Successful management of root perforation with bioceramics: a case report with clinical and radiographic follow-up

Abstract

Introduction: root perforations are a frequent complication in endodontic practice. The prognosis of these teeth depends on several factors, such as the location, size, and the time elapsed since the perforation occurred. In recent years, treatment has evolved with the introduction of bioceramic materials, which provide superior sealing ability compared with traditional filling materials. Objective: to present a clinical case on the successful management of root perforation using bioceramic materials, including clinical and radiographic follow-up. Methodology: a clinical case is reported involving the surgical selling of a root perforation in the middle third of a previously treated tooth using bioceramic materials. Clinical and radiographic follow-ups were performed for 15 days, 1 month, 3, 6, and 9 months. Results: The patient remained asymptomatic, without signs of inflammation or dental mobility. Radiographic evaluation revealed appropriate periradicular tissue regeneration. Conclusions: although extensive root perforations are often considered lesions with poor prognosis, they do not necessarily imply the definitive loss of the tooth. This case demonstrates that, through timely intervention, the use of bioceramic materials and the correct application of biological protocols, it is possible to restore and maintain the functionality of the affected tooth. General Area of Study: Odontology. Specific area of study: Endodontic. Type of study: Clinical case.