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Repair of a Perforation Near the Osseous Crest

Terry Pannkuk, DDS, MScDInstructional, Complications: Advanced Management, Perforations, Retreatment Strategies, Dismantling, Recall Observations, All by Date


Removal of the post and previous root canal filling with bleeding noted through the perforation defect

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Learn how to manage a large perforation near the osseous crest

Patient: 34 year old male in excellent health

Chief Complaint: Sensitivity when pushing over the gums of the front teeth

Dental History: The patient presented with a history of having had root canal treatment on his maxillary right and left central incisors. Post build-ups and crowns were also placed at that time. The patient’s new dentist referred him to the author for an endodontic evaluation noting inadequate previous root canal therapy and a post perforation on routine full mouth radiographs.

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