Touched or perforated tooth root: what now? Accidents on installing screws, mini-implants and miniplates

Abstract

Tooth root gliding, with or without perforation of the pulp space, might pose some doubt on the protocols to be adopted in order to face this occasional accident, particularly when installing screws, mini-implants and dental implants. In cases with undamaged pulp space, the most adequate protocol is clinical and imagiologic control for a few months. Should the pulp space be perforated, and perforation be accurately diagnosed by imaging examination, the potential for Calcific Metamorphosis of the Pulp or Aseptic Pulp Necrosis suggests the need for endodontic treatment, so as to prevent future complications. Provided that they are well conducted, these cases have an excellent prognosis.