Management of concomitant strip and apical perforation in mandibular first molar

Mustafa Hussein Al Attas; Thiyezen Abdullah Aldhelai; Muhammad Qasim Javed

doi:10.12669/pjms.38.7.6009

Management of concomitant strip and apical perforation in mandibular first molar

Pak J Med Sci. 2022 Sep-Oct;38(7):2034-2038. doi: 10.12669/pjms.38.7.6009.

Authors

Mustafa Hussein Al Attas¹, Thiyezen Abdullah Aldhelai², Muhammad Qasim Javed³

Affiliations

¹ Mustafa Hussein Al Attas, Saudi Board in Endodontics, Assistant Professor, Department of Conservative Dental Sciences and Endodontics, College of Dentistry, Qassim University, Saudi Arabia.
² Thiyezen Abdullah Aldhelai, PhD, Department of Orthodontic and Pediatric Dentistry, College of Dentistry, Qassim University, Buraydah, Kingdom of Saudi Arabia. Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Ibb University, Ibb, Yemen.
³ Muhammad Qasim Javed, FCPS. Assistant Professor, Department of Conservative Dental Sciences and Endodontics, College of Dentistry, Qassim University, Saudi Arabia.

Abstract

Iatrogenic perforation is a complication that can occur during endodontic treatment. If left untreated, it adversely affects the prognosis of the tooth. The use of optimal magnification and appropriate repair material help in achieving favourable outcome. The current case report illustrates the management of concomitant strip and apical perforation in the mesial canals of lower first molar of 13 years old paediatric patient. The management of perforations was done with MTA under 25x magnification of a dental operating microscope. The periapical radiograph and clinical investigations revealed complete bone formation at the furcal area adjacent to the repaired strip perforation and ossification of the apical lesion indicating a favourable healing outcome at 18 months of follow up.

Keywords: Apical Perforation; Mineral Trioxide Aggregate; Strip perforation.

Publication types

Case Reports