Cerkamed
Low stock (15 units)Regular price From LE 500.00 EGPUnit price /UnavailableCerkamed
Cerkamed BTR Pen BROKEN File REMOVER
Very low stock (5 units)Regular price LE 40,000.00 EGPUnit price /UnavailableZumax
Zumax KAMAND retrival pen with 8 tips
Very low stock (5 units)Regular price LE 17,500.00 EGPUnit price /UnavailableZumax
Zumax Broken instrument removal kit (Tube Technique)
Very low stock (5 units)Regular price LE 57,500.00 EGPUnit price /Unavailable
How to Choose Broken File Removal Instruments
- Ultrasonic Tips — Fine, long ultrasonic tips trough a narrow trench around the coronal portion of a fragment and vibrate it loose so it can be flushed out with irrigation.
- Mechanical Retrieval Systems (Microtube / IRS) — Tube-and-screw or tube-and-wedge microtube systems grip a fragment whose coronal end protrudes into the canal, allowing controlled withdrawal when ultrasonics alone will not dislodge it.
- Magnification & Access (Staging / Gates Burs) — Modified Gates-Glidden and staging burs create straight-line access and a flat platform around the fragment head — essential preparation before any retrieval attempt.
- Bypass Files & Chelators — When removal would risk the root, fine hand K-files used with a chelating agent such as EDTA can negotiate past the fragment; the bypassed fragment is then incorporated into the final seal.
- Single Instrument vs Complete Kit — A complete kit assembles ultrasonic tips, a mechanical retrieval component and access or staging burs in one coordinated system, ready for an unplanned case.
- Case Selection & When Not to Remove — Removal is most predictable when the fragment lies in the straight, coronal or middle third and a portion can be exposed.
- Pre-operative Assessment & CBCT — Accurate localisation changes the plan: periapical radiographs from two angles, and ideally cone-beam CT, reveal the fragment’s length and depth and its position relative to canal curvature and the thinnest root walls.
Retrieval Method Selector
| Method | How it works | Best when | Main risk |
|---|---|---|---|
| Ultrasonic troughing | Vibrate dentine around the head to loosen the fragment | Coronal/middle third, head exposable | Dentine loss; apical extrusion of the fragment |
| Mechanical (microtube) | Grip and withdraw a protruding fragment | Fragment head protrudes into the canal | Ledging or canal damage if forced |
| Bypass + incorporate | Negotiate past with fine files + EDTA, seal in | Apical third; removal too risky | Apical transportation / perforation |
| Prepare, obturate, monitor | Clean to the fragment and seal; review | Inaccessible, asymptomatic fragment | Retained fragment with residual infection |
Broken File Retrieval Workflow
- Confirm the fragment’s position and length radiographically, ideally with CBCT.
- Establish straight-line coronal access and enlarge to the fragment head.
- Create a staging platform around the head with modified Gates or staging burs under magnification.
- Trough around the head with a fine ultrasonic tip to loosen the fragment.
- Remove with ultrasonics and irrigation, or engage and withdraw with a microtube system.
- If removal risks the root, bypass with fine K-files and EDTA and incorporate the fragment into the obturation, then review.
Availability & Delivery in Egypt
Every retrieval instrument and kit on this page is priced in EGP and dispatched to practices nationwide, so you can be equipped before a booked retreatment rather than turning the case away. Decide between a complete kit for unplanned separations and individual ultrasonic tips or burs to replenish exactly what each case consumes. Because separations are often unplanned, keeping a complete kit on the shelf rather than ordering per case means a difficult retreatment booked at short notice is not delayed waiting on stock.
References
- Broken Instruments — Clinical Decision-Making Algorithm — American Association of Endodontists (AAE)
- Broken Instrument Removal Methods with a Minireview — PMC / National Library of Medicine
- Present status and future directions: Removal of fractured instruments — International Endodontic Journal (Wiley)
Frequently Asked Questions
Can a broken file be removed from a root canal?
Can a broken file be removed from a root canal?
Often, yes. Many separated instruments can be removed or bypassed using fine ultrasonic tips, mechanical retrieval systems and magnification. Success depends on the fragment’s position, the canal anatomy, how much of the fragment can be exposed, and the operator’s access and visualisation.
What is in a broken file removal kit?
What is in a broken file removal kit?
Kits typically combine fine ultrasonic tips, a mechanical (microtube) retrieval system, and access or staging burs designed to expose, engage and free a fractured instrument. The components work as a sequence: gain access, stage the head, loosen, then retrieve.
What is the best technique to remove a separated instrument?
What is the best technique to remove a separated instrument?
There is no single best method; clinicians select ultrasonic troughing, mechanical retrieval or bypassing based on the case. Ultrasonic troughing under magnification is the common first-line approach for fragments in the coronal and middle thirds. Whichever method is chosen, magnification and good coaxial lighting are the common factors that most improve the odds of success.
What if the broken file cannot be removed?
What if the broken file cannot be removed?
When removal would weaken or perforate the root, the recognised alternatives are to bypass the fragment with fine files and a chelator and incorporate it into the seal, or to prepare to the fragment, obturate and monitor the tooth radiographically over time.
Should you always remove a broken file?
Should you always remove a broken file?
No. Decision-making algorithms weigh the fragment’s position, canal curvature and the risk of perforation against the benefit. An apical, inaccessible fragment in an asymptomatic tooth is often best left in place with the canal sealed and the tooth monitored.
Can you bypass a broken file instead of removing it?
Can you bypass a broken file instead of removing it?
Yes. Bypassing uses fine hand K-files and a chelating agent such as EDTA to negotiate alongside the fragment, allowing the canal to be cleaned, shaped and sealed with the fragment incorporated into the obturation.
Does MedSTA ship broken-file removal instruments across Egypt?
Does MedSTA ship broken-file removal instruments across Egypt?
Yes. MedSTA supplies retrieval kits and individual endodontic instruments to practices throughout Egypt with fast delivery, so you can be equipped before a difficult retreatment case is scheduled.