A Conservative Approach to Surgical Management of Root Canal Perforation
This study describes a conservative approach to surgical management of root canal perforation in maxillary lateral incisors. A patient was referred for retreatment of a maxillary lateral incisor. Her chief complaint was discomfort in the buccal mucosa. Periapical radiography showed radiopaque materi...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2021/6633617 |
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| author | Régis Augusto Aleixo Alves André Luiz Gomide Morais Thábata Frederico Izelli Cyntia R. A. Estrela Carlos Estrela |
| author_facet | Régis Augusto Aleixo Alves André Luiz Gomide Morais Thábata Frederico Izelli Cyntia R. A. Estrela Carlos Estrela |
| author_sort | Régis Augusto Aleixo Alves |
| collection | DOAJ |
| description | This study describes a conservative approach to surgical management of root canal perforation in maxillary lateral incisors. A patient was referred for retreatment of a maxillary lateral incisor. Her chief complaint was discomfort in the buccal mucosa. Periapical radiography showed radiopaque material consistent with sealing material inside the root canal. A CBCT scan was acquired and revealed a gutta-percha cone outside the root canal, from the middle third to beyond the root apex. The imaging examination showed that the pulp cavity had not been affected. Thus, we took the clinical alternative of surgically managing the perforation by sealing with MTA, thereby avoiding endodontic treatment, and followed up with only clinical and radiographic control. At the two-year follow-up, after the surgical procedure to remove the extruded filling material, we observed bone tissue formation and positive response to pulp tests, without any clinical signs or symptoms. Root perforation is considered an unpleasant error in an operative procedure. Once a perforation is properly diagnosed, located, and sealed with biomaterial, a favorable prognosis is often achieved. MTA offered good sealing of the perforation, with promising results. Decision-making using the CBCT scan enabled us to adopt a conservative approach and favored more reliable treatment predictability. |
| format | Article |
| id | doaj-art-67e9c57c67094134b805fb540a455233 |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-67e9c57c67094134b805fb540a4552332025-02-03T06:46:10ZengWileyCase Reports in Dentistry2090-64472090-64552021-01-01202110.1155/2021/66336176633617A Conservative Approach to Surgical Management of Root Canal PerforationRégis Augusto Aleixo Alves0André Luiz Gomide Morais1Thábata Frederico Izelli2Cyntia R. A. Estrela3Carlos Estrela4Department of Stomatology Sciences, Federal University of Goiás, Goiânia, BrazilDepartment of Stomatology Sciences, Federal University of Goiás, Goiânia, BrazilDepartment of Stomatology Sciences, Federal University of Goiás, Goiânia, BrazilDepartment of Stomatology Sciences, Federal University of Goiás, Goiânia, BrazilDepartment of Stomatology Sciences, Federal University of Goiás, Goiânia, BrazilThis study describes a conservative approach to surgical management of root canal perforation in maxillary lateral incisors. A patient was referred for retreatment of a maxillary lateral incisor. Her chief complaint was discomfort in the buccal mucosa. Periapical radiography showed radiopaque material consistent with sealing material inside the root canal. A CBCT scan was acquired and revealed a gutta-percha cone outside the root canal, from the middle third to beyond the root apex. The imaging examination showed that the pulp cavity had not been affected. Thus, we took the clinical alternative of surgically managing the perforation by sealing with MTA, thereby avoiding endodontic treatment, and followed up with only clinical and radiographic control. At the two-year follow-up, after the surgical procedure to remove the extruded filling material, we observed bone tissue formation and positive response to pulp tests, without any clinical signs or symptoms. Root perforation is considered an unpleasant error in an operative procedure. Once a perforation is properly diagnosed, located, and sealed with biomaterial, a favorable prognosis is often achieved. MTA offered good sealing of the perforation, with promising results. Decision-making using the CBCT scan enabled us to adopt a conservative approach and favored more reliable treatment predictability.http://dx.doi.org/10.1155/2021/6633617 |
| spellingShingle | Régis Augusto Aleixo Alves André Luiz Gomide Morais Thábata Frederico Izelli Cyntia R. A. Estrela Carlos Estrela A Conservative Approach to Surgical Management of Root Canal Perforation Case Reports in Dentistry |
| title | A Conservative Approach to Surgical Management of Root Canal Perforation |
| title_full | A Conservative Approach to Surgical Management of Root Canal Perforation |
| title_fullStr | A Conservative Approach to Surgical Management of Root Canal Perforation |
| title_full_unstemmed | A Conservative Approach to Surgical Management of Root Canal Perforation |
| title_short | A Conservative Approach to Surgical Management of Root Canal Perforation |
| title_sort | conservative approach to surgical management of root canal perforation |
| url | http://dx.doi.org/10.1155/2021/6633617 |
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