Prevalence and Associated Periodontal Status of Teeth with Root Perforation: A Retrospective Study of 2,002 Patients' Medical Records

Igor Tsesis, Ester Rosenberg, Vadim Faivishevsky, Anda Kfir, Menahem Katz, Eyal Rosen

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Various procedures along the course of an endodontic treatment may lead to perforations. The prognosis of perforated teeth depends on perforation location, perforation size, and time from occurrence. The aim of this study was to retrospectively evaluate the prevalence of root perforations and associated pathological changes in the adjacent periodontal tissues. Methods: Full periapical status surveys and medical records of 2,002 patients with a total of 56,175 teeth were evaluated. Results: Of a total of 5,048 root canal-treated teeth, 116 root perforations were indentified in 101 patients. Associated pathological changes in the adjacent periodontal tissues were identified in 81 teeth with perforations. The patient's age, perforation location and size, and tooth type significantly influenced the occurrence of perforation associated periodontal damage. Conclusions: When a perforation occurs, the main treatment goal is to prevent long-lasting injury to the periodontium. Better knowledge of the prevalence of perforations and their possible predictors may assist the clinician in the prevention and treatment of iatrogenic root perforations.

Original languageEnglish
Pages (from-to)797-800
Number of pages4
JournalJournal of Endodontics
Volume36
Issue number5
DOIs
StatePublished - May 2010

Keywords

  • Endodontic treatment
  • periodontal tissues
  • root perforation

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