• Pak J Med Sci · Sep 2022

    Case Reports

    Management of concomitant strip and apical perforation in mandibular first molar.

    • Mustafa Hussein Al Attas, Thiyezen Abdullah Aldhelai, and Muhammad Qasim Javed.
    • Mustafa Hussein Al Attas, Saudi Board in Endodontics, Assistant Professor, Department of Conservative Dental Sciences and Endodontics, College of Dentistry, Qassim University, Saudi Arabia.
    • Pak J Med Sci. 2022 Sep 1; 38 (7): 2034-2038.

    AbstractIatrogenic perforation is a complication that can occur during endodontic treatment. If left untreated, it adversely affects the prognosis of the tooth. The use of optimal magnification and appropriate repair material help in achieving favourable outcome. The current case report illustrates the management of concomitant strip and apical perforation in the mesial canals of lower first molar of 13 years old paediatric patient. The management of perforations was done with MTA under 25x magnification of a dental operating microscope. The periapical radiograph and clinical investigations revealed complete bone formation at the furcal area adjacent to the repaired strip perforation and ossification of the apical lesion indicating a favourable healing outcome at 18 months of follow up.Copyright: © Pakistan Journal of Medical Sciences.

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