Healing of iatrogenic perforations during endodontic treatment: a case report

Authors

Keywords:

DIAGNOSIS, FURCATION DEFECTS, CONE-BEAM COMPUTED TOMOGRAPHY, DENTAL IMPLANTATION, ENDOSSEOUS, ENDODONTIC.

Abstract

Introduction:  root perforations are communications between the root canal system and the external surface of the tooth, requiring accurate diagnosis and appropriate treatment to avoid complications and ensure the success of the endodontic procedure.

Objective: to evaluate the efficacy of Biodentin in sealing furcation perforations during endodontic treatment.

Case presentation: a 19-year-old patient suffered a furcation perforation during root canal treatment on tooth 46. Biodentin was used to seal the perforation, resulting in complete healing. Biodentin proved to be an effective option, with sealing properties and tissue compatibility superior to MTA. Accurate diagnosis, appropriate material selection, and careful attention during treatment are crucial for long-term success in the repair of furcation perforations and other similar defects. Continued research is essential to improve endodontic treatment options and ensure optimal clinical outcomes.

Conclusion: the success of endodontic treatment in furcation perforations depends on an accurate diagnosis and the appropriate choice of sealant. Biodentin, with its excellent sealing capacity and high tissue compatibility, promotes regeneration and is superior to silicate oxide cement in terms of ease of handling.

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Published

2025-06-24

How to Cite

1.
Pérez-Villalba LD, García- Novillo AM, Navas-Llanos ER. Healing of iatrogenic perforations during endodontic treatment: a case report. Rev Ciencias Médicas [Internet]. 2025 Jun. 24 [cited 2025 Aug. 9];29(1):e6810. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/6810

Issue

Vol. 29 No. 1 (2025): Suplemento 1

Section

CASE REPORTS

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