IP Annals of Prosthodontics and Restorative Dentistry 2022;8(3):185–188 Content available at: https://www.ipinnovative.com/open-access-journals IP Annals of Prosthodontics and Restorative Dentistry Journal homepage: https://www.aprd.in/ Case Report Endodontic management of a mandibular molar with self implanted foreign bodies and repair of furcural perforation using biodentin – A case report Vivek Sharma 1, *, Sarang Sharma 1 , Pooja Dudeja 1 , Shibani Grover 1 , Sukhwinder Singh Oberoi 2 , Sweta Rastogi 1 , Harshdeep Singh 3 1 Dept. of Conservative Dentistry & Endodontics, ESIC Dental College & Hospital, Rohini, New Delhi, India 2 Dept. of Public Health Dentistry, ESIC Dental College & Hospital, Rohini, Delhi, India 3 ESIC Dental College & Hospital, Rohini, Delhi, India ARTICLE INFO Article history: Received 26-07-2022 Accepted 03-08-2022 Available online 30-09-2022 Keywords: Non - surgical endodontic management Foreign body Perforation Biodentin ABSTRACT Foreign Bodies, whether accidently trapped or self-introduced by the patient in the tooth can not only act as a potential source of infection but may also interfere with proper cleaning and shaping and subsequent obturation of the root canal space in such teeth. Such foreign bodies are generally found accidently on routine dental examination and are more common in children and anterior teeth. Though occurrence of foreign bodies in a root canal system is a fairly common finding, the present case was deemed even more complex as it had a furcural perforation in addition of the detection of foreign bodies in the root canal system. This case report highlights the successful endodontic management and orthograde removal of self- introduced foreign bodies and repair of furcural perforation with biodentin in a mandibular molar eliminating the need of surgical repair and management. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. For reprints contact: reprint@ipinnovative.com 1. Introduction The presence of foreign bodies is a fairly common occurrence especially in teeth with open pulp chambers either due to caries or trauma or loss of temporary restoration in incomplete root canal procedure cases. Incidence of foreign bodies in pulp chamber of a tooth is more common in children and anterior teeth than in adults and posterior teeth. These foreign bodies may either accidently get entrapped in the pulp chamber of the tooth upon loss of restoration or may even be a result of deliberate probing into the teeth by the patient in order to remove lodged food remnants. 1 Either way, such objects are a potential source of infection and may lead to a number of complications such as pain, swelling and recurrent abscess. * Corresponding author. E-mail address: docvky@gmail.com (V. Sharma). A variety of techniques and even a combination of them have been employed to retrieve any foreign body lodged in the root canal system. 2 Invariably, the techniques used are the same as those used for retrieval of fractured instruments from the canal space. These methods may include using H-Files using braiding method, Stieglitz forceps, ultra-sonic tips, instrument retrieval system or Masserann kit, modified Castroviejo needle holders, use of surgical operating microscope etc. 3–7 If the foreign body is within the confines of the root canal system a non-surgical approach using such techniques may suffice. However, surgical intervention may be necessary if the foreign body extends beyond the root. 8 Endodontic mishaps such as perforations may not only adversely affect the final prognosis but can also make the subsequent removal of the foreign material cumbersome. Hence, removing the foreign body and the sealing of https://doi.org/10.18231/j.aprd.2022.037 2581-4796/© 2022 Innovative Publication, All rights reserved. 185