European Archives of Paediatric Dentistry

, Volume 17, Issue 6, pp 489–494 | Cite as

Immediate and mediate furcal perforation treatment in primary molars: 24-month follow-up

  • N. C. T. Marques
  • N. Lourenço Neto
  • T. M. OliveiraEmail author
Case Report



Furcal perforation consists of a communication between the pulp cavity and the periodontal tissues that can occur accidentally during cavity preparation or root canal instrumentation. This complication may lead to inflammatory reactions and compromise adjacent tissues irreversibly, resulting in the early loss of primary teeth. Perforation sealing with a biocompatible material is necessary to ensure a favourable prognosis. Among different materials, MTA has been employed due to its excellent healing and physical properties.

Case report

The purpose of these case reports was to describe immediate and mediate cases of furcal perforation treatment using MTA in primary molars. In both the cases, after accidental perforation detection, the pulp chamber was cleaned with saline solution to clear off the debris. The wound surface was continuously irrigated with saline solution and a dry sterile cotton pellet was placed on the radicular pulp stumps and perforation area with slight pressure until the bleeding was controlled. The MTA was applied into the perforation and pulp chamber area with the aid of a sterile amalgam carrier. The teeth were restored with resin-modified glass ionomer cement.


Clinical and radiographic follow-up examinations were carried out at 3, 6, 12, 18, and 24 months after perforation sealing. Both the cases remained asymptomatic, presenting no discomfort, mobility, swelling, or fistula after 24-months follow-up. Radiographically, the radiolucent area disappeared as a result of bone formation in the inter-radicular space, showing adjacent tissue preservation.


Thus, MTA may be considered as an ideal option for conservative treatment of immediate and mediate furcal perforation in primary teeth, once it promoted repair with tooth maintenance in both the cases.


Furcation Mineral trioxide aggregate Tooth Wound healing 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from the parents or guardians of the children participants in this case report.


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Copyright information

© European Academy of Paediatric Dentistry 2016

Authors and Affiliations

  • N. C. T. Marques
    • 1
  • N. Lourenço Neto
    • 1
  • T. M. Oliveira
    • 1
    Email author
  1. 1.Department of Paediatric Dentistry, Orthodontics and Public Health, Bauru School of DentistryUSP-University of São PauloBauruBrazil

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