MANAGEMENT OF PULPAL FLOOR PERFORATION BY USING BIODENTINE: A CLINICAL REPORT

Romana Nisar*, Pooja Tiwari, Vikrant Kumar, Sarish Mahajan and Shobhamoyee Baruah

ABSTRACT

Furcal perforation may be the consequence of procedural error or a pathologic process such as caries and root Resorption. Furcal perforations are one of the most challenging cause of endodontic failure of multirooted teeth. Inadequacy of the repair materials has been a contributing factor to the poor outcome of repair procedures. Several materials including MTA, GIC have been used for non-surgical repair of furcal perforations. On the basis of physical and biological property this material may be suitable for closing the communication between the pulp chamber and the underlying periodontal tissues. The presence of bismuth oxide in MTA formulation may darken the tooth. Significant downside to MTA is the prolonged setting time of approximately 2 hours and 45 minutes. This requires that pulp capping with MTA can be in two-steps. Recently, new materials such as, Biodentine® Biodentine (Septodont: Saint Maurdes Fosses France) with similar composition was introduced with shorter setting time (10 minutes), greater biocompatibility, bioactivity and biomineralization properties than MTA. Moreover, Biodentine shows improved antibacterial property and low cytotoxic effect as compared to MTA. The purpose of this case report was to describe the treatment of furcal perforation using Biodentine® in molar teeth. The tooth was endodontically treated and the perforations were cleaned with NaOCl and saline solution and sealed with Biodentine®. Finally, the coronal portion of tooth is restored with composite resin and then a ceramic veneer crown is placed over it. After six months, absence of any periradicular radiolucent lesion, pain, and swelling along with abnormal functional tooth stability indicated a successful outcome of the sealing perforations.

Keywords: Repair, Furcal perforation, Biodentine, Root canal treatment.