What does “Root perforation” mean?
Root perforation is an abnormal communication between the root canal space and the tissues outside the root. It may be related to damage during treatment or tooth resorption, so its location and cause are assessed.
Is it different from the normal opening at the root tip?
The apical foramen is a normal structure through which blood vessels and nerves pass. A perforation connects the inside and outside of the tooth at a location other than the normal passage.
What affects the prognosis?
The location and size of the perforation, infection, and the time between its occurrence and treatment are important. Its relationship to the surrounding gums and bone is assessed, and a treatment plan is established as promptly as possible.
How is it treated?
Controlling contamination and sealing the communication with a biocompatible material are considered. Access through the root canal, the need for additional surgery, and the remaining tooth support are assessed together.
Frequently Asked Questions
Does a perforation always require extraction?
Preservation may be attempted depending on the location and extent of damage and infection. The ability to seal the perforation and the condition of periodontal support are important in choosing treatment.
What is checked after it has been sealed?
Pain, swelling, healing of surrounding tissues, and the seal are followed through clinical examinations and imaging when needed.
Questions about root perforation
Learn what the term means and how it relates to your dental condition.
- Sufficient understanding
Where is the abnormal communication?
Explanation and evidenceIts position at the root tip, lateral surface, or furcation and its relationship to surrounding tissues are distinguished.
American Association of Endodontists · The Standard of Practice in Contemporary Endodontics - A choice suited to your condition
Can it be sealed and the infection controlled?
Explanation and evidenceThe possibility of preservation is assessed based on access and the condition of the remaining tooth.
American Association of Endodontists · Differentiating Resorption
