Akademik Veri Yönetim Sistemi
IFEA 2024 World Endodontic Congress, Glasgow, İngiltere, 11 - 14 Eylül 2024, ss.1
Introduction/Aim: In this case report, we aimed to describe the treatment procedure for the complications of screw placement that resulted in the perforation of multiple tooth roots in a trauma patient restored with only endodontic treatment.
Case Presentation: The patient was administered Plastic Surgery due to trauma. To stabilize fraction areas surgeons placed screws in four areas. Following the extraction of the screws, the patient was referred to the Department of Endodontics. Multiple instances of root perforations and crown fractures were observed. Teeth #12 and #22 have complicated crown fractures and need fiber post-restoration for later prosthodontic rehabilitation. After the completion of root canal treatment for teeth #12 and #22, fiber post-restoration was applied. For stabilization of teeth #21, which has a horizontal root fracture, a fiber splint was applied to teeth #12, #21, and #22. A follow-up was advised for tooth #21 because of its asymptomatic and immobile condition. The splint was removed after 2-week. Tooth #24 has a perforation area at both buccal and palatal root surfaces. MTA for apical plug, and warm vertical compact root canal obliteration was applied. There were perforations at the middle third of the root for teeth #35, #34, #45, and mesial roots of #46. A single cone of gutta-percha was inserted to fill the apex, while MTA was used to seal the perforation. Subsequently, warm vertical compaction was applied and the procedure was completed with a composite restoration.
Results: During the 3-month follow-up appointment, all teeth showed no symptoms. During the 6-month follow-up, all teeth remained asymptomatic except for tooth #21, which was extracted for prosthetic reasons.
Conclusion: To prevent root perforations while placing a screw, it is necessary to employ accurate radiographic imaging, meticulous preoperative planning of screw placement, and a thorough understanding of the anatomy of the maxillofacial region.