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[Perforation during endodontic treatment].

D K Valavanis, G N Spyropoulos

    Hellenika Stomatologika Chronika. Hellenic Stomatological Annals
    |January 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

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    Root canal perforations, occurring during dental procedures, can be managed with specific treatments. Understanding causative factors and repair influences is key to successful outcomes.

    Area of Science:

    • Endodontics
    • Dental Traumatology
    • Restorative Dentistry

    Context:

    • Pulp chamber perforations and root perforations are potential complications during endodontic access and instrumentation.
    • These iatrogenic defects can compromise the long-term success of root canal therapy.

    Purpose:

    • To detail the factors contributing to pulp chamber and root perforations.
    • To outline current treatment strategies for managing perforations.
    • To discuss factors influencing the repair and prognosis of these defects.

    Summary:

    • Perforations can arise from procedural errors during access cavity preparation and root canal instrumentation.
    • Effective management involves prompt diagnosis and appropriate treatment selection based on perforation location and size.

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  • Factors such as the timing of repair, sealing material, and periodontal health significantly impact the healing and long-term prognosis.

    • Impact:

    • Improved understanding of perforation etiology and management can reduce iatrogenic damage in endodontic procedures.
    • Knowledge of prognostic factors aids clinicians in providing accurate patient counseling and treatment planning.
    • Enhanced treatment protocols can lead to better preservation of the natural dentition despite perforations.