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.
3) Pre-op radiograph taken at the 1st-visit to our practice.
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.
5) Perforation repair with MTA.