Overview

Endodontic mishaps are procedural complications that occur during root canal therapy, potentially compromising the success of the treatment and long-term prognosis of the tooth. These incidents may arise due to complex root canal anatomy, inadequate knowledge of endodontic principles, or operator inexperience. Common mishaps include but are not limited to: perforation of the root or pulpal floor, instrument separation within the canal, ledge formation, canal transportation, overextension or underfilling of obturation material, and failure to locate all root canals.Such complications can lead to persistent infection, periapical pathology, and even tooth loss if not appropriately addressed. Effective management requires early recognition, appropriate use of imaging modalities, and the application of advanced endodontic techniques. Preventive strategies include thorough preoperative assessment, use of magnification and illumination, adherence to aseptic protocols, and continuous professional training.Understanding the etiology and management of endodontic mishaps is essential for improving clinical outcomes and ensuring the longevity of endodontically treated teeth.

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