perforation
1) In this case, the referring dentist attempted re-treatment of tooth # 21 which had previous inadequate endodontic therapy. Unfortunately, a pin-point perforation occurred at the buccal aspect (refer to clinical image 2, below).
2)The perforation is evident at the buccal aspect of the access cavity, to the left.
2)The perforation is evident at the buccal aspect of the access cavity, to the left.

 

perforation repair preop
3) Pre-op radiograph taken at the 1st-visit to our practice.
perforation repair 4
4) Upon further examination tooth #12 was diagnosed to have pulpal necrosis and also underwent endodontic therapy. Post-operative radiograph of the completed endodontic treatment.
perforation repair 3
5) Perforation repair with MTA.