Cold Ceramic for Repairing Root Perforations: A Case Report.

Area of Science:

• Dentistry
• Endodontics
• Biomaterials

Background:

• Root perforations, occurring pathologically or iatrogenically during endodontic treatment, complicate prognosis.
• Effective repair hinges on material choice, considering factors like size, location, microbial presence, and time to repair.
• The search for an ideal perforation sealing material with favorable biocompatibility, moisture tolerance, and sealing capacity continues.

Purpose of the Study:

• To evaluate the efficacy of cold ceramic (CC) as a non-surgical repair material for root perforations.
• To assess clinical and radiographic outcomes in patients treated for root perforations using CC.

Main Methods:

• Three patients with root perforations underwent non-surgical management using cold ceramic (CC) as the sole repairing material.
• Clinical and radiographic examinations were performed during follow-up to assess healing and inflammation.

Main Results:

• All three cases demonstrated complete tissue healing and absence of inflammatory signs or symptoms post-treatment.
• Cold ceramic exhibited excellent sealing ability, biocompatibility, and moisture tolerance.
• Evidence of bone and periodontium regeneration was observed in the repaired areas.

Conclusions:

• Cold ceramic (CC) appears to be a suitable material for sealing root perforations, promoting favorable healing and regeneration.
• The observed outcomes support CC's use in endodontic perforation repair, aligning with existing literature.
• Further clinical research is recommended to fully elucidate the properties and potential of CC in endodontic applications.