RADIOGRAPHIC ASSESSMENT OF PERFORATION REPAIR QUALITY- AN OBSERVATIONAL STUDY
DOI:
https://doi.org/10.61841/5dcdpm47Keywords:
Electronic medical records, Endodontic Perforations, Perforation Seal, MTAAbstract
Perforation of a tooth is an unfortunate event caused in the endodontic practice that can be induced by various factors such as iatrogenic resorption or by caries. The prognosis of these scenarios depends on various factors like the site of perforation and seal quality. The aim of the current study is to do an observational analysis using electronic medical records from the time frame of April 2019 to April 2020 in which all the cases of perforation repair were assessed. The site of perforation and the seal quality were assessed radiographically, and a score was given depending on the level of quality. From the results achieved, crown perforation and furcal perforation were seen to be observed most. The chi-square test was used to assess the association statistics and was shown to be statistically insignificant (p > 0.005), thus showing there is no correlation between site of perforation and quality of seal. The sealing of the perforation site was done usually with bioaggregate material -MTA—and the seal quality was judged to be overall satisfactory in the crown region, with the furcal region being least satisfactory.
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References
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Bioactive Glass and a Topical Cream Containing Casein Phosphopeptide-Amorphous Calcium [2] Al-Hezaimi, K. et al. (2005) ‘Human saliva penetration of root canals obturated with two types of
mineral trioxide aggregate cements’, Journal of endodontia, 31(6), pp. 453–456.
[3] Camilleri, J. (2014) Mineral Trioxide Aggregate in Dentistry: From Preparation to Application.
Springer.
[4] Chong, B. S. (2019) Managing Endodontic Failure in Practice. Quintessence Publishing.
[5] Clauder, T. and Shin, S.-J. (2006) ‘Repair of perforations with MTA: clinical applications and
mechanisms of action’, Endodontic Topics, pp. 32–55. doi: 10.1111/j.1601-1546.2009.00242.x.
[6] Endodontology, E. S. O. F. and EUROPEAN SOCIETY OF ENDODONTOLOGY (1994) ‘Consensus
report of the European Society of Endodontology on quality guidelines for endodontic treatment’,
International Endodontic Journal, pp. 115–124. doi: 10.1111/j.1365-2591.1994.tb00240.x.
[7] Fuss, Z. and Trope, M. (1996) ‘Root perforations: classification and treatment choices based on
prognostic factors’, Dental Traumatology, pp. 255–264. doi: 10.1111/j.1600-9657.1996.tb00524.x.
[8] Harris, W. E. (1976) ‘A simplified method of treatment for endodontic perforations’, Journal of
Endodontics, pp. 126–134. doi: 10.1016/s0099-2399(76)80009-x.
[9] Hommez, G. M. G., Coppens, C. R. M. and De Moor, R. J. G. (2002) ‘Periapical health related to the
quality of coronal restorations and root fillings’, International Endodontic Journal, pp. 680–689. doi:
10.1046/j.1365-2591.2002.00546.x.
[10] Janani, K., Palanivelu, A. and Sandhya, R. (2020) ‘Diagnostic accuracy of dental pulse oximeter with
customized sensor holder, thermal test and electric pulp test for the evaluation of pulp vitality - An in
vivo study’, Brazilian Dental Science. doi: 10.14295/bds.2020.v23i1.1805.
[11] Jose, J., P., A. and Subbaiyan, H. (2020) ‘Different Treatment Modalities followed by Dental
Practitioners for Ellis Class 2 Fracture – A Questionnaire-based Survey’, The Open Dentistry Journal,
pp. 59–65. doi: 10.2174/1874210602014010059.
[12] Kakani, A. K. (2015) ‘A Review on Perforation Repair Materials’, JOURNAL OF CLINICAL AND
DIAGNOSTIC RESEARCH. doi: 10.7860/jcdr/2015/13854.6501.
[13] Khandelwal, A. and Palanivelu, A. (2019) ‘Correlation Between Dental Caries And Salivary Albumin
In Adult Population In Chennai: An In Vivo Study’, Brazilian Dental Science, 22(2), pp. 228–233.
[14] Kim, M. et al. (2019) ‘Effect of ProRoot MTA® and Biodentine® on osteoclastic differentiation and
activity of mouse bone marrow macrophages’, Journal of Applied Oral Science. doi: 10.1590/1678-
7757-2018-0150.
[15] Kumar, D. and Delphine Priscilla Antony, S. (2018) ‘Calcified Canal and Negotiation-A Review’,
Research Journal of Pharmacy and Technology, p. 3727. doi: 10.5958/0974-360x.2018.00683.2.
[16] Lee, S.-J., Monsef, M. and Torabinejad, M. (1993) ‘Sealing ability of a mineral trioxide aggregate for
repair of lateral root perforations’, Journal of Endodontics, pp. 541–544. doi: 10.1016/s0099-
2399(06)81282-3.
[17] Manohar, M. P. and Sharma, S. (2018) ‘A survey of the knowledge, attitude, and awareness about the
principal choice of intracanal medicaments among the general dental practitioners and nonendodontic
specialists’, Indian journal of dental research: official publication of Indian Society for Dental
Research, 29(6), pp. 716–720.
[18] Margunato, S. et al. (2015) ‘In Vitro Evaluation of ProRoot MTA, Biodentine, and MM-MTA on
Human Alveolar Bone Marrow Stem Cells in Terms of Biocompatibility and Mineralization’, Journal
of Endodontics, pp. 1646–1652. doi: 10.1016/j.joen.2015.05.012.
[19] Mente, J. et al. (2010) ‘Treatment Outcome of Mineral Trioxide Aggregate: Repair of Root
Perforations’, Journal of Endodontics, pp. 208–213. doi: 10.1016/j.joen.2009.10.012.
[20] Nandakumar, M. and Nasim, I. (2018) ‘Comparative evaluation of grape seed and cranberry extracts in
preventing enamel erosion: An optical emission spectrometric analysis’, Journal of conservative
dentistry: JCD, 21(5), pp. 516–520.
[21] Nasim, I. et al. (2018) ‘Clinical performance of resin-modified glass ionomer cement, flowable
composite, and polyacid-modified resin composite in noncarious cervical lesions: One-year follow-up’,
Journal of Conservative Dentistry, p. 510. doi: 10.4103/jcd.jcd_51_18.
[22] Nikoloudaki, G. E. et al. (2014) ‘A Comparative In-Vitro Study of Sealing Ability of Four Different
Materials Used in Furcation Perforation’, Open Journal of Stomatology, pp. 402–411. doi:
10.4236/ojst.2014.48054.
[23] Noor, S. S. S. E., S Syed Shihaab and Pradeep (2016) ‘Chlorhexidine: Its properties and effects’,
Research Journal of Pharmacy and Technology, p. 1755. doi: 10.5958/0974-360x.2016.00353.x.
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Review—Part I: Chemical, Physical, and Antibacterial Properties’, Journal of Endodontics, pp. 16–27.
doi: 10.1016/j.joen.2009.09.006.
[25] Rajakeerthi, R. and Ms, N. (2019) ‘Natural Product as the Storage medium for an avulsed tooth – A
Systematic Review’, Cumhuriyet Dental Journal, 22(2), pp. 249–256.
[26] Rajendran, R. et al. (2019) ‘Comparative Evaluation of Remineralizing Potential of a Paste Containing
Bioactive Glass and a Topical Cream Containing Casein Phosphopeptide-Amorphous Calcium[2] Al-Hezaimi, K. et al. (2005) ‘Human saliva penetration of root canals obturated with two types of
mineral trioxide aggregate cements’, Journal of endodontia, 31(6), pp. 453–456.
[3] Camilleri, J. (2014) Mineral Trioxide Aggregate in Dentistry: From Preparation to Application.
Springer.
[4] Chong, B. S. (2019) Managing Endodontic Failure in Practice. Quintessence Publishing.
[5] Clauder, T. and Shin, S.-J. (2006) ‘Repair of perforations with MTA: clinical applications and
mechanisms of action’, Endodontic Topics, pp. 32–55. doi: 10.1111/j.1601-1546.2009.00242.x.
[6] Endodontology, E. S. O. F. and EUROPEAN SOCIETY OF ENDODONTOLOGY (1994) ‘Consensus
report of the European Society of Endodontology on quality guidelines for endodontic treatment’,
International Endodontic Journal, pp. 115–124. doi: 10.1111/j.1365-2591.1994.tb00240.x.
[7] Fuss, Z. and Trope, M. (1996) ‘Root perforations: classification and treatment choices based on
prognostic factors’, Dental Traumatology, pp. 255–264. doi: 10.1111/j.1600-9657.1996.tb00524.x.
[8] Harris, W. E. (1976) ‘A simplified method of treatment for endodontic perforations’, Journal of
Endodontics, pp. 126–134. doi: 10.1016/s0099-2399(76)80009-x.
[9] Hommez, G. M. G., Coppens, C. R. M. and De Moor, R. J. G. (2002) ‘Periapical health related to the
quality of coronal restorations and root fillings’, International Endodontic Journal, pp. 680–689. doi:
10.1046/j.1365-2591.2002.00546.x.
[10] Janani, K., Palanivelu, A. and Sandhya, R. (2020) ‘Diagnostic accuracy of dental pulse oximeter with
customized sensor holder, thermal test and electric pulp test for the evaluation of pulp vitality - An in
vivo study’, Brazilian Dental Science. doi: 10.14295/bds.2020.v23i1.1805.
[11] Jose, J., P., A. and Subbaiyan, H. (2020) ‘Different Treatment Modalities followed by Dental
Practitioners for Ellis Class 2 Fracture – A Questionnaire-based Survey’, The Open Dentistry Journal,
pp. 59–65. doi: 10.2174/1874210602014010059.
[12] Kakani, A. K. (2015) ‘A Review on Perforation Repair Materials’, JOURNAL OF CLINICAL AND
DIAGNOSTIC RESEARCH. doi: 10.7860/jcdr/2015/13854.6501.
[13] Khandelwal, A. and Palanivelu, A. (2019) ‘Correlation Between Dental Caries And Salivary Albumin
In Adult Population In Chennai: An In Vivo Study’, Brazilian Dental Science, 22(2), pp. 228–233.
[14] Kim, M. et al. (2019) ‘Effect of ProRoot MTA® and Biodentine® on osteoclastic differentiation and
activity of mouse bone marrow macrophages’, Journal of Applied Oral Science. doi: 10.1590/1678-
7757-2018-0150.
[15] Kumar, D. and Delphine Priscilla Antony, S. (2018) ‘Calcified Canal and Negotiation-A Review’,
Research Journal of Pharmacy and Technology, p. 3727. doi: 10.5958/0974-360x.2018.00683.2.
[16] Lee, S.-J., Monsef, M. and Torabinejad, M. (1993) ‘Sealing ability of a mineral trioxide aggregate for
repair of lateral root perforations’, Journal of Endodontics, pp. 541–544. doi: 10.1016/s0099-
2399(06)81282-3.
[17] Manohar, M. P. and Sharma, S. (2018) ‘A survey of the knowledge, attitude, and awareness about the
principal choice of intracanal medicaments among the general dental practitioners and nonendodontic
specialists’, Indian journal of dental research: official publication of Indian Society for Dental
Research, 29(6), pp. 716–720.
[18] Margunato, S. et al. (2015) ‘In Vitro Evaluation of ProRoot MTA, Biodentine, and MM-MTA on
Human Alveolar Bone Marrow Stem Cells in Terms of Biocompatibility and Mineralization’, Journal
of Endodontics, pp. 1646–1652. doi: 10.1016/j.joen.2015.05.012.
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Perforations’, Journal of Endodontics, pp. 208–213. doi: 10.1016/j.joen.2009.10.012.
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preventing enamel erosion: An optical emission spectrometric analysis’, Journal of conservative
dentistry: JCD, 21(5), pp. 516–520.
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composite, and polyacid-modified resin composite in noncarious cervical lesions: One-year follow-up’,
Journal of Conservative Dentistry, p. 510. doi: 10.4103/jcd.jcd_51_18.
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10.4236/ojst.2014.48054.
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