case_images: PMC3099123_01
case_images: Perforation site in disto-lateral mid-root area of tooth 11 under Microscope in 16X magnification
case_images: JCD-14-83-g001.jpg
case_images: PMC3099123_01_JCD-14-83-g001.jpg
case_images: F1
case_images: Dental Operating Microscope (FS - 1-11; MOELLER - WEDDEL INTERNATIONAL, Germany) (16X Magnification). Distolateral midroot perforation with ledge formation was clearly visualized under the microscope [Figure 1].
case_images: IOPA radiograph of tooth 11 with GP point placed through the perforation
case_images: JCD-14-83-g002.jpg
case_images: PMC3099123_01_JCD-14-83-g002.jpg
case_images: F2
case_images: An intraoral periapical radiograph was taken with a #60 size gutta percha (GP) point placed in the perforation, which aided in further localizing the site of the perforation, and it was confirmed that the defect was subcrestal [Figure 2].
case_images: GP point placed in the canal
case_images: JCD-14-83-g003.jpg
case_images: PMC3099123_01_JCD-14-83-g003.jpg
case_images: F3
case_images: Working length was established and a #40 size GP point was placed in the canal [Figure 3].
case_images: Piece of Healiguide resorbable collagen matrix carried out into the access cavity
case_images: JCD-14-83-g004.jpg
case_images: PMC3099123_01_JCD-14-83-g004.jpg
case_images: F4
case_images: Pieces of healiguide were appropriately cut and carried out into the access cavity [Figure 4].
case_images: Collagen matrix placed corresponding to the cavosurface of the root
case_images: JCD-14-83-g005.jpg
case_images: PMC3099123_01_JCD-14-83-g005.jpg
case_images: F5
case_images: A solid barrier was established [Figure 5].
case_images: After 48 hours well adapted hard MTA visible under 24X magnification - completely filled the perforation defect
case_images: JCD-14-83-g006.jpg
case_images: PMC3099123_01_JCD-14-83-g006.jpg
case_images: F6
case_images: Trioxide Aggregate, and closed with noneugenol temporary restoration (Cavit, 3MESPE). The Mineral Trioxide Aggregate was allowed to set for approximately four hours and the patient was recalled after four hours. The canal was opened and it was found that the well-adapted, hard Mineral Trioxide Aggregate had sealed the perforation site and ledge area [Figure 6].
case_images: Obturation done in tooth 11
case_images: JCD-14-83-g007.jpg
case_images: PMC3099123_01_JCD-14-83-g007.jpg
case_images: F7
case_images: Apical preparation was performed up to size #60 and obturation was done by lateral condensation of the gutta percha [Figure 7].
case_images: Light Cure Composite build up done in tooth 11
case_images: JCD-14-83-g008.jpg
case_images: PMC3099123_01_JCD-14-83-g008.jpg
case_images: F8
case_images: The crown was restored by a light cure composite resin [Figure 8].
case_images: 1 year postoperative radiograph of tooth 11
case_images: JCD-14-83-g009.jpg
case_images: PMC3099123_01_JCD-14-83-g009.jpg
case_images: F9
case_images: A radiographic analysis at this recall evaluation revealed no development of a periapical lesion and no further widening of the PDL [Figure 9].