Treatment of a Gross Perforation

Terry Pannkuk, DDS, MScD Instructional, Clinical Endodontic Technique Instruction, Access, Complications: Advanced Management, Perforations

Proper treatment of a gross perforation with a bioactive material can lead to remarkable healing.

Treatment Plan: Nonsurgical Endodontic Therapy and internal perforation repair (#26)

Special Considerations of Performed Treatment:
The first important consideration was elimination of pain which required palliative treatment (Ibuprofen and Acetaminophen), pulp extirpation, and management of the inflamed periradicular perforation site.

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