Mid-root Lateral Perforation Repair using A Novel Bioceramic Material: A Case Report with 3-Month Follow-up | ||||
| Advanced Dental Journal | ||||
| Volume 7, Issue 2, April 2025, Page 183-188 PDF (311.62 K) | ||||
| Document Type: Case Reports | ||||
| DOI: 10.21608/adjc.2024.281450.1518 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Anan Medhat Mohamed  
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| Department of Endodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt | ||||
| Abstract | ||||
| Introduction: Root perforations may negatively affect endodontic treatment outcome if not managed properly. This case report describes successful non-surgical endodontic management of a maxillary first molar diagnosed to have iatrogenic root perforation using a calcium-silicate based root repair material. Body: A 38-year-old female patient presented with a mild pain on biting related to maxillary left first molar. Pre-operative radiograph revealed previous endodontic treatment with a missed mesiobuccal canal having an ill-defined periapical radiolucency. The patient was scheduled for non-surgical endodontic retreatment. Gutta-percha removal was done using M-pro rotary files and hand H-files. During negotiation of the mesiobuccal canal, a lateral perforation was detected in the middle third. Upon cone beam computed tomography (CBCT) examination, a separated instrument was observed in mesiobuccal canal at the level of the perforation. The original pathway of the canal was re-established using precurved manual k-files under high magnification. All canals were prepared using E-flex rotary NiTi files with 2.5% NaOCl irrigation. The perforation was sealed during obturation using a calcium-silicate based root repair material. At 3-month follow-up, the patient was asymptomatic with evidence of periapical lesion healing. Conclusion: The use of CBCT, and advancement in magnification, illumination, rotary instrumentation and disinfection played great role in lateral mid-root perforation management. Calcium-silicate based cements as a perforation repair material showed favorable clinical and radiographic outcome. | ||||
| Keywords | ||||
| Perforation repair; calcium-silicate; mid-root perforation | ||||
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