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
Summary
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.
- Biocompatible restorative materials and light-transmitting posts aid in managing such complications.
Related Concept Videos
01:22Esophageal Perforation-I: Introduction
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...