University at Buffalo - The State University of New York
Skip to Content
Management of longstanding furcation perforation using a novel approach. - PubMed - NCBI
Format

Send to

Choose Destination
See comment in PubMed Commons below
J Endod. 2014 Aug;40(8):1255-9. doi: 10.1016/j.joen.2013.12.013. Epub 2014 Jan 17.

Management of longstanding furcation perforation using a novel approach.

Author information

1
Department of Endodontics, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tennessee. Electronic address: aazim@uthsc.edu.
2
Department of Endodontics, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tennessee.
3
Department of Bioscience Research, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tennessee.

Abstract

INTRODUCTION:

Iatrogenic furcation perforation may occur during the access preparation of the endodontic treatment. This may lead to periodontal defects and subsequent tooth loss. In this case report, we presented a new approach that may help salvage cases with a longstanding furcation involvement and substantial bone loss resulting from perforation.

METHODS:

A mandibular molar case that had a furcation perforation and longstanding furcation bone loss with a probing depth of 10 mm in the buccal furcation area. We applied a novel approach, which used both nonsurgical and surgical interventions. We first reaccessed the tooth to reseal the perforation site with MTA followed by a newly designed surgical approach including the use of a stent, a reverse submarginal flap, Emdogain (Straumann USA, Andover, MA), guided bone regeneration, and postoperative isolation of the surgical site. The post-treatment follow-ups with up to 19-month recall showed favorable results with significant bone regeneration at the furcation and the probing depth reduced to 4-5 mm.

CONCLUSIONS:

Longstanding furcation perforations with periodontal involvement may be savable and have a better prognosis. This may require a modified flap design to access the defect, guided bone and periodontal regeneration, and postoperative isolation of the surgical defect.

KEYWORDS:

Emdogain; furcation; guided bone regeneration; mineral trioxide aggregate; perforation; reverse submarginal flap

PMID:
25069944
DOI:
10.1016/j.joen.2013.12.013
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center