Root perforation associated with the use of a miniscrew implant used for orthodontic anchorage: a case report.
OBJECTIVE
To highlight one of the possible complications associated with the inter-radicular placement of orthodontic miniscrews.


CONCLUSIONS
This case report describes the endodontic treatment and surgical repair of an iatrogenic root perforation involving a maxillary first molar tooth following the placement of an orthodontic miniscrew placed for anchorage purposes in the treatment of an adult patient. The orthodontic treatment plan was completed. The long-term follow-up shows a successful treatment outcome.


CONCLUSIONS
Inter-radicular placement of orthodontic miniscrews is a valuable source of anchorage in the treatment of orthodontic patients. Root perforation is a possible complication from inter-radicular placement of orthodontic miniscrews. Root perforation can be successfully treated, but may involve apical surgery.
The Dental Suite, Old Limerick Road, Oranmore, Galway, Ireland. paul@paulmccabe.ie
P
P
McCabe
C
C
Kavanagh
D000328:Adult; D001047:Apicoectomy; D001863:Bone Screws / Q000009:adverse effects*; D003751:Dental Fistula / Q000209:etiology / Q000601:surgery; D003790:Dental Pulp Necrosis / Q000628:therapy; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008437:Maxilla; D008963:Molar / Q000293:injuries; D052280:Orthodontic Anchorage Procedures / Q000009:adverse effects* / Q000295:instrumentation; D057887:Overbite / Q000628:therapy; D012390:Root Canal Therapy; D014092:Tooth Root / Q000293:injuries* / Q000601:surgery