World Journal of
Pharmaceutical and Life Sciences

MANAGEMENT OF IATROGENIC PERFORATION IN MAXILLARY CENTRAL INCISOR: A CASE REPORT

Dr. Manoj Kumar*, Dr. Kanimozhiy and Dr. Uma Mageswari

ABSTRACT

Introduction: Iatrogenic perforations are artificially made perforations in the root surface, penetrating the layer of dentin and cementum to the outer surface, which when left untreated acts as channel of entry to the microorganisms and pathogens. Case report: This case report of a 29-year-old male patient explains about the management of iatrogenically perforated right maxillary central Incisor during root canal treatment done before 5 years by the previous practitioner by using biocompatible tricalcium silicate-based cement of bio dentine using non-surgical method. Discussion: Perforation seems to be common at an extent of 73% in case of Maxillary Incisors. The selection of material in perforation repair remains the vital role in prognosis. Bio dentine exhibited the least micro leakage when compared to other materials. The micromechanical adhesion of bio dentine helps in creating a stable anchorage with a sealing at perforation. Conclusion: Although MTA has been found to be the first choice to repair perforation, advanced materials like bio dentine has made an evolution for better pushout bond strength and re-mineralization in perforated canals.

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