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Article: Volume 45 Number 2 Page 155 - February 2018

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  Dent Update 2018; 45: 155-162

Surgical Endodontics:  Surgical Root Perforation Repair with Guided Tissue Regeneration: A Case Report

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Abstract: A 43-year-old male reported with pain and swelling in the maxillary anterior region as a result of iatrogenic perforation of his right maxillary central incisor tooth. After attempted internal repair, surgical management was required due to repair material extrusion. Removal of the extruded material preceded repair of the perforation site with biosilicate cement which had a short initial setting time. The set repair material then allowed Guided Bone Regeneration (GBR) to be performed to reduce the risk of recession in a single surgical process. At 24-month recall, the patient was asymptomatic with no clinical or radiographic evidence of ongoing disease. Additionally, the patient presented with excellent aesthetics after surgical management.

Clinical relevance: Comprehensive management of endodontic perforations, especially in the anterior dentition, should stretch beyond tooth survival and include the need to maintain and improve the patient’s aesthetics.

Author notes: Rishi Joshi, BDS, MFDS, General Dental Practitioner, Midland Smile Centre, Birmingham and Matthew B M Thomas, BDS, MFDS, MPhil, MRD, FDS(Rest Dent), FDS RCSEd, Consultant in Restorative Dentistry, Department of Restorative Dentistry, University Dental Hospital, Cardiff, CF14 4XY, UK.

Objective: To describe the clinical and radiological outcome of an endodontic perforation associated with a complex bony defect, managed with a combination of a biosilicate cement with short setting time and guided bone regeneration. Enhanced CPD DO C