Contemporary management of lateral root perforation diagnosed with the aid of dental computed tomography.
Lateral root perforation unnoticed during post-space preparation, and followed by post cementation, can subsequently be challenging to diagnose in the labio-lingual plane due to the two-dimensional nature of conventional radiography. This paper demonstrates the application of a recently developed three-dimensional imaging system, cone beam computed tomography, in the diagnosis of iatrogenic root perforation. A clinical case is reported where labial post perforation in a maxillary central incisor occurring 15 years previously presented with a sinus tract and radiolucent lesion. Non-surgical retreatment and perforation repair using mineral trioxide aggregate was performed with the aid of an operating microscope. The sinus tract resolved with radiographic evidence of healing at 1-year recall.
Young
Geoffrey R
GR
School of Dental Science, University of Melbourne, Melbourne, Victoria, Australia. gyoung77@gmail.com
D054893:Cone-Beam Computed Tomography / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010482:Periapical Abscess / Q000000981:diagnostic imaging / Q000209:etiology; D012390:Root Canal Therapy / Q000009:adverse effects; D018677:Tooth Injuries / Q000150:complications / Q000000981:diagnostic imaging*; D014092:Tooth Root / Q000000981:diagnostic imaging / Q000293:injuries*