Assalammualaikum wr wb… Good Morning!!
can you on perforation on periodontal tissue in a root canal treatment?? Yup, i think that you might experienced on seeing that case before.. but now is different, the perforation was being obturated.. this is the first time i experience this, and a question popped up in my mind “what was the pain feels like? did the previous dentist used local anesthesia while shaping the “periodontal bone”? or did not he/she see blood coming from the perforation site?”
You can see the tip of Gutta percha was not in a right direction and also touch the base of the sinus which made the tip a little bit bend.
1. First view of tooth 15, the patient feels a spontaneous pain, pain while chewing or eating, and feels that something “hard” touch the area beneath the eyes (while the finger tip touch the area of sinus)
2. the original radiographic pictures showed us the obturation in the perforation site. We can see the tip of GP is bend might be due to touch the base of the sinus. the gutta perca is as long as the tooth.
3. when i opened the cavity, i found the coronal tip of GP point.
4. then i seek for the original orifices, and there they are!
6. I was able to pull out the GP point.
7. the GP point, i think it is F3 GP point.
alhamdulillaah.. the case was done, and the story still continues..
my advice, When You feel not sure with the case you faced, please contact the nearest endodontist.
see you on my next dental story..
thank You Very Much,
keep UP the GOOD WORK!!
keep on Sharing,
Wassalammualaikum Wr Wb..
-drg. Rio Suryantoro, Sp.KG-