Fiber post retrieval and furcal perforation repair in maxillary molar: A case report with one year follow-up
https://doi.org/10.36377/ET-0111
Abstract
INTRODUCTION. Furcal perforation is a complex endodontic complication that can jeopardize treatment outcomes. Accurate diagnosis and appropriate management are essential to prevent periodontal breakdown and tooth loss.
AIM. This case report aims to present the non-surgical management of a furcal perforation in a maxillary first molar caused by fiber post-placement, emphasizing the role of CBCT, biomaterials, and magnification.
MATERIALS AND METHODS. A 33-year-old female presented with mild pain and swelling in the upper left maxillary region. Clinical examination revealed a sinus tract near the cervical area. Cone Beam Computed Tomography (CBCT) confirmed a furcal perforation with extrusion of a fiber post. The fiber post was carefully removed under magnification using ultrasonic tips. Hemostasis was achieved, and a calcium hydroxide dressing was applied to the perforation site to promote healing. After 10 days, the site was sealed with mineral trioxide aggregate (MTA). The tooth was then permanently restored following core buildup.
RESULTS. At the one-year follow-up, the tooth was asymptomatic. CBCT showed bone healing at the perforation site, and the sinus tract had resolved. Clinical and radiographic evaluation confirmed successful tissue repair and preservation of periodontal health.
CONCLUSIONS. This case highlights the importance of early detection and precise management of furcal perforations. The use of CBCT, magnification, and MTA enables predictable, non-surgical repair. Even in delayed cases, MTA provides effective sealing and promotes long-term clinical success.
Keywords
Supporting agencies: There are no funding and individual acknowledgments to declare.
About the Authors
S. Shenvi
KLE VK Institute of Dental Sciences, KLE Academy of Higher Education and Research, Deemed-to-be-University
India
Competing Interests:
India
Suresh Shenvi – Associate Professor, Department of Conservative Dentistry and Endodontics, Reader, Department of Conservative Dentistry & Endodontics
Belagavi, Karnataka
Competing Interests:
The authors report no conflict of interest.
S. Kumar
Government Dental College & Research Institute
India
Competing Interests:
India
Shiva Kumar – Associate Professor, Department of Forensic Odontology
Bangalore
Competing Interests:
The authors report no conflict of interest.
A. Khaitan
Dr. R. Ahmed Dental College and Hospital
India
Competing Interests:
India
Anshuman Khaitan – MDS, Conservative Dentistry & Endodontics, Assistant Professor, Department of Conservative Dentistry & Endodontics
Kolkata, West Bengal
Competing Interests:
The authors report no conflict of interest.
P. Oswal
Dr. D.Y. Patil Dental College & Hospital, Dr. D.Y. Patil Vidyapeeth
India
Competing Interests:
India
Piyush Oswal – MDS, Conservative Dentistry & Endodontics, Associate Professor, Department of Conservative Dentistry and Endodontics
Pimpri, Pune, Maharasthra
Competing Interests:
The authors report no conflict of interest.
A. Praveen
Government Dental College
India
Competing Interests:
India
Ajay Praveen – Assistant Professor, Department of Conservative Dentistry and Endodontics
Pudukkottai 622004
Competing Interests:
The authors report no conflict of interest.
K. R. Jadhav
A.T. Still University Missouri School of Dentistry and Oral Health
United States
Competing Interests:
United States
Kapil Ramesh Jadhav – Assistant Professor, Director Specialty Care Unit of Endodontics
Missouri
Competing Interests:
The authors report no conflict of interest.
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Review
For citations:
Shenvi S., Kumar S., Khaitan A., Oswal P., Praveen A., Jadhav K.R. Fiber post retrieval and furcal perforation repair in maxillary molar: A case report with one year follow-up. Endodontics Today. (In Russ.) https://doi.org/10.36377/ET-0111
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