IntroductionFurcal perforations compromise the health of the periradicular tissues and threaten the viability of the tooth. Perforation repair is a very attractive and frequently successful alternative to extraction of the involved tooth. Diagnosis and repair of furcal perforation, abscess have remained a diagnostic and therapeutic dilemma for the clinician. We believe this case report is the first of its kind to compare the repair of furcal perforation due to iatrogenic causes with mineral trioxide aggregate (MTA) and bone graft by conventional surgical technique and laser assisted periodontal therapy in mandibular molars.
Case presentationTwo patients presenting with clinical presentation and diagnosis of furcal abscess due to iatrogenic causes were treated and followed up for six months. The furca were exposed surgically. The furcation area in one patient was debrided by conventional periodontal therapy while in the other laser assisted periodontal therapy was instigated using diode laser, and the perforation sealed with mineral trioxide, bone graft was placed in the interradicular area. Clinical and radiographic examinations were conducted at base line and 6 months.
Conclusion:During the 6 month follow up satisfactory resolution of the clinical and radiographic defect in the interradicular region was achieved by both conventional surgical and laser assisted periodontal therapy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.