Aim Online survey was conducted to investigate the state of undergraduate endodontic clinical training in Malaysian dental schools. Methods An online questionnaire and a cover letter were emailed to the deans of 13 Malaysian dental schools. The questionnaire covers various aspects of endodontic clinical training including teaching methods, endodontic clinical procedures, minimum requirements, clinical sessions and teaching staff. Results The response rate was 69%. Similarities in teaching methods were observed in all responding schools. All schools taught contemporary root canal treatment procedures, including the utilisation of radiograph and electronic apex locator for working length determination, the crown‐down approach for canal preparation and the cold lateral compaction for obturation. Sodium hypochlorite solution and non‐setting calcium hydroxide medicament were used in most dental schools. Variations were observed in terms of the number of clinical requirements, supervisor: student ratio, and availability of endodontic specialists. The use of engine‐driven instruments was observed mainly in government‐funded dental schools. Conclusions The majority of dental schools in Malaysia are adopting the European Society Endodontology recommendation for undergraduate endodontic training, particularly in relation to the surveyed aspects. Most of the government‐funded dental schools have progressed towards engaging contemporary endodontics with their increasing application of engine‐driven Ni‐Ti instruments and 3D imaging techniques. Appointments of full‐time endodontic specialists would further enhance the quality of endodontic teaching and permit the utilisation of contemporary endodontic materials.

The purpose of treating furcal perforation is to seal the artificial communication between the canal space and the periradicular tissue to prevent the periodontal breakdown. The duration, size and location of the perforation were identified as the primary prognostic factors for determining successful treatment. Mineral trioxide aggregate (MTA) has been regarded as an ideal material for perforation repair owing to its excellent sealability and biocompatibility. The present case report illustrates the efficiency of MTA in the delayed treatment of a large iatrogenic furcation perforation of the right mandibular second molar tooth with a duration of 8 weeks from perforation occurrence to repair. The tooth received a two-visit non-surgical root canal treatment prior to perforation repair using MTA without internal matrix. The healing of periradicular radiolucent lesions and interradicular radiolucency at 18 months indicated the successful sealing of the perforation. The outcome also indicated that MTA was able to seal the furcation perforation effectively in a large defect with delayed treatment time.