Dental Journal of Advance Studies

Open Access Open Access  Restricted Access Subscription Access

Management of Iatrogenic Furcation Perforation in Mandibular First Molar with Biodentine-Two Years Follow Up


Affiliations
1 Department of Conservative Dentistry and Endodontics, Bhojia Dental College and Hospital, Himachal Pradesh, India
2 Dept. of Conservative Dentistry and Endodontics, HIDS, Himachal Pradesh, India
 

Successful management of furcation perforations poses a challenge for a clinician. The perforation can result from iatrogenic causes, caries or resorption. It is advisable to repair the perforation as soon as it is identified, since any delay allows the bacterial ingress leading to a complicated endodontic-periodontal lesion and ultimately in the treatment failure. This case report describes successful management of a furcal perforation in a mandibular first molar, which was repaired using Biodentine. The endodontic treatment was completed and the tooth was coronally restored with composite followed by full coverage restoration. Two years follow up of the case showing absence of pain; periradicular healing of the lesion, along with functional tooth stability indicated a successful outcome of endodontic treatment and sealing the perforation using Biodentine.

Keywords

Biodentine, Perforation, Mandibular First Molar.
User
Notifications
Font Size

  • Deeb M, Tabjbi A, Jensen J. An evaluation of the use of amalgam, cavit and calcium hydroxide in the repair of furcation perforation. J Endod 1982 ; 10 (8): 459-466.

  • Wong R. Microscopic management of procedural errors. Dent Clin North Am 1997;41:455-77.

  • Silva E, Andrade C, Tay L, Herrera D. Furcal-perforation repair with mineral trioxide aggregate: Two years follow-up. Indian J Dent Res 2012;23(4)542-545.

  • Behnia A, Strasseler HE, Campbell R. Repairing iatrogenic ischolar_main perforations. J Am Dent Assoc 2000;131:196-201.

  • Vivek Aggarwal, Mamta Singla , Sanjay Miglani, Sarita Kohli. Comparative evaluation of push-out bond strength of ProRoot MTA, Biodentine, and MTA Plus in furcation perforation repair. J Conserv Dent 2013;16(5):462-465.

  • Z. Mohammadi, P. M. H. Dummer. Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J 2011;44:697-730.

  • Schuurs AH, Gruythuysen RJ, Wesselink PR. Pulp capping with adhesive resin-based composite vs. calcium hydroxide: a review. Endod & Dent Traumatol 2000;16:240-50.

  • Maria Giovanna Gandolfi, Francesco Siboni, Antonella Polimeni, Maurizio Bossu, Francesco Riccitiello, Sandro Rengo and Carlo Prati. In Vitro Screening of the Apatite-Forming Ability, Biointeractivity and Physical Properties of a Tricalcium Silicate Material for Endodontics and Restorative Dentistry. Dent. J. 2013;1:41-60.

  • Priyalakshmi.S, Manish Ranjan. Review on Biodentine - A Bioactive Dentin Substitute. IOSR-JDMS 2014;13(1):13-17.


Abstract Views: 248

PDF Views: 97




  • Management of Iatrogenic Furcation Perforation in Mandibular First Molar with Biodentine-Two Years Follow Up

Abstract Views: 248  |  PDF Views: 97

Authors

Savita Thakur
Department of Conservative Dentistry and Endodontics, Bhojia Dental College and Hospital, Himachal Pradesh, India
Damanpreet
Department of Conservative Dentistry and Endodontics, Bhojia Dental College and Hospital, Himachal Pradesh, India
Anuradha Rani
Dept. of Conservative Dentistry and Endodontics, HIDS, Himachal Pradesh, India
Nisha Garg
Dept. of Conservative Dentistry and Endodontics, HIDS, Himachal Pradesh, India

Abstract


Successful management of furcation perforations poses a challenge for a clinician. The perforation can result from iatrogenic causes, caries or resorption. It is advisable to repair the perforation as soon as it is identified, since any delay allows the bacterial ingress leading to a complicated endodontic-periodontal lesion and ultimately in the treatment failure. This case report describes successful management of a furcal perforation in a mandibular first molar, which was repaired using Biodentine. The endodontic treatment was completed and the tooth was coronally restored with composite followed by full coverage restoration. Two years follow up of the case showing absence of pain; periradicular healing of the lesion, along with functional tooth stability indicated a successful outcome of endodontic treatment and sealing the perforation using Biodentine.

Keywords


Biodentine, Perforation, Mandibular First Molar.

References