As endodontists, we’ve all encountered procedural errors that can compromise treatment outcomes.
Let’s discuss some common mistakes and how to avoid them:
Apical Zip: Over-instrumentation beyond the apex can lead to zip formation, damaging surrounding tissues.
Ledge Formation: Inadequate instrumentation technique can create ledges, making it challenging to achieve proper cleaning and shaping.
Apical Zip with Perforation: A combination of zip formation and perforation can lead to severe complications.
Ledge with Perforation: Similar to apical zip with perforation, ledge formation with perforation requires prompt attention.
Loss of Working Length: Failure to maintain working length can result in incomplete treatment or additional complications.
To prevent these errors, focus on:
1️⃣ Accurate working length determination
2️⃣ Gentle instrumentation techniques
3️⃣ Regular radiographic evaluation
4️⃣ Thorough cleaning and shaping
