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Repairing iatrogenic root perforations.

A Behnia1, H E Strassler, R Campbell

  • 1Department of Endodontics, Dental School, University of Maryland at Baltimore 21201, USA.

Journal of the American Dental Association (1939)
|February 19, 2000
PubMed
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Root perforations during post preparation can compromise tooth prognosis. A combined surgical and orthograde approach successfully repaired an iatrogenic root perforation in a maxillary lateral incisor.

Area of Science:

  • Endodontics
  • Restorative Dentistry

Background:

  • Post preparation is crucial for restoring endodontically treated teeth.
  • Iatrogenic root perforation during post space preparation can jeopardize tooth prognosis.

Observation:

  • A patient presented with swelling near a restored maxillary lateral incisor.
  • Radiographs revealed a radiolucent lesion and periapical radiolucency, suggesting root perforation at the post base.

Findings:

  • The iatrogenic perforation was suspected to have occurred during post space preparation and post placement.
  • A combined surgical and orthograde approach was employed for repair.

Implications:

  • Successful repair of iatrogenic root perforations is achievable.

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  • Biocompatible restorative materials and light-transmitting posts aid in managing such complications.