Bioceramic sealer in conservative treatment of mandibular molar root perforation

Marcos Coelho SANTIAGO, Laudimar Alves DE-OLIVEIRA, Jacy Ribeiro CARVALHO-JUNIOR, Loise Pedrosa SALLES

Introduction: Root perforation is a technical-surgical accident that results in communication of the pulp cavity with periodontal tissues. This type of accident may have an unfavorable prognosis because it significantly affects the floor of the coronary chamber or the cervical, middle and apical thirds of the root canal. Factors that interfere with the prognosis of root perforations include location, extension, presence or absence of periodontal pocket, time elapsed between perforation and treatment, and type of obturator material. In this context, bioceramic canal sealers have emerged as an innovative proposal for treatment of perforations previously considered to have an unfavorable prognosis. Objective: The aim of this study was to report the treatment of a lower molar root perforation with the EndoSequence BC Sealer bioceramic sealer after a 3-year follow up. Results: Radiographic images and patient clinical data showed success in the treatment of perforation with repair of the periradicular lesion. Conclusion: Endo-Sequence BC Sealer bioceramic endodontic sealer associated with the resumption of the original conduit path and its instrumentation favored the repair of periradicular tissues, suggesting promising biological properties of compatibility and bioactivity.

Keywords: Silicate Cement. Root Canal Filling Materials. Root Canal Obturation. Dental Cements.

How to cite: Santiago MC, De-Oliveira LA, Carvalho-Junior JR, Salles LP. Bioceramic sealer in conservative treatment of mandibular molar root perforation. Dental Press Endod. 2021 May-Aug;11(2):69-75.

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