Long-Term Clinical Repair of Endodontic Perforations with Calcium Silicate-Based Cements

Calcium silicate-based cements (CSCs) are bioactive materials used in the repair of endodontic perforations. Treatment and 2-year follow-up of the healing process of 40 cases of endodontic perforations with various localization - furcal, lateral and apical, are presented. Clinical cases were divided into 4 groups of 10 perforations in each and repaired with 4 different CSCs: white ProRoot MTA, gray MTA-Angelus, Boiaggregate, and Biodentine. The most commonly used clinical protocol was perforation sealing, followed by endodontic root canal treatment. The healing results of the treatment were evaluated according to the following clinical and radiographic criteria: absence of complaints and pathological changes in the adjacent periodontal tissues and the neighborhood, healing of the periradicular lesions, and lack of new ones. The success rate of the four materials used was 90% with no statistically significant difference between them.