Beyond traditional methods: exploring advanced amalgam alternatives in iatrogenic furcal repair - a case report

Furcal perforations present a significant challenge in the realm of endodontic treatment, requiring immediate and precise intervention to prevent complications such as infection, inflammation, and even tooth loss. These perforations, often considered one of the most distressing and frequent mishaps encountered during endodontic procedures, demand the use of materials that not only demonstrate durability but also exhibit a high degree of biocompatibility to ensure optimal healing and tissue response. Among the available options, Cention N has emerged as a promising material, gaining attention for its outstanding combination of flexural strength, aesthetic appeal, and ease of application. Renowned for its remarkable mechanical properties, Cention N offers exceptional flexural strength, making it a durable choice for repairing furcal perforations. Additionally, its natural tooth-colored appearance allows for a seamless blend with the surrounding dentition, addressing the aesthetic concerns that often accompany endodontic procedures. This material's versatility is further enhanced by its user-friendly application, which significantly simplifies the procedure for clinicians and contributes to its growing popularity in restorative and endodontic treatments. In this case study, we aimed to assess the suitability of Cention N as a sealant for furcal perforations, with a particular focus on its biocompatibility, mechanical properties, and overall clinical efficacy. Our approach involved a series of treatments followed by regular follow-up visits to evaluate postoperative pain levels and monitor patient recovery. These follow-up appointments provided valuable insights into the material's performance, offering an opportunity to gauge both the short-term and long-term outcomes of its use. The results of this case study were highly encouraging. Not only did Cention N effectively seal the perforation, but it also demonstrated superior biocompatibility, as evidenced by the absence of adverse reactions or significant postoperative complications. Pain levels were minimal, with most patients reporting a quick recovery, further underscoring the material's clinical viability. Over the course of multiple follow-ups, the material maintained its structural integrity, proving resilient under normal occlusal forces and displaying no signs of degradation.