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  World Journal of Dentistry.2026; 16(11): 1032.     CrossRef
• Case Study of a Broken Instrument in a Primary Tooth and Literature Review
  Masashi Nakano, Tatsuya Akitomo, Masashi Ogawa, Mariko Kametani, Momoko Usuda, Satoru Kusaka, Chieko Mitsuhata, Ryota Nomura
  Children.2025; 12(2): 149.     CrossRef
• Neodymium-Doped Yttrium Aluminum Perovskite (Nd:YAP) Laser in the Elimination of Endodontic Nickel-Titanium Files Fractured in Rooted Canals (Part 2: Teeth With Significant Root Curvature)
  Amaury Namour, Marwan El Mobadder, Clément Cerfontaine, Patrick Matamba, Lucia Misoaga, Delphine Magnin , Praveen Arany, Samir Nammour
  Cureus.2025;[Epub]     CrossRef
• Pattern of endodontic instrument separation and factors affecting its retrieval: a 10-year retrospective observational study in a postgraduate institute
  Velmurugan Natanasabapathy, Aswathi Varghese, Paul Kevin Abishek Karthikeyan, Srinivasan Narasimhan
  Restorative Dentistry & Endodontics.2025; 50(1): e7.     CrossRef
• Remoção de instrumentos fraturados nos canais radiculares: Desafios, estratégias e perspectivas clínicas
  João Victor da Fonseca Barbosa, Eduardo Kitto Miranda Teixeira , Laura Rodrigues Barbosa, Martinelle Ferreira da Rocha Taranto, Jáder Camilo Pinto
  Research, Society and Development.2025; 14(10): e98141049749.     CrossRef
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  Mahima Mathur, Suparna Ganguly Saha, Rolly S. Agarwal, Shakti Singh, Manasi Kewlani, Shaurya Sahu
  Endodontology.2025; 37(4): 393.     CrossRef
• Methods for preventing fragmentation of endodontic instruments: a systematic review
  A. V. Mitronin, D. A. Ostanina, K. A. Archakov, Yu. A. Mitronin
  Endodontics Today.2025; 23(4): 672.     CrossRef
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  Journal of Pharmacy and Bioallied Sciences.2024; 16(Suppl 4): S3890.     CrossRef
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  Ricardo Portigliatti, Eugenia Pilar Consoli Lizzi, Pablo Alejandro Rodríguez
  Restorative Dentistry & Endodontics.2024;[Epub]     CrossRef
• Causes and prevention of endodontic file fractures: a review of the literature
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  Acta Stomatologica Marisiensis Journal.2024; 7(2): 33.     CrossRef
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  Romanian Journal of Oral Rehabilitation.2024; 16(1): 96.     CrossRef

X-linked hypophosphatemia (XLH) is a hereditary metabolic disease caused by the loss of phosphate through the renal tubules into the urine, and an associated decrease in serum calcium and potassium phosphate. Its dental features include spontaneous dental abscesses that occur in the absence of trauma or dental caries. The aim of this case report was to describe the dental problems of XLH patients and to evaluate limitations in their treatment. A 14 year old male and a 38 year old female with XLH were referred to the Department of Conservative Dentistry for endodontic treatment. The dental findings were periapical abscesses without obvious trauma or caries. Conservative endodontic treatment was performed in teeth with pulp necrosis and abscess. In case 1, the treated teeth showed improvements in bone healing, without clinical symptoms. However, in case 2, the implants and the treated tooth showed hypermobility, and the final restoration was therefore postponed. Early diagnosis, periodic examinations, and communication with the patient's pediatrician are important in the dental management of patients with XLH.

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• Oral Features in Children with X-Linked Hypophosphatemic Rickets: An 8-Year Follow-Up Case Report
  Soumaya Kachti, Manel Chalbi, Soumaya Boussaid, Faten Awled Brahim, Mohamed Ali Chemli
  OBM Genetics.2025; 09(02): 1.     CrossRef
• Targeted Alkaline Phosphatase Therapy Enhances Alveolar Bone Healing in X‐Linked Hypophosphatemia in Mice
  Aonjittra Phanrungsuwan, Bella Donnelly, José Luis Millán, Brian L. Foster
  Journal of Periodontal Research.2025;[Epub]     CrossRef
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  Seyed Ali Mosaddad, Sahar Talebi, Seied Omid Keyhan, Hamid Reza Fallahi, Mohammad Darvishi, Seyedeh Sara Aghili, Narges Tavahodi, Reza Abdollahi Namanloo, Artak Heboyan, Amirhossein Fathi
  Journal of Oral Rehabilitation.2024; 51(7): 1250.     CrossRef
• Inherited fibroblast growth factor 23 excess
  Kripa Elizabeth Cherian, Thomas Vizhalil Paul
  Best Practice & Research Clinical Endocrinology & Metabolism.2024; 38(2): 101844.     CrossRef
• Dental abnormalities in rare genetic bone diseases: Literature review
  Eiji Iwata, Shyam Kishor Sah, I‐Ping Chen, Ernst Reichenberger
  Clinical Anatomy.2024; 37(3): 304.     CrossRef
• Implant Survival in Patients with Chronic Kidney Disease: A Case Report and Systematic Review of the Literature
  Iris Alla, Felice Lorusso, Sergio Alexandre Gehrke, Francesco Inchingolo, Maristella Di Carmine, Antonio Scarano
  International Journal of Environmental Research and Public Health.2023; 20(3): 2401.     CrossRef
• X-linked hypophosphatemic rickets: Orthodontic considerations and management. A case report
  Clara Gibson, Suhaym Mubeen, Robert Evans
  Journal of Orthodontics.2022; 49(2): 205.     CrossRef
• X-chromosomale Hypophosphatämie (XLH)/Phosphatdiabetes – Eine lebenslange Erkrankung
  Adalbert Raimann, Roland Kocijan, Gabriel T. Mindler
  Journal für Klinische Endokrinologie und Stoffwechsel.2022; 15(2): 63.     CrossRef
• Dental Manifestations and Oral Management of X-Linked Hypophosphatemia
  Rena Okawa, Kazuhiko Nakano
  Endocrines.2022; 3(4): 654.     CrossRef
• Prospective Analysis of Muscle Adiposity in Children With X-linked Hypophosphatemic Rickets vs Control Children
  Virginie Nguyen-Khac, Aurore Bonnet-Lebrun, Agnès Linglart, Marine de Tienda, Jugurtha Berkenou, Inès Mannes, Catherine Adamsbaum, Philippe Wicart, Wafa Skalli
  Journal of the Endocrine Society.2022;[Epub]     CrossRef
• Dental and periodontal features and management in XLH children and adults
  Martin Biosse Duplan, Elvire Le Norcy, Frédéric Courson, Catherine Chaussain
  International Journal of Bone Fragility.2021; 1(2): 74.     CrossRef
• Hiding in plain sight: Gene panel and genetic markers reveal 26-year undiagnosed tumor-induced osteomalacia of the rib concurrently misdiagnosed as X-linked hypophosphatemia
  Juan M. Colazo, Joseph A. DeCorte, Erin A. Gillaspie, Andrew L. Folpe, Kathryn M. Dahir
  Bone Reports.2021; 14: 100744.     CrossRef
• X-linked hypophosphatemia and burosumab: Practical clinical points from the French experience
  Justine Bacchetta, Anya Rothenbuhler, Iva Gueorguieva, Peter Kamenicky, Jean-Pierre Salles, Karine Briot, Agnès Linglart
  Joint Bone Spine.2021; 88(5): 105208.     CrossRef
• Presentation and non‐surgical endodontic treatment of two patients with X‐linked hypophosphatemia: a case report
  H. Bradley, A. Dutta, R. Philpott
  International Endodontic Journal.2021; 54(8): 1403.     CrossRef
• Periodontal status evaluation in adolescents with hereditary rickets-like diseases
  E.V. Vislobokova, L.P. Kiselnikova, D.A. Lezhnev, S.S. Murtazaev, N.A. Sholokhova
  Stomatologiya.2021; 100(6): 63.     CrossRef
• Diagnosis, treatment-monitoring and follow-up of children and adolescents with X-linked hypophosphatemia (XLH)
  Anya Rothenbuhler, Dirk Schnabel, Wolfgang Högler, Agnès Linglart
  Metabolism.2020; 103: 153892.     CrossRef
• Long-term outcomes for Asian patients with X-linked hypophosphataemia: rationale and design of the SUNFLOWER longitudinal, observational cohort study
  Takuo Kubota, Seiji Fukumoto, Hae Il Cheong, Toshimi Michigami, Noriyuki Namba, Nobuaki Ito, Shin Tokunaga, Yoshimi Gibbs, Keiichi Ozono
  BMJ Open.2020; 10(6): e036367.     CrossRef
• X-Linked Hypophosphatemic Rickets Manifesting as Sclerotic Bone Disease and Enthesopathy
  Hiya Boro, Shailendra Singh Naik, Charandeep Singh, Saurav Khatiwada, Rajesh Khadgawat
  Cureus.2020;[Epub]     CrossRef
• X-linked hypophosphatemia diagnosed after identification of dental symptoms
  Kaoruko Wato, Rena Okawa, Saaya Matayoshi, Yuko Ogaya, Ryota Nomura, Kazuhiko Nakano
  Pediatric Dental Journal.2020; 30(2): 115.     CrossRef
• X-Linked Hypophosphatemia: A New Era in Management
  Kathryn Dahir, Mary Scott Roberts, Stan Krolczyk, Jill H Simmons
  Journal of the Endocrine Society.2020;[Epub]     CrossRef
• Prosthetic rehabilitation of a patient with X-linked hypophosphatemia using dental implants: a case report and review of the literature
  Martin James, Reza Vahid Roudsari
  International Journal of Implant Dentistry.2019;[Epub]     CrossRef
• Oral symptoms and oral health-related quality of life of individuals with x-linked hypophosphatemia
  Marcel Hanisch, Lauren Bohner, Martin M. I. Sabandal, Johannes Kleinheinz, Susanne Jung
  Head & Face Medicine.2019;[Epub]     CrossRef
• Outcome of adult patients with X‐linked hypophosphatemia caused by PHEX gene mutations
  Douglas Chesher, Michael Oddy, Ulpee Darbar, Parag Sayal, Adrian Casey, Aidan Ryan, Annalisa Sechi, Charlotte Simister, Aoife Waters, Yehani Wedatilake, Robin H. Lachmann, Elaine Murphy
  Journal of Inherited Metabolic Disease.2018; 41(5): 865.     CrossRef

During root canal preparation procedures, the potential for instrument separation is always present. Files, a lentulo, a Gates-Glidden (GG) bur or any manufactured obstruction can be left behind in the canal. Nickel-titanium (NiTi) rotary files are in common usage in these days. Despite their undeniable advantages, there is a potential risk of separation within the canals. It is very rapid, unpredictable, and creates a great deal of stress for the practitioner.

When an endodontic instrument separates, the best option is to remove it. Ultrasonic instruments and microscopes have improved the success rate for removing separated instruments. But it is difficult and not always possible. Therefore prevention is the key.

In this case report, several management methods of separated file in the canal are presented.

Societies are important sources of new information for users. However, most of these societies still rely on traditional, or rather ancient methods for gathering and servicing the information. Furthermore, most of the societies are trying to electrify processes such as managing members and paper submission as well as the process managing the information for service but are limited due to financial and technical reasons. Therefore, KISTI(Korea Institute of Science and Technology Information) has developed the 『KISTI-ACOMS(KISTI-Article COntribution Management System)』as part of the national project for automating the process of processing academic information by societies, in order to convert journals published by academic societies in Korea into an electronic form and make them accessible on the Internet. This system has been developed in the year 2001 and has since been distributed to societies free of charge.

The number of societies requesting the service has risen recently, which prompted us to take more recommendations of the societies that adopt this system into account in expanding and standardizing the area of service being provided by the system.