Treatment of a complicated iatrogenic furcation perforation in a mandibular molar with bicuspidization technique: a case report

Year 2012, Volume: 2 Issue: 3, 130 - 133, 30.01.2014

Taner Arabacı , Yasin Çiçek Hasan Güngör

Abstract

Iatrogenic furcation perforation is one of the important failures during endodontic treatment and significantly reduces the tooth prognosis. Today, many of the practitioners prefer extracting the involved tooth and replacing it with fixed prostheses or dental implants to avoid the complexity of the treatment procedures. Although these may be thought as other treatment alternatives, treating instead of extracting the involved teeth must be the primary scope of developing dentistry. This case report presents the treatment of a complicated mandibular molar furcation perforation depending on endodontic failure with bicuspidization technique, and subsequent healing of the surrounding periodontium.

Key words: Furcation, perforation, bicuspidization

Keywords

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Alt çene büyük azı dişinde komplike bir iatrojenik furkasyon perforasyonunun biküspidizasyon tekniği ile tedavisi: vaka raporu

Abstract

İatrojenik furkasyon perforasyonu, endodontik tedavi esnasında dişin prognozunu oldukça azaltan önemli hatalardan biridir. Günümüzde, çoğu pratisyen hekim kompleks tedavi prosedürlerinden kaçınmak için bu gibi perfore dişlerin çekimini ve bunun yerine sabit protez ya da dental implantların yerleştirilmesini tercih etmektedir. Bunlar farklı birer tedavi alternatifi olarak düşünülse de, bu gibi etkilenmiş dişlerin çekim yerine tedavi edilmeleri gelişmekte olan diş hekimliğinin birinci amacı olmalıdır. Bu vaka raporunda, endodontik hataya bağlı alt çene büyük azı dişinde gelişen komplike bir furkasyon perforasyonunun biküspidizasyon tekniği ile tedavisi ve sonraki dönemde çevreleyen periodontal dokuların iyileşmesi sunulmaktadır.

Anahtar Kelimeler : Furkasyon, perforasyon, biküspidizasyon

Keywords

Furkasyon, perforasyon, biküspidizasyon

References

• Behnia A, Strassler HE, Campbell R. Case Report: Repairing Iatrogenic Root Perforations. JADA. 2000;131:196-201.
• Bogaerts P. Treatment of root perforations with calcium hydroxide and SuperEBA cement: a clinical report. Int Endod J. 1997;30:210-219.
• Bergenholtz G, Hasselgren G. Endodontics and periodontics. In: Lindhe J, ed. Clinical Periodontology and Implant Dentistry. 3rd ed. Copenhagen, Denmark: Munksgaard; 1997. p 296-331.
• Charrier M, Medioni E. Microleakage of three filling materials for furcation perforation. Eur Cell Mater. 2007;13: 9.
• Arabacı T, Çiçek Y, Çanakçı CF. Sonic and ultrasonic scalers in periodontal treatment: a review. Int J Dent Hyg. 2007;5: 2-12.
• Al-Shammari KF, Kazor CE, Wang H-L. Molar root anatomy and management of furcation defects. J Clin Periodontol. 2001;28:730- 740.
• Qazi SS, Manzoor MA, Khan HH, Arjumand B, Qureshi R. Biphasic Resection of a Mandibular Molar: Case Report. J Coll Physicians Surg Pak. 2007;17: .294-296.
• Parmar G, Vashi P Hemisection: A case-report and review. Endodontology. 2003;15:26-29.
• Sato N. Periodontal Surgery. A Clinical Atlas. 2000. Sayfa, basım yeri, yayınevi, editör
• Silness P, Loe H. Periodontal disease in pregnancy. Acta Odont Scan 1964; 22: 121-123.
• Loe H, Silness G. Periodontal diseases in pregnancy II. Correlation between oral hygiene and periodontal condition. Acta Odont Scand. 1963;22:328-333.
• Breault LG, Fowler EB, Primack PD. Endodontic Perforation Repair with Resin-Ionomer: A Case Report. J Contemp Dent Pract. 2000;1: 1-7.
• Duggins LD, Clay JR, Himmel VT, Dean JW. A combined endodontic retrofill and periodontal guided tissue regeneration technique for the repair of molar endodontic furcation perforations: Report of a case. Quintessence Int. 1994;25:109-114.
• Vire DE. Failure of endodontically treated teeth: classification and evaluation. J Endod. 1991;17: 338-342.
• Tsesis I, Fuss Z. Diagnosis and treatment of accidental root perforations. Endodontic Topics. 2006;13:95-107.
• DeSanctis M, Murphy KG. The role of resective periodontal surgery in the treatment of furcation defects. Periodontol. 2000;22:154-168.
• Rüdiger SG. Mandibular and maxillary furcation tunnel preparations - literature review and a case report. J Clin Periodontol. 2001;28:1-8.
• Matia JI, Bissada NF, Maybury JE, Ricchetti P. Efficiency of scaling of the molar furcation area with and without surgical access. Int J Period Rest Dent. 1986;6:24-35.
• Bower RC. Furcation morphology relative to periodontal treatment. Furcation root surface anatomy. J Periodontol. 1979;50:366-374.
• Svardström G, Wenström JL. Furcation topography of the maxillary and mandibular first molars. J Clin Periodontol. 1988;15:271-275.
• Kvinnsland I, Oswald RJ, Halse A, Gronningsaeter AG. A clinical and roentgenological study of 55 cases of root perforation. Int Endod J. 1989;22:75-84.
• Haueisen E, Heidemann D. Hemisection for treatment of an advanced endodontic periodontal lesion: A case report. Int Endod J. 2002;35:552-572.
• Lemon RR. Nonsurgical repair of perforation defects. Internal matrix concept. Dent Clin North Am. 1992;36:439-457.
• Vandersall DC, Detamore RJ. The mandibular molar Class III furcation invasion. A review of treatment options and a case report of tunneling. JADA. 2002;133:55-60.
• Al-Ali M, Aqrabawi J. Endodontic Surgery: A chance to rewrite history. Smile Dent J. 2007; 5: 13-20.
• Yoshino T, Okamoto H. A clinical application of autotransplantation using furcation-involved root. J Clin Periodontol. 2001;28: 201-206.
• Augsburger RA. Root amputations, and hemisections. Gen Dent. 1976;24:35-38.
• Farshchian F, Kaiser DA. Restoration of the split molar: bicuspidization. Am J Dent wwww1988;1:21-22.
• University of North Carolina School of Dentistry. Standards of Care. Basım yeri: Yayınevi; 2002. p.16-18. Updated by the Department Chairs Committee.