

Solution

Correct Answer: Option B

The location of the broken instrument fragment within the root canal is critical because it determines the accessibility for removal or bypass. Fragments located in the coronal or middle third of the canal are generally easier to manage, while those in the apical third pose a higher risk of procedural complications and may require alternative treatment approaches. Assessing location helps guide clinical decision-making regarding conservative attempts at retrieval or bypass, surgical intervention, or leaving the fragment in situ. Thus, understanding the fragment's precise position ensures optimal treatment planning and prognosis.

Reference: Cohen's Pathways of the Pulp, 12th Edition.

Practice More Questions on Our App!

Download our app for free and access thousands of MCQ questions with detailed solutions