Furcal area and root canal perforations treatment – case series report and literature review

Krystyna Pietrzycka


Introduction: Perforation is a pathological connection between the root canal system and the external surface of the tooth that can occur unintentionally during pulp chamber preparation. The consequence of this complication is inflammation and destruction of the periodontal tissues. Therefore, it is essential to seal the perforation to avoid tooth loss. Among different bioactive materials, mineral trioxide aggregate (MTA) and Biodentine (BD) ensure a favorable prognosis in therapeutic dental procedures due to their healing properties.
Materials and methods: The present case series report describes successful treatments of different sizes, locations, and immediate and mediated perforations.
Results: Clinical and radiographic follow-up showed asymptomatic teeth without discomfort, swelling, fistula, or radiolucency in the furcal area.
Conclusion: Mineral trioxide aggregate and BD can be successfully used as a biocompatible material for the repair of furcal and root canal perforations.


perforation; pulp chamber; MTA; Biodentine; root canal treatment

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DOI: https://doi.org/10.21164/pomjlifesci.985

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