Related Experiment Video
Updated: Jul 16, 2026
07:14
Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
Published on: May 24, 2022
Root perforations following endodontics: a case for surgical management
Mohammad Hosein Kalantar Motamedi1
1Oral and Maxillofacial Surgery, Trauma Research Center Faculty, Baqiyatallah Medical Sciences University, Tehran, Iran.
General Dentistry
|March 6, 2007
Summary
Endodontic mishaps like root perforations are common, but surgical intervention can successfully salvage teeth. This study demonstrates successful tooth salvage through surgery without biomaterials.
Area of Science:
- Endodontics
- Dental Surgery
Background:
- Endodontic mishaps, including instrument fractures and root perforations, persist despite technological advancements.
- Anatomical variations and canal calcification contribute to procedural difficulties and treatment failure risks.
Observation:
- Perforations can lead to infection, cyst formation, and extrusion of restorative materials.
- Diagnosing and treating root perforations, especially in posterior mandibular teeth, presents significant clinical challenges.
Findings:
- This article details the surgical management of a perforation near the mandibular first molar bifurcation and an apical perforation in a premolar.
- Both teeth were successfully salvaged using surgical techniques without the need for additional biomaterials.
Implications:
- Surgical intervention offers a viable alternative to extraction for teeth with complex perforations.
- Successful management of endodontic perforations can preserve natural dentition and improve treatment outcomes.
Related Concept Videos
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:
01:22Esophageal 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.
01:26Aneurysm 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...