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CASE REPORT
Year : 2019  |  Volume : 9  |  Issue : 2  |  Page : 134-139

Use of cone-beam computed tomography as a diagnostic aid in nonsurgical endodontic management of furcation perforations: Two case reports


1 Department of Conservative Dentistry and Endodontics, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Sri Shivarathreeshwara Nagara, Mysore, Karnataka, India
2 Specialist Endodontist, Private Practice, Strong Roots Dental Clinic, Ernakulam, Kerala, India

Correspondence Address:
Dr. Paras Mull Gehlot
Department of Conservative Dentistry and Endodontics, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Sri Shivarathreeshwara Nagara, Mysore - 570 015, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sej.sej_53_18

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Iatrogenic furcation perforation is undesirable communication between the pulpal floor and the periodontium. This study reports nonsurgical endodontic management of iatrogenic furcation perforation in mandibular molars in two cases. Cone-beam computed tomography (CBCT) was used as an advanced diagnostic aid to accurately determine the location and extent of the perforation. The perforation was sealed with mineral trioxide aggregate, and the teeth were treated endodontically. Since the pulpal floor was weakened due to perforations, attempt was made to reinforce the coronal tooth structure using composite resin. Full crowns were placed as a definitive restoration. Two-year postoperative follow-up showed the absence of pain or swelling clinically, and radiographic examination revealed complete healing of furcation lesion. The use of CBCT in this report was a valuable diagnostic aid, which helped in better treatment planning and improved treatment outcome for the patient.


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