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Perforation repair : Middle distal canal

From: Jörg Schröder To: ROOTS Sent: Wednesday, January 04, 2006 3:59 PM Subject: [roots] Perf Repair first one in 2006. Came in for completing RCT, that has been already started by another dentist. Medication has been CaOH2. No signs or symptoms. After removing the existing temporary filling, it seemed as if somebody chased the non existing middle distal canal. After C&S I first obturated the canals ( modified Schilder) and then placed the MTA (Angulus) on the perforation. Is there any reason to first cover the perforation in a case like this? ( Perforation far away from the orifice, no bleeding) I don't like the look of the obturation. Too much GG in the middle third. Hope it will work. - Jörg Schröder

Jorg, It looks very nice. Good obturation of the apical anatomy. The perf looks to be in the gingival 1/3, a bad place for it to be. Was there any perio communication to the perf? That could lower the prognosis.- Randy Hedrick Randy, No, there has been no probing more than 2-3 mm and no communication. Because I could see the alveolar bone all around the perforation I decided to place the MTA instead of flapping the case and try to bond the perforation from the other side.- Jörg

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