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CASE REPORT
Year : 2012  |  Volume : 3  |  Issue : 1  |  Page : 643-648

Periodontal management of a furcation defect due to iatrogenic perforation


1 Senior Lecturer, Department of Periodontics, M.E.S Dental College and Hospital, Malalpparamba, Palachode P.O, Kolathur Via,Perintalmanna, Malappuram Dt, Kerala. Pin -679338, India
2 Professor, Department of Periodontics, JSS Dental College,A constituent of JSS University, Mysore, India
3 Senior Lecturer, Department of Periodontics, Narsinbhai Patel Dental College and Hospital, Visnagar, Gujarat, India

Correspondence Address:
Dr. P Divyashree
Senior Lecturer, Department of Periodontics, M.E.S Dental College and Hospital, Malalpparamba, Palachode P.O, Kolathur Via,Perintalmanna, Malappuram Dt, Kerala. Pin -679338
India
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Source of Support: None, Conflict of Interest: None


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Background : Endodontic mishaps still occur despite technological advancements in the field of dental instrumentation and materials. iatrogenic root perforations occur during access preparation, canal instrumentation or preparation of post space. Many of these mishaps are hard to avoid because of the extreme variability in root canal anatomy, canal calcification, abnormal root shapes and curvatures. Clinicians often have difficulty diagnosing and treating root perforations. Case report : This is a case report of the patient who presented with a chronic and recurrent abscess in the right mandibular first molar with dull aching pain, which on radiographic examination showed presence of radio-opaque foreign body in the furcation area. On elevation of the mucoperiosteal flap it showed the presence of amalgam fragment, was retrieved and regenerative procedures were performed. Conclusion : The case was treated and is under follow up. There is a complete resolution of all the symptoms which were present at first appointment.


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