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  3. Vol. 12 No. 4 (2017): Fall 2017
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Vol. 12 No. 4 (2017)

October 2017

Repair of Iatrogenic Furcal Perforation with Mineral Trioxide Aggregate: A Seven-Year Follow-up

  • Jardel Camilo do Carmo Monteiro
  • Mateus Rodrigues Tonetto
  • Matheus Coelho Bandeca
  • Alvaro Henrique Borges
  • José Cláudio Martins Segalla
  • Keren Cristina Fagundes Jordão-Basso

Iranian Endodontic Journal, Vol. 12 No. 4 (2017), 10 October 2017 , Page 516-520
https://doi.org/10.22037/iej.v12i4.16888 Published: 2017-10-10

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Abstract

Teeth with furcal perforation present difficult resolution and dubious prognosis. Several materials have been proposed and calcium silicate-based cements such as mineral trioxide aggregate (MTA) are the most recommended. However, its long-term clinical behavior still remains poorly understood. The present study reports a clinical case of furcal perforation repair using Angelus MTA, with a 7-year follow-up. Patient sought treatment 2 months after iatrogenic accident. First lower right molar presented clinical signs such as fistula and bone loss between mesial and distal roots. Firstly, all root canals were treated and then furcal perforation was sealed with MTA Angelus and the dental crown was restored with composite resin. Radiographic evaluation was immediately performed to analyze the furcal perforation filling. After 7 years, a new clinical and imaging evaluation using periapical radiography and cone-beam computed tomography (CBCT) showed absence of clinical signs and symptoms, and alveolar bone reconstitution with periodontal space reduction. Angelus MTA presented good clinical behavior in the iatrogenic furcal perforation resolution based on long-term clinical evidence.

Keywords: Endodontics; Furcation Perforation; Mineral Trioxide Aggregate; Root Canal Treatment; Root Perforation; Tooth Perforations
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How to Cite

1.
Monteiro JC do C, Tonetto MR, Bandeca MC, Borges AH, Segalla JCM, Jordão-Basso KCF. Repair of Iatrogenic Furcal Perforation with Mineral Trioxide Aggregate: A Seven-Year Follow-up. Iran Endod J [Internet]. 2017 Oct. 10 [cited 2025 Jul. 9];12(4):516-20. Available from: https://journals.sbmu.ac.ir/iej/article/view/16888
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