Morocho-Monteros Daysi, Masson-Palacios María José, Parise-Vasco Juan Marcos
Postgraduate Programme in Endodontics, Faculty of Health Sciences Eugenio Espejo, Universidad UTE, Quito, Ecuador.
Centre for Research in Public Health and Clinical Epidemiology (CISPEC), Faculty of Health Sciences Eugenio Espejo, Universidad UTE, Quito, Ecuador.
Case Rep Dent. 2024 Oct 22;2024:5957016. doi: 10.1155/2024/5957016. eCollection 2024.
Root canal perforations are frequent but critical complications in endodontic treatments, which can pose a risk of irreversible damage to the affected tooth. These perforations typically occur during root canal preparation or endodontic post placement, presenting significant therapeutic challenges. The main objective in the management of such complications is to seal the perforation, thus preventing bacterial invasion and tooth loss. This report details the case of a 70-year-old patient with a perforation in the palatal wall of the middle root section of tooth #11. The treatment approach involved magnification techniques and the application of a bioactive material known as Biodentine. This case underscores the critical role of accurate radiographic evaluation and the use of biocompatible materials in the management of root perforations. Despite inherent challenges, proper diagnosis and planning, combined with appropriate techniques and materials, can lead to satisfactory results, effectively preserving the structure of the tooth.
根管穿孔是牙髓治疗中常见但严重的并发症，可能会对患牙造成不可逆损伤的风险。这些穿孔通常发生在根管预备或根管桩置入过程中，带来了重大的治疗挑战。处理此类并发症的主要目标是封闭穿孔，从而防止细菌侵入和牙齿丧失。本报告详细介绍了一名70岁患者，其11号牙中根段腭侧壁穿孔的病例。治疗方法包括放大技术以及应用一种名为BioDentine的生物活性材料。该病例强调了准确的影像学评估以及使用生物相容性材料在根管穿孔处理中的关键作用。尽管存在固有挑战，但正确的诊断和规划，结合适当的技术和材料，可取得满意结果，有效保留牙齿结构。
