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A clinical and roentgenological study of 55 cases of root perforation
Author(s) -
KVINNSLAND I.,
OSWALD R. J.,
HALSE A.,
GRØNNINGSÆTER A. G.
Publication year - 1989
Publication title -
international endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.988
H-Index - 119
eISSN - 1365-2591
pISSN - 0143-2885
DOI - 10.1111/j.1365-2591.1989.tb00509.x
Subject(s) - medicine , dentistry , perforation , surgery , root canal , complication , materials science , punching , metallurgy
Summary. The treatment outcome of 55 root perforations in man were related to pretreatment conditions and various treatment procedures used, with a mean recall period of 3 years 5 months. In this study maxillary teeth were perforated three times more often (74.5 per cent) than mandihular teeth (25.5 per cent); 47 per cent of the perforations were due to endodontic and 53 per cent due to prosthodontic treatment. The buccal and mesial root surfaces as well as the midroot areas w ere most often perforated. In 25 per cent, radiographic changes were directly related to the perforated areas. Twenty‐eight perforations were repaired by orthograde fillings with gutta‐percha and Kloro‐percha N‐ø; eight received a combined orthograde and surgical repair, and in only three cases a surgical approach was used. Four cases received no treatment but were recalled, and twelve perforations showed a size and location hopeless for repair; the teeth were therefore extracted. Five failures of the primary orthograde treatment group later underwent surgical treatment and were followed up for 3 years 3 months. The overall success rate in the primary treatment group of teeth was 56 per cent while 36 per cent became failures. Five failures were retreated, and four of these became successful. A combined orthograde and surgical repair of the perforations provided the most favourable outcome with 92 per cent successful. The study stresses the importance of preventing this type of treatment complication.