CASE REPORT


Radicular Perforation Repair with Mineral Trioxide Aggregate: A Case Report with 10-Year Follow-up



Leopoldo Cosme-Silva1, Breno Carnevalli2, Vivien Thiemy Sakai3, *, Naiana Viana Viola3, Leon Franco de Carvalho1, Elaine Manso Oliveira Franco de Carvalho3
1 Department of Clinics and Surgery, School of Dentistry, Federal University of Alfenas, UNIFAL-MG, Alfenas, Minas Gerais, Brazil
2 Dental Clinic, School of Dentistry, Federal University of Alfenas, UNIFAL-MG, Alfenas, Minas Gerais, Brazil
3 Department of Clinics and Surgery, School of Dentistry, Federal University of Alfenas, UNIFAL-MG, Alfenas, Minas Gerais, Brazil


© Cosme-Silva et al.; Licensee Bentham Open

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the School of Dentistry, Federal University of Alfenas- Street: Gabriel Monteiro da Silva, 700. Alfenas-MG. Brazil; CEP: 37130-000; Tel: 55 35 3299-1425; Fax: 55 35 3299-147; E-mail: vivienodonto@yahoo.com


Abstract

Background:

Iatrogenic complications such as accidental perforation of the root or the floor of the pulp chamber may occur.

Case Report:

Patient was referred for root canal retreatment of the mandibular left second molar with periapical lesion evidenced through radiographic examination. During post removal, iatrogenic perforation occurred at the mesial face of the distal root. After clinical localization of the perforation and bleeding control, MTA was applied. In a second appointment, the root canal filling was removed and the chemical-surgical retreatment of the canals was performed, followed by the obturation with gutta-percha and sealer. Patient returned after three days reporting no pain. After 6 months, 3, 7 and 10 years of follow-up.

Conclusion:

Absence of pain, normal periodontal probing and lack of radiolucent area at the region of perforation and the periapices were detected, which evidenced the successful repair of the tooth.

Keywords: Denture repair, Endodontics, Iatrogenic disease, Mouth rehabilitation, Periapical tissue, Root canal therapy.