Management of iatrogenic root perforation with grade II furcation involvement through guided tissue regeneration technique: A case with comprehensive review of clinical literature

Ali, Shamshad; Zoya, Asma; Fatima, Asmat

doi:10.4103/sej.sej_130_21

Cited by 5 publications

(8 citation statements)

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“…Therefore, in the present case report, the surgical repair of the endo-perio defect was preferred. 2 To obtain success, the perforation material should ideally lead to osteoinduction, formation of periodontal ligament and cementum.…”

Section: Discussionmentioning

confidence: 99%

“…MTA is known to possess the most favourable properties for perforation repair, but it has certain drawbacks, including long setting time, high cost, difficult handling, and tooth discoloration of the tooth over a period of time. 2 Tricalcium silicate-based cement, Biodentine TM is a new dentin substitute with excellent biocompatibility. Its biocompatibility is studied and reported in various in vitro and in vivo studies.…”

Section: Discussionmentioning

confidence: 99%

“…Aseptic management of perforation repair may lead to better outcome of treatment. 2 Perforation causes injury to the periodontium, leading to inflammation, bacterial infection, alveolar bone destruction, formation of granulomatous tissue, epithelial proliferation, and eventually, the development of endo-perio lesion. Delay in perception and treatment of perforation can cause further complications leading to tooth loss.…”

Section: Introductionmentioning

confidence: 99%

“…Delay in perception and treatment of perforation can cause further complications leading to tooth loss. 2 Root perforations can be repaired either nonsurgically or surgically. Biodentine TM is widely accepted as the preferred repair material for treating root perforations.…”

Section: Introductionmentioning

confidence: 99%

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Renovation of iatrogenic defect- A case report

Lalani¹,

Purushottam³

et al. 2023

IJCE

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Management of endodontic mishaps is challenging for operator. Perforation of the root in the course of access cavity preparation is commonly encountered in modern practice. The prognosis of teeth with root perforations depends on several factors, including size, location, time since occurrence and rapidity of sealing the perforation area with biocompatible material. Root perforations are clinical situations that can be solved by either nonsurgical or surgical approaches using different biocompatible materials. The purpose of this case report is to describe a successful repair of a long‑standing iatrogenic coronal root perforation in a maxillary right central incisor solved surgically using Biodentine (Septodont, Saint-Maur-des-Fossés, France) which was able to induce new bone formation and re-establish gingival and periodontal health status.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Renovation of iatrogenic defect- A case report

Lalani¹,

Purushottam³

et al. 2023

IJCE

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“…[ 9 10 11 ] Furcation management is challenging as it greatly influences the tooth's prognosis and the complexity of periodontal disease. [ 12 13 14 15 16 17 ] Several techniques and biomaterials have been studied in the management of furcation defects including guided tissue regeneration (GTR), enamel matrix derivatives, platelet concentrates, and bone grafts[ 18 ] were found to be the most effective approaches from a histological and[ 18 19 ] clinical standpoint. 15 20-22] Our research and knowledge have resulted in high-quality publications from our team.…”

Section: Introductionmentioning

confidence: 99%

Combination therapy using advanced biomaterials in the management of mandibular Grade II furcation defect

Navya

Rajasekar

2022

Journal of Advanced Pharmaceutical Technology &Amp; Research

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Periodontitis is a multifactorial disease. Even though plaque is a primary etiological factor; there are so many aggravating factors such as calculus, genetics, lifestyle habits, systemic health, and occlusal trauma. Trauma from occlusion is caused by occlusal force that surpasses the periodontium's adaptive capacity, causing injury to periodontal structures. This case highlights the management of a furcation defect of Grade II which was induced by occlusal trauma. The patient presented with periodontal abscess in relation to 36 and on radiographic examination, bone loss and high points were evident in relation to endodontically treated 36. A full-thickness mucoperiosteal flap was elevated and after debridement injectable platelet-rich fibrin (iPRF), osseograft, and guided tissue regeneration (GTR) membrane were placed. The patient was recalled after 3 months for re-evaluation. On re-evaluation, the radiograph showed adequate bone fill which suggested that using iPRF, bone graft, and GTR may enhance periodontal regeneration in Grade II furcation defects. Therapy using iPRF, bone graft, and GTR may enhance in Grade II furcation problems, and periodontal regeneration is possible.

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Outcomes of furcal perforation management using Mineral Trioxide Aggregate and Biodentine: a systematic review

et al. 2022

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Furcal perforation is an iatrogenic or pathologic communication between the pulp chamber floor and the alveolar bone. The outcome of perforation sealing depends greatly on the tissue compatibility and bioactivity and sealing properties of the repair materials. Mineral trioxide aggregate (MTA) and Biodentine are currently the most used materials to treat this condition.The present systematic review aimed to report the treatment outcome of repaired furcal perforation using MTA and Biodentine and identify which material would yield a better outcome. Methodology: A comprehensive search was conducted using the PubMed database to identify experimental studies and case reports that describe treatment of furcal perforation.Studies and case reports that evaluated the outcome of repaired furcal perforations using MTA and Biodentine, published in English from 2018 to April 2022, were identified. Unavailable full texts were excluded. Results: Initial screening of 724 articles (670 studies and 54 case reports). After discarding the duplicated studies, we reviewed 50 studies, selecting 13 for abstract analysis. We retrieved and evaluated full texts of eight studies and five case reports. Both materials had an equivalent success rate in the first three months but by 12 months Biodentine performed better than MTA clinically and radiographically. Conclusions: Repair of furcal perforation with Biodentine yields a better outcome compared to MTA.

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Management of iatrogenic root perforation with grade II furcation involvement through guided tissue regeneration technique: A case with comprehensive review of clinical literature

Cited by 5 publications

References 0 publications

Renovation of iatrogenic defect- A case report

Renovation of iatrogenic defect- A case report

Combination therapy using advanced biomaterials in the management of mandibular Grade II furcation defect

Outcomes of furcal perforation management using Mineral Trioxide Aggregate and Biodentine: a systematic review

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