Abstract
Perforations are undesirable complications and unfortunate incidents that can occur during root canal therapy. The present case report describes the surgical management of extensive iatrogenic perforation of the pulpal floor of the first mandibular molar in furcation area. Radiographic analysis confirmed Grade II furcation involvement. Therefore, the diagnosis of primary endodontic and secondary periodontal lesion was made. Surgical debridement of the furcation area with simultaneous repair of perforation was considered. After flap reflection and proper debridement, perforation was located. The perforation was sealed with biodentine. In the furcation area, regeneration was done by placing bone graft and covering it with guided tissue regeneration membrane. Postoperatively, the healing was uneventful. After healing, prosthetic restoration was done. Thus, the case was successfully managed. Clinical Relevance To Interdisciplinary Dentistry Biodentine has a wide range of applications including endodontic repair (root perforations, apexification, resorptive lesions, and retrograde filling material in endodontic surgery) and pulp capping and can be used as a dentine replacement material in restorative dentistry. Its lack of cytotoxixity and tissue acceptability properties make it biocompatible with pulpal and periodontal tissue.
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