Radiographic Evaluation of Furcal Perforation Repair Using e-MTA® in Primary Molars-90 Days Follow-up: A Case Report

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Introduction: Iatrogenic furcation perforation is an unintended communication between the pulp chamber and the periodontal tissues that can occur during root canal therapy or while locating the root canal orifices.Management of these iatrogenic mishaps especially in primary teeth can be challenging.Recent advancements in the techniques and materials used to repair furcal perforations have improved the outlook for this procedure.Recently, mineral trioxide aggregate (MTA) has been used for several dental purposes.This biocompatible material promotes bone healing and the elimination of clinical symptoms.Case description: The purpose of this case report is to describe the treatment of an iatrogenic furcal perforation using MTA in a primary first molar tooth of an 8-year-old boy patient who had reported a chief complaint of pain in the lower left back tooth region for the past 3 weeks.Clinical examination revealed carious lesions involving enamel, dentin, and pulp in relation to 84.Intra-oral periapical radiograph revealed well-defined radiolucency involving enamel dentin and pulp.The treatment plan was non-vital pulp therapy: Pulpectomy.Following the access cavity preparation, even after debridement and cleaning of pulp from the root canals, there was profuse bleeding in the access cavity.Furcal perforation was confirmed with a radiograph.The perforation site was sealed with MTA, followed by Metapex obturation.Follow-up visits at 90 days showed clinical and radiographic success of treatment.Conclusion: Therefore, MTA may be considered an alternative option for the repair of furcal perforation in primary teeth, prolonging the longevity of these dental elements.