S. Deepak, M. S. Nivedhitha

Abstract

Root perforations can be pathologic or iatrogenic communications between root canal anatomy and the surrounding attachment apparatus. Iatrogenic root perforations, may have serious ramification occuring in approximately 2–12% of endodontically treated teeth. Early diagnosis of the defect, location of the perforation, choice of treatment, materials used, host response, and the experience of the practitioner are among the important factors with regard to the profitable management of root perforations. This report introduces the effective management of multiple perforation with vertical bone loss using biodentine and xenograft in mandibular incisors with 1-year follow up. Advances in technologies such as the introduction of microscopes, new instruments, and materials like biodentine have provided for more controllable and predictable treatment outcomes, either surgically or nonsurgically.