Dentinal hypersensitivity and unesthetic appearance are common findings after excision of an epulis due to exposure of root and underlying bone. The simultaneous placement of subepithelial connective tissue grafting after excision of the lesion seems to be viable surgical option in such cases. Furthermore, this will avoid second surgical procedure for the management of the residual gingival defect.
The periodontal ligament and root canal system have a common developmental, anatomic and functional relationship and theoretically an infection originating in one tissue can affect the other also. The simultaneous existence of endodontic and inflammatory periodontal lesions is a clinician's nightmare as it can complicate the diagnosis and an accurate diagnosis may be particularly difficult when a sinus tract originating from the endodontic lesion drains along the periodontal ligament space, mimicking periodontal disease. Thorough diagnostic testing to confirm pulp necrosis or periodontal disease becomes critical when attempting to diagnose the specific disease entity accurately and then deliver suitable treatment. A blanket diagnosis for any such lesions regardless of primary etiology can prove to be a disaster. A case report of an iatrogenic endodontic perforation of the pulp chamber at the region of molar furcation and managed by nonsurgical therapy is presented in this paper.
How to cite this article
Warrier S. Nonsurgical Management of Endodontic Perforation at Molar Furcation Region. Int J Experiment Dent Sci 2014;3(2):117-119.
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