Mineral trioxide aggregate repair of lateral root perforation using intentiional replantation and bone grafting

Abstract

Root perforation is a significant complication during root canal treatment. Root perforation can result in loss of integrity of the root structure and severe periodontal and bone defect. Repair of lateral root perforation presents a clinical challenge to the operator. This report is of root perforation during post space preparation in a right maxillary central incisor that has caused an extensive periodontal lesion. Since the bone lesion was large and unreachable from either a coronal access cavity or buccal surgical flap, a combination of mineral trioxide aggregate sealing, bone grafting, and intentional replantation was used as the method of treatment. The patient’s symptoms ceased and the existing lesions resolved during the 5-year follow-up.