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Treatment of a Gross Perforation

Terry Pannkuk, DDS, MScDInstructional, Instructional, Clinical Endodontic Technique Instruction, Clinical Endodontic Technique Instruction, Access, Access, Complications: Advanced Management, Complications: Advanced Management, Perforations, Perforations, All by Date, All by Date


The patient presented on 3/5/2020 with a gross perforation of the distocervical root when the patient's dentist had attempted root canal treatment. The root canal system had not been located.

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Proper treatment of a gross perforation with a bioactive material can lead to remarkable healing.

Treatment Plan: Nonsurgical Endodontic Therapy and internal perforation repair (#26)

Special Considerations of Performed Treatment:
The first important consideration was elimination of pain which required palliative treatment (Ibuprofen and Acetaminophen), pulp extirpation, and management of the inflamed periradicular perforation site.

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