PERFORATION REPAIR IN A MAXILLARY SECOND MOLAR WITH A MONORADICULAR CONFIGURATION

Description

Andreea Oana CRISTESCU-ROȘU, Dana COSAC, Ștefan MANEA, Anna Maria PANGICĂ, Andrei CHIRIŢĂ

The aim of this case report is to highlight the importance of knowing the anatomy of all molars and all the exceptions from the most frequent anatomy and also how to repair a large perforation with use of MTA and also Glass Ionomer Cement. Generally, upper first molars have three long, separate, and divergent roots. Upper third molars tend to have fused roots. Upper second molar roots are intermediate. The possible fusion of the mesio-vestibular root with the palatine one can originate a variation with two roots in 15% of cases. One tooth out of ten has 1 or 2 canals and a monoradicular configuration. In the following case, the referral dentist searched for the MB root in a single rooted second upper molar, which resulted in a large lateral perforation (both over-crestal and under-crestal) almost impossible to repair. Together with the patient it was decided to try and save the tooth and the perforation was sealed with MTA and GIC cements. The 5 years follow-up X-Ray shows a great success.

https://doi.org/10.58679/UTM61429