SP-8 Clinical Management of Root Perforations: A 10-year Retrospective Assessment of Outcome Predictors

CE Hours: 0.75

Description: Root perforations represent one of the most challenging complications during endodontic procedures. These are defined as a communication between the root canal space and the periodontal tissues, and can result as a pathological phenomenon (perforating root resorptions) or a iatrogenic event. To date, factors such as time, size, location, radiolucency adjacent to the perforation, gender or the repair material have been reported as significant prognostic factors. Thus, the primary aim of this this presentation is to perform an exhaustive literature review regarding root perforations outcome. The secondary objective is to describe the clinical management of root perforations and to present the results of a recent investigation carried out in a private practice during 2014-2022 with a minimum follow-up 2 years. A sample size of 82 teeth was retrospectively assessed and the outcome (healed, healing in process, failure) was statistically related to all the possible outcome predictors.

Learning Objectives:  

• Describe a well-established protocol to manage root perforations according to the different scenarios (time, size, location of the perforation).
• Review the present literature regarding root perforations treatment outcome.
• Evaluate the success of root perforations repair in combination with the preoperative, intraoperative and postoperative prognostic factors of current investigation.