Small perforations near the apex often can be successfully treated, by sealing with an appropriate material. Often a reparative cement is applied to the perforation using a cement called Mineral Trioxylate Aggregate(MTA). This can be applied internally or externally to seal the defect. It can work well.
Larger perforations can be difficult to repair succesfully and in general, if the perforation is close to the crestal bone(far away from the apex) the perforated tooth is considered to have a poor long term prognosis and the best treatment option may be an extraction and implant placement, before an infection occurs.
If the defect seems to be small it can be fixed by perforation using MTA. But if it is larger then extraction and implant placement is the best way.
ReplyDeleteBut its necessary to consult with a dentist first.