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MTA In The Treatment Of Furcation Perforation In Upper Molars Under Operative Microscopy: Case Report

Macedo IFA;
Duarte MM;
Chaves HGS;
Figueiredo B;
Valadares ACT;
Viana ACD;
Araújo CV

Isabella Figueiredo Assis Macedo

Marcella Mattos Duarte

Hebertt Gonzaga dos Santos Chaves

Barbara Figueiredo

Ana Carolina Trindade Valadares

Ana Cecília Diniz Viana

Christiane Valente Araújo


Keywords

Endodontics
Root Canal Therapy
Teaching
Canal Preparation

Abstract

During endodontic procedures, the occurrence of iatrogenesis can compromise the success of the treatment and knowing how to conduct them is essential for a favorable outcome. Endodontic perforation is a communication between the pulp space and the external surface of the tooth. The most suitable material for sealing perforations is Mineral Trioxide Aggregate (MTA), a bioceramic capable of inducing the formation of mineralized tissue. The use of loupes or operating microscope is an important tool in the management of complex cases, as it allows magnification and illumination of the operating field. The objective of this study is to report a case of a patient submitted to endodontic treatment and sealing of furcation perforation, with the aid of operative microscopy, evidencing the use of MTA. The patient was referred to Faculdade São Leopoldo Mandic for endodontic treatment of tooth 26, which included sealing a perforation and locating the mesiobuccal canal. Chemical-mechanical preparation of root canals was performed with ProDesign Logic instruments, 2% chlorhexidine gel, and distilled water as irrigant. The sealing of the perforation was performed with MTA Angelus. After a period of three months, the patient remained asymptomatic. It was concluded that the treatment was satisfactorily completed, considering the complexity of the case, influenced by patient's age, the difficult access and direct visualization of the tooth and the presence of complications. The use of an operating microscope provided field magnification and illumination, necessary for the detection of the mesiobuccal canal and greater accuracy in the application of the repair material.

 

DOI: https://doi.org/10.56238/colleinternhealthscienv1-096


Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2023 Isabella Figueiredo Assis Macedo, Marcella Mattos Duarte, Hebertt Gonzaga dos Santos Chaves, Barbara Figueiredo, Ana Carolina Trindade Valadares, Ana Cecília Diniz Viana, Christiane Valente Araújo

Author(s)

  • Isabella Figueiredo Assis Macedo
  • Marcella Mattos Duarte
  • Hebertt Gonzaga dos Santos Chaves
  • Barbara Figueiredo
  • Ana Carolina Trindade Valadares
  • Ana Cecília Diniz Viana
  • Christiane Valente Araújo