Management of Endodontic Perforation

Jang,  Ji-Hyun

J Korean Dent Assoc > Volume 55(8); 2017 > Article

The Journal of The Korean Dental Association 2017;55(8):565-573.
Published online August 31, 2017.

End or And... 근관치료시 천공의 수복

장지현

경희대학교 치과대학 치과보존학교실

Management of Endodontic Perforation

Ji-Hyun Jang

Department of Conservative Dentistry School of Dentistry, Kyung Hee University

Abstract

Root canal perforations are defined as the communication between the pulp cavity, the periodontal tissue and alveolar bone. The occurrence of perforations during endodontic treatment is reported to range from 2.3%~12%, which is not a complication rarely happens. Perforations have iatrogenic or pathological etiologies that involve caries or resorption. It leads to inflammation and the destruction of periodontal fibers and alveolar bone, followed by periodontal defects. Mineral trioxide aggregate (MTA) is currently the most indicated material for repair of root perforation, because of its favorable biocompatibility and sealing ability. Using magnification with dental operating microscope enhance the accessibility and visibility to manage the root perforation. It is important to diagnose and repair perforations immediately if possible.

Key Words: Endodontic root perforation;Mineral trioxide aggregate;endodontic microscope;