Repair of Furcal Perforation with Mineral Trioxide Aggregate: A case report
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Abstract
Introduction: Furcal perforation is usually an undesired complication that can occur during root canal treatment such as access cavity or exploring canal orifice of teeth. On the basis of the recent physical and biologic property studies of the mineral trioxide aggregate (MTA), this material may be suitable for repairing the communication between the pulp space and the periodontal tissues. There are few reports on repair of furcal perforation with MTA in molar teeth
Objective: The purpose of this case report was to describe the treatment of furcal perforation using MTA in molar tooth.
Method: Case report
Case report: A healthy 35-yr-old man was refered to the dental clinic of this Buriram Provincial Public Health Office a few weeks after an appointment for root canal treatment of the lower right first molar. The previous dentist was unable to locate the root canals because of a hemorrhage inside the root canal and poor visibility of the area. The patient complained of episodes of pain. Upon intraoral examination was observed that the tooth had taken a temporary crown, responded slightly tender to percussion, exhibited normal periodontal tissue. Radiographs showed an intracanal radiopaque material in the mesial root canal and furcal radiolucency was also observed. The clinical diagnosis was previously initiated therapy with symptomatic apical periodontitis with stripping perforation. The perforations were cleaned with NaOCl and sealed with MTA without artificial barrier. Finally, the tooth was root canal treated and pulp chamber was filled with resin composite and inserted temporary crown. After 1 year, the absence of periradicular radiolucent lesions, pain, and swelling along with functional tooth stability indicated a successful outcome of perforations in this case.
Conclusion: MTA has the potential as a material for repair of furcal perforation.
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References
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