Presentation of a Patient with Radicular Perforation as a Complication of Endodontic Treatment

Abstract

Radicular perforations are undesired complications of endodontic treatment which causes the loss of integrity of the root and further destruction of the adjacent periodontal tissues. A teenager with root perforations at 21 and 22 levels as a complication of a previous endodontic treatment with fistulae to gingiva and risk factors of poor prognosis for conservative treatment was reported. A combined treatment was performed:  conventional endodontic treatment and surgical intervention of perforations. The perforations were sealed with silver amalgam and in a second time, to improve the aesthetics of the restoration, amalgam at cervical level was removed and filled with resin. The treatment was successful from the functional and esthetic point of view, and after one year the patient preserved the teeth.

Keywords: root perforations, endodontic treatment, surgical intervention.