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- DOI 10.18231/j.aprd.12920.1759302509
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Non-surgical repair of endodontic perforations with bioceramics: Clinical outcomes from a case report
Root perforations are communications between the root canal and the surrounding periodontal tissues, which may be pathological or iatrogenic. It is one of the most frequently occurring iatrogenic error during endodontic treatment and may occur during endodontic access cavity preparation, in an attempt to locate calcified canals or during post space preparation. Several factors predispose to root perforation such as pulp chamber obliteration, root canal calcification, extensive caries and internal resorption. Successful repair of root perforation depends on timely diagnosis, size and location of the perforation, as well as the materials used for repair. A contemporary approach to treatment involves the repair of the iatrogenic perforation utilizing modern imaging techniques and materials.
References
- American Association of Endodontists. Glossary of endodontic terms. 11th ed. Chicago: AAE; 2020.
- Seltzer S, Sinai I, August D. Periodontal effects of root perforations before and during endodontic procedures. J Dent Res. 1970;49(2):332–9. https://doi.org/10.1177/00220345700490022301
[Google Scholar] - Kvinnsland I, Oswald RJ, Halse A, Gronningsaeter AG. A clinical and roentgenological study of 55 cases of root perforation. Int Endod J. 1989;22(2):75–84. https://doi.org/10.1111/j.1365-
[Google Scholar] - tb00509.x.
- Alshehri MM, Alhawsawi BF, Alghamdi A, Aldobaikhi SO, Alanazi MH, Alahmad FA. The Management of Root Perforation: A Review of the Literature . Cureus. 2024;16(10):e72296. https://doi.org/10.7759/cureus.72296
[Google Scholar] - Estrela C, Decurcio DA, Fedele G, Silva JA, Guedes OA, Borges AH. Root perforations: a review of diagnosis, prognosis and materials. Braz Oral Res . 2018;32(suppl 1):e73. https://doi.org/10.1590/1807-3107bor-2018.vol32.0073
[Google Scholar] - Venkatesh E, Elluru SV. Cone beam computed tomography: basics and applications in dentistry. J Istanb Univ Fac Dent. 2017;51(3 Suppl 1):S102–21. https://doi.org/10.17096/jiufd.00289
[Google Scholar] - Holcomb JB, Gregory WB Jr. Calcific metamorphosis of the pulp: its incidence and treatment. Oral Surg Oral Med Oral Pathol. 1967;24(6):825–30. https://doi.org/10.1016/0030-4220(67)90521-
[Google Scholar] x. - Saed SM, Ashley MP, Darcey J. Root perforations: Aetiology, management strategies and outcomes. The hole truth. Br Dent J. 2016;220(4):171-80. https://doi.org/10.1038/sj.bdj.2016.132
[Google Scholar] - Nandakumar M, Nasim I. Management of perforation - A review. J Adv Pharm Edu Res. 2017;7(3):208–11.
- Kabtoleh A, Aljabban O, Alsayed Tolibah Y. Fracture resistance of molars with simulated strip perforation repaired with different calcium silicate-based cements. Cureus. 2023;15(1):e34462. https://doi.org/10.7759/cureus.34462
[Google Scholar] - Jaiswal S, Gupta S, Khan A, Kumari K, Raj S. Management of furcal and subcrestal perforation with a bioactive material: a case report. Int J Res Rev. 2022;9(5):267–71. https://doi.org/10.52403/ijrr.20220534
[Google Scholar] - Wang X, Xiao Y, Song W, Ye L, Yang C, Xing Y et al. Clinical application of calcium silicate-based bioceramics in endodontics. J Transl Med. 2023;21(1):853. https://doi.org/10.1186/s12967-023-
[Google Scholar] 04550-4. - Mitthra S, Shobhana R, Prakash V, Vivekanandhan P. An overview on root perforations: Diagnosis, prognosis and management. Eur J Molec Clin Med. 2021;7(1):1240–4.
- Aggarwal V, Singla M, Miglani S, Kohli S. Comparative evaluation of push-out bond strength of ProRoot MTA, Biodentine, and MTA Plus in furcation perforation repair. J Conserv Dent. 2013;16(5):462–5. https://doi.org/10.4103/0972-
[Google Scholar] - Hashem AA, Hassanien EE. ProRoot MTA, MTA-Angelus and IRM used to repair large furcation perforations: Sealability study. J Endod. 2008;34(1):59–61. https://doi.org/10.1016/j.joen.2007.09.007
[Google Scholar] - Borges AH, Oliveira D, Mamede-Neto I, Estrela CAR, Estrela C. Surgical management of root canal perforation aided by CBCT scan. J Clin Diagn Res. 2018;12(1):24–6.
- Siew K, Lee AH, Cheung GS. Treatment outcome of repaired root perforation: A systematic review and meta-analysis. J Endod. 2015;41(1):1795–804. https://doi.org/10.1016/j.joen.2015.07.007
[Google Scholar] - Senthilkumar V, Subbarao C. Management of root perforation. J Adv Pharm Educ Res. 2017;7(1):54–7.
- Holland R, Gomes JE, Cintra LT, Queiroz OA, Estrela C. Factors affecting the periapical healing process of endodontically treated teeth. J Appl Oral Sci. 2017;25(5):465–76. https://doi.org/10.1590/1678-7757-2016-0464
[Google Scholar]
How to Cite This Article
Vancouver
Gupta S, Jaiswal S, Panwar V, Raman R. Non-surgical repair of endodontic perforations with bioceramics: Clinical outcomes from a case report [Internet]. IP Ann Prosthodont Restor Dent. 2025 [cited 2025 Oct 27];11(3):242-245. Available from: https://doi.org/10.18231/j.aprd.12920.1759302509
APA
Gupta, S., Jaiswal, S., Panwar, V., Raman, R. (2025). Non-surgical repair of endodontic perforations with bioceramics: Clinical outcomes from a case report. IP Ann Prosthodont Restor Dent, 11(3), 242-245. https://doi.org/10.18231/j.aprd.12920.1759302509
MLA
Gupta, Sachin, Jaiswal, Shikha, Panwar, Varsha, Raman, Ridhiman. "Non-surgical repair of endodontic perforations with bioceramics: Clinical outcomes from a case report." IP Ann Prosthodont Restor Dent, vol. 11, no. 3, 2025, pp. 242-245. https://doi.org/10.18231/j.aprd.12920.1759302509
Chicago
Gupta, S., Jaiswal, S., Panwar, V., Raman, R.. "Non-surgical repair of endodontic perforations with bioceramics: Clinical outcomes from a case report." IP Ann Prosthodont Restor Dent 11, no. 3 (2025): 242-245. https://doi.org/10.18231/j.aprd.12920.1759302509