Perforation Repairs - Case 3

This is an unfortunate placement of a post that perforated the edge of the root and cause some bleeding. It is not difficult to sometimes get disoriented, specially if there is not much tooth structure left, or crowns, and tipped teeth. Ideally, a post space should be made with a heated instrument to safely remove the gutta-percha and follow the canal space.

A lesion is now starting to develop at the site. The RCT is retreated along with disinfection of the perforation and sealing with MTA. It does not matter if there is excess MTA extrusion through the edge of the root.

This is 18 months later showing complete healing and the site is completely asymptomatic. The location of the perforation was favourable in this case. If it were near the sulcus, or near the end of the post, the prognosis would be lower, fortunately this is between both of those areas.