Repair of Furcal Perforation with Mineral Trioxide Aggregate: Case Report

Furcal perforation is usually an undesired complication that can occur during preparation of an endodontic access cavities or exploring canal orifice of multirooted teeth. Inadequacy of the repair materials has been a contributing factor to the poor outcome of repair procedures. On the basis of the recent physical and biologic property studies of the relatively new introduced mineral trioxide aggretate, this material maybe be suitable for closing the communication between the pulp chamber and the periodontal tissues. There are few reports on repair of furcal perforation with MTA in molar teeth. The purpose of this case report was to describe the treatment of furcal perforation using MTA in molar teeth. The perforations were cleaned with NaOCl and saline solution, the tooth was endodontically treated and perforation was sealed sealed with MTA and coronally restored with posterior high strength glass ionomer cement and metal veneer crown. After 6 months, the absence of any radiolucency in the furcation area, pain along with functional tooth stability indicated a successful outcome of sealing perforation in 1 case.