Journal of Operative Dentistry & Endodontics

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VOLUME 7 , ISSUE 1 ( January-June, 2022 ) > List of Articles

CASE REPORT

Single-appointment Treatment for Root Perforation in High Esthetic Zone Using Polytetrafluoroethylene and Calcium Silicate-based Material

Cesar Andre Zevallos-Quiroz, Abel Teves-Cordova

Keywords : Endodontic, Incisor, Perforation, Retreatment

Citation Information : Zevallos-Quiroz CA, Teves-Cordova A. Single-appointment Treatment for Root Perforation in High Esthetic Zone Using Polytetrafluoroethylene and Calcium Silicate-based Material. J Oper Dent Endod 2022; 7 (1):16-21.

DOI: 10.5005/jp-journals-10047-0122

License: CC BY-NC 4.0

Published Online: 21-08-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: To describe and discuss the management of root perforation in the cervical third of a high esthetic demand zone in the maxillary incisor teeth. Background and objectives: Biodentine is a calcium silicate-based repair material that requires a short setting time. This material has the advantage of setting in a matter of minutes without causing long-term discoloration, and exhibits biocompatibility similar to mineral trioxide aggregate (MTA). Polytetrafluoroethylene (PTFE) is a fluorocarbon solid, nontoxic to humans, highly resistant to heat and chemicals, and is used in dentistry as a barrier in adhesive restorations. We describe and discuss the management of root perforation in the cervical third of a high esthetic demand zone in the maxillary incisor teeth using these materials. Case description: The present manuscript describes a technique in three cases of root perforation treated in a single-session appointment with Biodentine in combination with PTFE, that is utilized as a barrier to prevent the calcium silicate-based repair material from penetrating the root canal until the material fully sets, then the endodontic retreatment can be completed. Conclusion: The technique described using PTFE as a barrier was effective to prevent the calcium silicate-based repair material Biodentine from penetrating the root canal during endodontic retreatment. Clinical significance: Root perforation can be treated in a single session using PTFE and calcium silicate-based.

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  1. Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study. Phases I and II: orthograde retreatment. J Endod 2004;30(9):627–633. DOI: 10.1097/01.don.0000129958.12388.82.
  2. de Chevigny C, Dao TT, Basrani BR, et al. Treatment outcome in endodontics: the Toronto study--phases 3 and 4: orthograde retreatment. J Endod 2008;34(2):131–137. DOI: 10.1016/j.joen. 2007.11.003.
  3. Yoldaş SE, Bani M, Atabek D, et al. Comparison of the potential discoloration effect of bioaggregate, biodentine, and white mineral trioxide aggregate on bovine teeth: in vitro research. J Endod 2016;42(12):1815–1818. DOI: 10.1016/j.joen.2016.08.020.
  4. Karypidou A, Chatzinikolaou ID, Kouros P, et al. Management of bilateral invasive cervical resorption lesions in maxillary incisors using a novel calcium silicate-based cement: a case report. Quintessence Int 2016;47(8):637–642. DOI: 10.3290/j.qi.a36385.
  5. Kameda T, Ohkuma K, Oka S. Polytetrafluoroethylene (PTFE): A resin material for possible use in dental prostheses and devices. Dent Mater J 2019;38(1):136–142. DOI:10.4012/dmj.2018-088.
  6. van der Sluis LW, Vogels MP, Verhaagen B, et al. Study on the influence of refreshment/activation cycles and irrigants on mechanical cleaning efficiency during ultrasonic activation of the irrigant. J Endod 2010;36(4):737–740. DOI: 10.1016/j.joen.2009.12.004.
  7. Fuss Z, Trope M. Root perforations: classification and treatment choices based on prognostic factors. Endod Dent Traumatol 1996;12(6):255–264. DOI: 10.1111/j.1600-9657.1996.tb00524.x.
  8. Bürklein S, Schäfer E. Minimally invasive endodontics. Quintessence Int 2015;46(2):119–124. DOI: 10.3290/j.qi.a33047.
  9. Arens DE, Torabinejad M. Repair of furcal perforations with mineral trioxide aggregate: Two case reports. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;82(1):84–88. DOI: 10.1016/s1079-2104(96)80382-9.
  10. Madani Z, Alvandifar S, Bizhani A. Evaluation of tooth discoloration after treatment with mineral trioxide aggregate, calcium-enriched mixture, and Biodentine® in the presence and absence of blood. Dent Res J (Isfahan). 2019;16(6):377–383. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6873240/pdf/DRJ-16-377.pdf.
  11. Marciano MA, Duarte MA, Camilleri J. Dental discoloration caused by bismuth oxide in MTA in the presence of sodium hypochlorite. Clin Oral Investig. 2015;19(9):2201–2209. DOI: 10.1007/s00784-015-1466-8.
  12. Kaur M, Singh H, Dhillon JS, et al. MTA versus Biodentine: Review of Literature with a Comparative Analysis. J Clin Diagn Res 2017;11(8):ZG01-ZG05. DOI: 10.7860/JCDR/2017/25840.10374.
  13. Grech L, Mallia B, Camilleri J. Investigation of the physical properties of tricalcium silicate cement-based root-end filling materials. Dent Mater 2013;29(2):e20–e28. DOI: 10.1016/j.dental.2012.11.007.
  14. Tanalp J, Karapınar-Kazandağ M, Dölekoğlu S, et al. Comparison of the radiopacities of different root-end filling and repair materials. Scientific World Journal 2013;2013:594–950. DOI: 10.1155/2013/594950.
  15. Dunn WJ, Davis JT, Casey JA. Polytetrafluoroethylene (PTFE) tape as a matrix in operative dentistry. Oper Dent 2004;29(4):470–472.
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