Yee Mun Ho, Alawi Rabihah, Abdul Muttlib Nor Aidaniza, Abd Ghani Huwaina, Noorani Tahir Y
Conservative Dentistry, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, MYS.
Conservative Dentistry, Hospital Universiti Sains Malaysia, Kota Bharu, MYS.
Cureus. 2024 Oct 20;16(10):e71950. doi: 10.7759/cureus.71950. eCollection 2024 Oct.
Iatrogenic perforation is caused by the degradation of the dentin root floor or wall and the overlying cementum. This condition frequently arises from improper post-space preparation, root canal negotiation and preparation, and the use of misaligned burs or mechanical instruments during endodontic access. Proper management is essential; otherwise, it could lead to the need for tooth extraction. Management of iatrogenic perforation can be challenging. In this case report, a strip perforation on an upper anterior tooth was addressed for tooth rehabilitation using tricalcium silicate-based cement and a flexible glass fiber post. This approach aims to restore the tooth's function, structural integrity, and aesthetics while minimizing complications.
医源性穿孔是由牙本质根面或壁以及覆盖其上的牙骨质降解引起的。这种情况通常源于根管预备空间不当、根管疏通和预备,以及在牙髓治疗开髓过程中使用未对齐的车针或机械器械。恰当的处理至关重要;否则,可能会导致拔牙。医源性穿孔的处理可能具有挑战性。在本病例报告中,对上颌前牙的带状穿孔采用基于硅酸三钙的水门汀和柔性玻璃纤维桩进行牙齿修复处理。这种方法旨在恢复牙齿的功能、结构完整性和美观性,同时将并发症降至最低。