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Factors influencing the outcome of iatrogenic perforation repair in permanent teeth—a narrative review

Poorni, Saravanan, Srinivasan, Srividhya, Clauder, Thomas, Srinivasan, Manali Ramakrishnan, Dummer, Paul M. H. ORCID: https://orcid.org/0000-0002-0726-7467 and Nagendrababu, Venkateshbabu 2026. Factors influencing the outcome of iatrogenic perforation repair in permanent teeth—a narrative review. Australian Endodontic Journal 10.1111/aej.70069

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Abstract

The management of iatrogenic perforations in the permanent dentition is challenging. Early detection and timely repair of iatrogenic tooth perforations are crucial for achieving a favourable prognosis. This article brings together information on the factors that affect the success of perforation repair and categorises them into three domains: Perforation-related, patient-related, and clinician-related. By analysing the existing literature, the review offers a holistic perspective on how these factors impact the prognosis of perforation repair, providing useful guidance for clinical decision-making and risk evaluation. In highlighting the current limitations within the evidence base, the review also suggests avenues for future research aimed at enhancing the predictability and success rates of iatrogenic perforation repair in contemporary endodontic treatment.

Item Type: Article
Date Type: Published Online
Status: In Press
Schools: Schools > Dentistry
Additional Information: RRS applied 17/03/2026. AB
Publisher: Wiley
ISSN: 1329-1947
Date of First Compliant Deposit: 17 March 2026
Date of Acceptance: 16 February 2026
Last Modified: 17 Mar 2026 10:15
URI: https://orca.cardiff.ac.uk/id/eprint/185778

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