Teja Kavalipurapu Venkata, Ramesh Sindhu
Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.
Contemp Clin Dent. 2021 Jan-Mar;12(1):84-87. doi: 10.4103/ccd.ccd_392_20. Epub 2021 Mar 20.
Iatrogenic errors happen especially during endodontic treatment even with the experienced clinicians. It is impossible to predict the occurrence of an event. Although many of them can be corrected and managed successfully, few conditions might have the worst prognosis leading to uneventful extraction. The present case report highlights a 1-year follow-up of managed strip perforation in mesial canals of mandibular first molar, nonsurgically using MTA obturation. The present challenging case gives an insight on the importance of regenerative capacity and osteogenic potentiality of bioactive materials, when appropriate tissue engineering concepts are applied.
医源性失误尤其容易发生在牙髓治疗过程中,即使是经验丰富的临床医生也难以避免。事件的发生无法预测。虽然其中许多失误可以成功纠正和处理,但少数情况可能预后最差,最终导致患牙拔除。本病例报告重点介绍了一例下颌第一磨牙近中根管带状穿孔采用MTA非手术充填治疗后的1年随访情况。本具有挑战性的病例揭示了在应用适当的组织工程概念时,生物活性材料的再生能力和成骨潜力的重要性。