Treatment of perforated canals: a case report

ABSTRACT

The present work introduces the clinical case report of a 32-year-old male patient who sought the Department of Conservative Dentistry and Endodontics in Bangalore Institute of Dental Sciences, Bangalore with complaint of pain in the second upper left premolar. At the clinical examination, the tooth presented caries in the distal region, sensitivity to cold water and slight symptomatology to percussion. Radiographically the tooth presented a deep carious with pulp envelopment and thickening of the periodontal ligament in the apical region. During the opening of endodontic access a perforation occurred in the mesial region due to the incorrect direction of the drill. The perforation site was gently dried with hemostatic agent and then GIC was placed condensing along the perforation walls. Once this was done, root canal treatment was continued and the root canal was obturated to assess the attitude and practice of dental professionals towards using of advance radiographic technique.