Crown and root perforation

Crown and root perforation:
1- respond to MTA
2- use matrix with hydroxyapatite and seal with G I
3- 1&2. ***
4- root canal filling.
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Perforations are iatrogenic or pathological of the communications between the root canal space and the fixation apparatus.
The causes of perforations are resorptive defects, caries, or iatrogenic events that occur during and after endodontic treatment. Regardless of the etiology, a perforation is an invasion of the support structures that initially causes inflammation and loss of insertion and can ultimately compromise the prognosis of the tooth.
When evaluating a perforated tooth, There are a number of factors that should be considered individually and collectively correctly treatment guide.
The treatment of clinicians should identify the four dimensions of perforation, and understand how each of these entities critically affects treatment selection and prognosis.
In general, when a tooth is perforated, the defect should be repaired as soon as possible to protect the attached periodontal.
For your question, I could not tell if you are dealing with an apical or midroot piercing strip. Depending on where the perforation will determine the treatment sequence.
However, the material of choice for repair and the seal of a perforation is Mineral Trioxide Aggregate (MTA).

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