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Successful management of a perforated mandibular molar using amalgam and hydroxylapatite
Ist Teil von
Journal of endodontics, 1987-08, Vol.13 (8), p.400-404
Ort / Verlag
United States: Elsevier Inc
Erscheinungsjahr
1987
Link zum Volltext
Quelle
Access via ScienceDirect (Elsevier)
Beschreibungen/Notizen
The case of a mandibular molar with iatrogenic perforations of both roots is presented. Gutta-percha was extruded into the furcation during obturation and subsequently contributed to extensive osseous destruction of that region. The effort to save this seriously involved molar included: a) an internal amalgam repair of the mesial root; (b) a surgical curettage; (c) external amalgam repair of the distal root; and (d) reconstruction of the furcation architecture with a hydroxylapatite graft. A 21-month follow-up examination verified retention of the graft and tissue reattachment. Results obtained with this tooth offer the possibility of a successful repair technique for this otherwise hopeless complication of endodontic therapy.