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Case Reports
. 2014 Summer;9(3):225-8.
Epub 2014 Jul 5.

Repair of a strip perforation with calcium-enriched mixture cement: a case report

Mohammad Jafar Eghbal  1 , Mahta Fazlyab  1 , Saeed Asgary  2
Affiliations
Case Reports

Repair of a strip perforation with calcium-enriched mixture cement: a case report

Mohammad Jafar Eghbal et al. Iran Endod J. 2014 Summer.

Abstract

The present report reviews the diagnostic and treatment challenges of a mandibular molar with previous root canal treatment and signs of a procedural mishap, i.e. furcal radiolucency and localized swelling of the gingival margin in which a sinus tract was present. By tracing the sinus tract, it became evident that the lesion originated from the furcation area, not the root apices. This case was treated by cleaning/filling the coronal half of the canals and leaving the rest of obturating material untouched. The strip perforation zone in the mesial root was sealed off with calcium-enriched mixture cement. One week after treatment, the patient's symptoms had faded away and one year later, the lesion completely healed with bone replacement.

Keywords: CEM Cement; Calcium-Enriched Mixture Cement; Endodontics; Furcation Defects; Perforation Repair; Root Canal Therapy; Root Perforation.

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Figures

Figure 1
Figure 1
A) Pre-operative parallel radiography of the lower first molar with an extensive furcation lesion and defective coronal restoration. Note the opaque material in the mesial root (white arrow); B) Diagnostic radiography after tracing the sinus tract with a gutta-percha cone that ends up within the furcal lesion (white arrow head). Again, note the opaque cement in the mesial root (white arrow); C) Post-operative radiograph; note the flow of CEM cement into the furcation area. The apical 1/2 of all canals are left untouched; D) One year follow-up radiography shows complete healing of the furcal lesion and its replacement with bone
See this image and copyright information in PMC

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