Causes, diagnosis, treatment and prognosis of root perforations

A perforation is an artificial communication that occurs between the root canal system and tissues enclosing a tooth. It can be made by dentist during tooth preparation passage into system, or it happen naturally due to resorption dental decay cause connectivity periodontium. Both iatrogenic non-iatrogenic factors lead being perforated. Most often, happens at coronal aspect of Iatrogenic perforations always distinguished extensive bleeding after wound. Serous discharge fistula from perforated site, sensitivity on percussing, isolated periodontal pocketing, chronic gingivitis when inflammation has reached alveolus all signs unresolved perforations. Cone beam computed tomography used correctly identify evaluate resorbing lesions subsequent Successful management involves adequately sealing breach, using right material, closing in place as soon feasible. Perforation done one two ways: non-surgically surgically. The prognosis teeth with have had endodontic treatment relies number variables, including amount time passed before defect was sealed, site perforation, effectiveness seal, size perforation. Due poor prognosis, suboptimal health those very wide may extracted.