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Published on: November 4, 2010
Furcal perforation repair using calcium enriched mixture cement.
1Iranian Center for Endodontic Research (ICER), Iran Center for Dental Research (ICDR), Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Journal of Conservative Dentistry : JCD
|December 1, 2010
Summary
A novel calcium-enriched mixture (CEM) cement effectively repaired a furcal perforation in a mandibular molar. This treatment led to complete healing of the lesion and preservation of the tooth after 24 months.
Area of Science:
- Dentistry
- Endodontics
- Dental Materials Science
Background:
- Furcal perforations are challenging complications in endodontic therapy.
- Management of furcal perforations requires materials with excellent sealing and biocompatibility properties.
Observation:
- A case of furcal perforation in a mandibular first molar with an associated furcal lesion was treated.
- Root canal treatment was completed, followed by repair of the perforation using calcium-enriched mixture (CEM) cement.
- The tooth was restored with amalgam and monitored for 24 months.
Findings:
- The CEM cement successfully sealed the furcal perforation.
- Complete healing of the furcal lesion was observed.
- No signs of periodontal breakdown or symptoms were present at the 24-month follow-up.
Implications:
- Calcium-enriched mixture (CEM) cement shows promise as a suitable material for repairing furcal perforations.
- This case report supports the use of CEM cement in endodontic regenerative procedures.
- Further research into CEM cement for perforation repair is warranted.

