Here are many reasons why a perforation is an undesirable complication during RCT (in my order of worst to last) 1. It removes hard tissue unnecessarily reducing fracture resistance 2. It creates a portal of entry for fluid to enter the canal and feed any micro organims that survived root canal treatment to continue to thrive 3. It acts as a portal of exit for bacterial toxins to enter the periodontal tissues - this adds another tissue involved in the infection in a position that maybe links up
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Here's an illustration for management of severe coronal canal curvature and deep splits. Let's start with the coronal curvature 🎢 1. You must take your time analyzing the pre-operative radiograph 2. Remember pre-flaring is a procedure not a file Large tapers as orifice openers or taper 6 files is not the best choice for pre-flaring, as it increases the risk of canal transportation as ledge or lateral root perforation 3. Use martensitic files as you need a flexible file to go with the pathway of
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