UNIVERSITAS AIRLANGGA



Detail Article

Dental Journal (Majalah Kedokteran Gigi)

ISSN 1978-3728

Vol. 43 / No. 4 / Published : 2010-12

Order : 8, and page :195 - 200

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Original Article :

Multidisciplinary management of a mandibular buccal plate perforation

Author :

  1. Yuli Nugraeni *1
  2. Chiquita Prahasanti*2
  1. Department of Conservative Dentistry, Dentistry Study Program, Brawijaya University, Malang - Indonesia
  2. Department of Periodontics Faculty of Dentistry, Airlangga University Surabaya - Indonesia

Abstract :

Background: Endodontists often have difficulty in the management of endo-perio cases, because they cannot visually detect the condition of outer root surfaces, especially in bucco-lateral roots. The bone defect is rare and its treatment needs collaboration of endodontists and periodontists. An endodontist treats cases based on dental history, radiograph of root canals to measure root canals, to uncover abnormalities and to diagnose, but as the endodontists cannot directly see the affected parts, the unseen portion of the tooth could only be seen after flap surgery. Purpose: This case presents the importance of multidisciplinary approach by the endodontist and periodontitis to treat bucal plate perforations in endo-perio cases. Case: The first patient, a 47-year-old female had endodontic treatment and a porcelain crown restoration; however, after several months she felt pain. The second patient, a 45 year-old female had endodontic treatment and after six months she feel painful. Case management: The first patient, was referred to a periodontist. The opening flap surgery has been done, a bone defect was found in tooth 45. Subsequently, the exposed crater was filled with a bone graft and the pain disappeared. The second patient, with improper endodontic treatment. The flap surgery was conducted, there was found a bone defect in tooth 36. The last treatment, a bone graft has been covered and then the pain was not present. Conclusion: Proper diagnosis and treatment of perforations on the buccal aspect of a root was able to eliminate pain and avoid tooth extraction.

Keyword :

Bucco-lateral defect, endo-perio lesion, management,


References :

Koyees E ,(2006) Referred pain: A confusing case of differential diagnosis between two teeth presenting with endo-perio problems - : Int Endodon J





Archive Article

Cover Media Content

Volume : 43 / No. : 4 / Pub. : 2010-12
  1. Clinical Consideration Of Thrombocytopenia In Children
  2. The Increasing Of Odontoblast-like Cell Number On Direct Pulp Capping Of Rattus Norvegicus Using Chitosan
  3. Minor Modification Of Millard Surgical Technique For Correction Of Complete Unilateral Cleft Lip
  4. Biocompatibility And Osteoconductivity Of Injectable Bone Xenograft, Hydroxyapatite And Hydroxyapatite-chitosan On Osteoblast Culture
  5. Alveolar Ridge Rehabilitation To Increase Full Denture Retention And Stability
  6. Pulp Nerve Fibers Distribution Of Human Carious Teeth: An Immunohistochemical Study
  7. The Management Of Dental Fracture On Tooth 61 In A Child With Attention Deficit Hyperactivity Disorders
  8. Multidisciplinary Management Of A Mandibular Buccal Plate Perforation
  9. Candida Albicans Adherence On Acrylic Resin Plates Immersed In Black Tea Steeping
  10. A Combination Of Endodontic Therapy And Root Resection In Furcation Involvement Case
  11. Interleukin-1β Expression Among Periodontitis Patients In Surabaya

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