Keywords
Iatrogenic disease
Endodontics
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Abstract
Objective: Expose the concept, diagnosis and treatment of root perforations. Bibliographic review: Perforations are endo-periodontal communications caused by pathological processes or through iatrogenic events during dental procedures. Generally, root perforations are associated with inflammatory processes in the surrounding periodontal tissues, which implies the need for a periodontal evaluation, as the tissue health conditions will define the best treatment alternative, which can be surgical or not, or even the combination of both. With the aid of complementary tests to determine its location and size, which will establish precise treatment directions, as well as the time between the accident and its repair, they will favor the diagnosis and treatment success. Final considerations: This review aimed to establish and discuss contemporary therapeutic directions for the treatment of root canal communications. Thus, the essential aspects of repairing these injuries include their diagnosis, prognosis, and a discussion of suggested materials for sealing a root canal perforation.
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