In this episode of Endo Voices we dig deep highlighting an important topic no one wants to experience iatrogenically, but which is nevertheless a well-known uncommon risk of treatment: perforations. Perforations and the implications of how practitioners tackle this scenario are paramount. We review this topic with international endodontist extraordinaire Dr. Kreena Patel from London. She aims to restore any voids in listeners’ knowledge with updates on the latest perforation protocols, techniques and materials. She seamlessly weaves in the importance of leveraging technology when developing a diagnosis, as well as differentiates between a bleeding spot from perforation vs. bleeding from an accessory canal. Listen in as we cover the “file flutter” phenomenon and the most critical elements of perforation recognition and location, and how these influence prognosis. Dr. Patel also wows us with her academic and literature prowess and succinctly breaks down optimal uses, properties and setting times of various materials like tricalcium silicates and MTA.

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