Journal of PEARLDENT

  • Year: 2023
  • Volume: 14
  • Issue: 1

A contemporary treatment of an iatrogenic root perforation in maxillary molar- A case report

  • Author:
  • Harsha Mysore Babu1, Vivekananda Marenahalli2,*, Shipra Rai3, Nalluru Tarita4, Priyanka Ghosh5
  • Total Page Count: 8
  • DOI:
  • Page Number: 20 to 27

1Professor and Head, Department of Periodontics, Sri Hasanamba Dental College and Hospital, Hassan

2Professor, Department of Periodontics, Sri Hasanamba Dental College and Hospital, Hassan

3Reader, Department of Periodontics, Sri Hasanamba Dental College and Hospital, Hassan

4Post Graduate Student, Department of Periodontics, Sri Hasanamba Dental College and Hospital, Hassan

5Post Graduate Student, Department of Periodontics, Sri Hasanamba Dental College and Hospital, Hassan

Abstract

Root perforations can be pathologic or iatrogenic communications between root canal anatomy and the surrounding attachment apparatus. Iatrogenic root perforations, may have serious ramification occuring in approximately 2-12% of endodontically treated teeth. Early diagnosis of the defect, location of the perforation, choice of treatment, materials used, host response, and the experience of the practitioner are among the important factors with regard to the profitable management of root perforations. This report introduces the effective management of perforation using Glass Ionomer Cement (GIC), followed by obturation of the missed canal in maxillary first molar. Advances in technologies such as the introduction of microscopes, new instruments, and materials like biodentine have provided for more controllable and predictable treatment outcomes, either surgically or nonsurgically.

Keywords

Iatrogenic, Root perforation, Retrograde filling