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Apicoectomy of Perforated Root Canal Using Bioceramic Cement and Photodynamic Therapy
Amjad Abu Hasna1, Daiane Pereira Santos2, Tania Regina Gavlik de Oliveira2
1Department of Restorative Dentistry, Endodontics Division, Institute of Science and Technology, Sa˜o Paulo State University-UNESP, Sa˜o José Dos Campos, SP, Brazil.
International Journal of Dentistry
|December 30, 2020
Summary
Root perforation repair was achieved using Five Mineral Oxides (5MO) cement after endodontic retreatment and apicoectomy. This bioceramic material effectively sealed the perforation and promoted periapical bone healing.
Area of Science:
- Endodontics
- Biomaterials Science
- Regenerative Dentistry
Background:
- Root perforations are common endodontic complications requiring prompt management.
- Effective management involves disinfection and sealing to prevent periodontium contamination.
- This case addresses a root perforation in tooth #22 following prior endodontic treatment.
Observation:
- A patient presented with symptomatic periapical periodontitis related to a root perforation.
- Treatment involved root canal retreatment, apicoectomy, and antimicrobial photodynamic therapy.
- Five Mineral Oxides (5MO) cement was utilized as the root-end filling material.
Findings:
- The combined treatment, including 5MO cement, resulted in bone neoformation at the periapical lesion.
- 5MO bioceramic cement demonstrated efficacy in repairing the periapical lesion.
- Successful sealing of the exposed periapical area was achieved with 5MO cement.
Implications:
- Five Mineral Oxides cement shows promise for managing root perforations and associated periapical lesions.
- Thorough disinfection of the root canal and surgical site is crucial for treatment success.
- This approach may enhance healing and reduce the risk of reinfection in endodontic surgery.
