Root canal sealing in a tooth with endodontic perforation: case report
DOI:
https://doi.org/10.70614/8g0wg964Keywords:
Endodontics, Pulp cavity, BiomaterialAbstract
Endodontic treatment can encounter unforeseen complications, such as perforations that connect the pulp cavity to the periodontal tissue, resulting in inflammation and bone resorption. These situations can jeopardize treatment success and, if not properly addressed, may lead to tooth loss. Pathological perforations are identified during routine exams, while iatrogenic ones result from errors during canal preparation. Studies indicate that root perforations occur in 2% to 12% of endodontic treatments, negatively affecting outcomes. Periapical radiography and computed tomography are used for diagnosis and planning. The ideal repair material should be biocompatible, seal against bacteria, and promote periodontal healing. Various materials, such as amalgam and MTA, have been used with varying degrees of success. Sealer 26, an epoxy-based endodontic cement, is also an option. Its viscous, sealing, and low polymerization shrinkage properties are advantageous. Selecting appropriate materials is crucial for treatment success, and dentists should stay updated on available options to provide optimal patient care. Therefore, this study aims to report a clinical case of root perforation sealing using Sealer as a repair material. It can be concluded that the clinical case favorably demonstrates Sealer's effectiveness as a repair material for root perforation sealing in endodontic complications. This technique holds promise for resolving challenging issues that may compromise endodontic treatment, yielding positive outcomes in issue resolution.
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