23/05/2026
🦷 A perforation is not the end of the case… but it changes every decision afterward.
🔎 Treatment continuation – Tooth #16
👩 35-year-old female patient referred to continue treatment initiated by the referring dentist. 🩺 History of long COVID (2020) and endometriosis.
📸 Pre-operative CBCT revealed:
➡️ furcation perforation
🧠 The real challenge was not only treatment itself…
…but protecting the perforation throughout every step of the procedure — and afterward.
⚙️ Management:
🔹 ultrasonic cleaning
🔹 careful disinfection
🔹 Teflon protection during retreatment
🛠️ Instrumentation:
🔹 SlimShaper by \@zarc4endo for buccal canals
🔹 BlueShaper Pro by \@zarc4endo for palatal canal
📦 Available through \@endoboutik
💡 I often combine systems with different tapers to better respect the original anatomy.
🔥 Warm vertical compaction obturation.
🧱 Furcation repair performed with NeoSealer Putty.
To protect the repair long term:
✔️ Teflon protection
✔️ dentin conditioner
✔️ repair material after teflon removal
✔️ glass ionomer coverage
Experience changes protocols.
🦷 “The success of a repair is not only about placing the material correctly… but also about protecting it afterward.”
💬 Do you systematically protect perforation repairs during the restorative phase?
endodontictreatment