Title : Bio ceramic material for root perforation management
Root perforations have always been a major cause of endodontic failure. It is a communication between the canal system and the external surface of the tooth of pathological or iatrogenic origin. The perforation then becomes an additional passageway between the endodontic and the periodontium. For a long time, the prognosis of root perforations was considered unfavorable and associated with an unacceptable failure rate. In case of perforation, the rate. the success of apical periodontitis which was initially 84% drops to 40%. Even today, root perforation is considered to be synonymous with fatality. Perforation is still today a pathology dedicated to extraction. During the last 30-40 years, the medical industry has experienced a real development of materials that can be used in the field of tissue regeneration and repair. Considerable advances have been made at the technological and scientific level allowing us to introduce into our daily practice a group of materials called “bioceramics”. These bioceramic materials allow by sealing the perforation, to take care of this pathology according to a conservative approach. The purpose of this work is to present through a clinical case the protocol for the management of perforations by these materials.