Endodontic Perforation Closure by Five Mineral Oxides Silicate-Based Cement with/without Collagen Sponge Matrix

Area of Science:

• Dentistry
• Endodontics
• Biomaterials

Background:

• Endodontic perforations are frequent complications during root canal therapy, potentially leading to tooth loss.
• Bioceramic materials, such as mineral trioxide aggregate, are recognized for their efficacy in managing endodontic perforations.
• Effective management of perforations is crucial for preserving tooth structure and function.

Purpose of the Study:

• To evaluate the sealing ability of five mineral oxides cement (5MO) in managing furcation and post-drill root canal perforations.
• To assess the clinical and radiographic healing of periodontal tissues adjacent to the repaired perforations.
• To determine the efficacy of 5MO in conjunction with or without a collagen sponge matrix.

Main Methods:

• A case report involving a 58-year-old female with endodontic perforations in teeth #24 and #25.
• Diagnosis confirmed via periapical radiography and cone-beam computed tomography (CBCT), revealing radiolucent lesions.
• Nonsurgical root canal retreatment performed using 5MO cement to seal perforations, with follow-up over three years.

Main Results:

• CBCT scans after three years demonstrated complete healing and significant bone formation around both treated premolars.
• The 5MO cement successfully sealed both the furcation and post-drill perforations.
• No adverse events or complications were reported during the follow-up period.

Conclusions:

• Five mineral oxides cement (5MO) is a viable and effective material for managing endodontic perforations.
• The use of 5MO promotes favorable clinical and radiographic outcomes, including periodontal tissue regeneration.
• This case report supports the application of 5MO cement as a reliable treatment option for endodontic perforation repair.