{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:36:22Z","timestamp":1786649782637,"version":"build-2736575974"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The present study aimed to evaluate the incidence of instrument separation and the associated factors among the patients who underwent endodontic treatment from April 2022 to April 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>The clinical and radiographic records of 2911 patients who underwent endodontic treatment during the period of April 2022 to April 2023 were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Material:<\/jats:title>\n                    <jats:p>The department records both clinical and radiographic were screened in the reported cases of instrument separation, and analyzed and compiled data was sent for statistical analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>Data was analyzed using the Chi-square test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The incidence of instrument separation was found to be 6%. The difference in instrument separation about various levels of root canal, the different treated teeth, and various root canals was found to be statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). With maximum separation seen at the apical-third of molars in mesiobuccal canals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The incidence of instrument separation was highest in stainless steel endodontic files at the apical-third in mesiobuccal canals of the molars.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijdr.ijdr_746_23","type":"journal-article","created":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T05:00:41Z","timestamp":1741237241000},"page":"417-420","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Incidence of Endodontic Instruments Separation among the Patients Undergoing Endodontic Treatment"],"prefix":"10.4103","volume":"35","author":[{"given":"Aashish","family":"Handa","sequence":"first","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, SGRD Institute of Dental Sciences, Amritsar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanwalpreet K.","family":"Bhullar","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, SGRD Institute of Dental Sciences, Amritsar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roohan M.","family":"Sandhu","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, SGRD Institute of Dental Sciences, Amritsar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manpreet","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, SGRD Institute of Dental Sciences, Amritsar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surbhi","family":"Khurana","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, SGRD Institute of Dental Sciences, Amritsar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,6]]},"reference":[{"key":"R1-20260423","first-page":"355","article-title":"The effect of root canal preparation on microleakage within endodontically treated teeth: An in vitro study","volume":"33","author":"Von Fraunhofer","year":"2000","journal-title":"IEJ"},{"key":"R2-20260423","first-page":"758","article-title":"Instrument separation analysis of multi-used ProTaper Universal rotary system during root canal therapy","volume":"37","author":"Wu","year":"2011","journal-title":"JOE"},{"key":"R3-20260423","first-page":"204241","article-title":"Factors contributing to the separation of endodontic 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