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.
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Xavier-Fructuós Ruiz Sanchez, D.D.S, M.Sc
Dr. Xavier-Fructuós Ruiz graduated from dentistry at the Universitat Internacional de Catalunya (UIC) in Barcelona, Spain. He also obtained the European Master in Endodontics 3-year full time program and the Master’s Degree in Dental Research from the same university. In 2018 he was a visiting doctoral researcher at ACTA (Amsterdam, The Netherlands). He is currently developing his studies for the PhD.
In 2017 Xavier-Fructuós Ruiz received the best clinical case presentation award at the Biennial Congress of the European Society of Endodontology (ESE, Brussels, Belgium). In 2018 que won the best scientific article published in 2017 at the XXII National and IX International Congress of the SEOC (Seville, Spain). Furthermore, in 2020 he obtained the Journal of Endodontics Publication Award 2019 for the best published systematic review and the Honorable Mention in 2021 from the American Association of Endodontists (AAE).
Dr. Ruiz is an associate professor at UIC and has contributed as an author of scientific publications related to endodontics in national and international journals with high-impact factor. He is an active member of the Spanish Association of Endodontics (AEDE), a specialist member of the European Society of Endodontology (ESE) and an international member of the AAE. Furthermore, Dr. Ruiz combines his work in a private practice limited to Endodontics in Barcelona (Spain) with lectures in national and international congresses.
Disclosure(s): No financial relationships to disclose