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Case Reports in Dentistry
Volume 2014, Article ID 637693, 5 pages
Case Report

Portland Cement Use in Dental Root Perforations: A Long Term Followup

1Faculty of Dentistry, University of Cuiabá, Brazil
2Faculty of Dentistry, State University of São Paulo, Rua Humaitá no. 1680, Centro, 14801-903 Araraquara, SP, Brazil

Received 14 December 2013; Accepted 23 January 2014; Published 3 March 2014

Academic Editors: A. Y. Gamal and J. H. Jeng

Copyright © 2014 Álvaro Henrique Borges et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Root canal and furcal perforations are causes of endodontic therapy failure and different materials that stimulate tissue mineralization have been proposed for perforation treatment. In the first case, a patient presented tooth 46 with unsatisfactory endodontic treatment and a periapical radiographic lesion. A radiolucent area compatible with a perforating internal resorption cavity was found in the mesial root. The granulation tissue was removed, and root canals were prepared. The intracanal medication was composed of calcium hydroxide and the perforation cavity was filled with Portland cement. The 11-year followup showed radiographic repair of the tissue adjacent to the perforation and absence of clinical signs and symptoms or periapical lesion. In the second case, a patient presented with edema on the buccal surface of tooth 46. The examination showed a radiolucent area in the furcation region compatible with an iatrogenic perforation cavity. The mesial root canals were calcified, and only the distal root canal was prepared. The cavity was filled with a calcium hydroxide-based paste and the distal root canal was obturated. In sequence, the perforation cavity was filled with Portland cement. The 9-year followup showed the tooth in masticatory function with radiographic and clinical aspects compatible with normality.