case_images: PMC10166746_01
case_images: Referrer's preoperative radiograph (December 2015).
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case_images: F1
case_images: Radiographic evaluation of the referrer's preoperative radiograph, which was provided by the patient revealed a periapical lesion and bone loss mostly around the distal root and in the furcation area, and also slight periodontal ligament widening around the mesial root as well as a likely strip-perforation [Figure 1].
case_images: Postoperative radiograph (December 2015).
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case_images: PMC10166746_01_DRJ-20-31-g002.jpg
case_images: F2
case_images: A size 20 finger plugger (Mani, Japan) was used to compact the cold ceramic; enough space for postplacement in the distal canal was allowed [Figure 2]. The postoperative radiograph showed a satisfactory root canal filling and complete perforation obturation with cold ceramic, although a small amount of material was extruded through the perforation site [Figure 2].
case_images: Follow-up radiograph (July 2017).
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case_images: PMC10166746_01_DRJ-20-31-g003.jpg
case_images: F3
case_images: At the 19-month follow-up appointment, there were no clinical signs or symptoms, and the radiograph displayed excellent periradicular healing and bone regeneration [Figure 3].