International Journal of Dental Sciences and Research
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International Journal of Dental Sciences and Research. 2016, 4(3), 49-51
DOI: 10.12691/ijdsr-4-3-4
Open AccessArticle

Repair of Accidentally Perforated Labial Wall of a Central Incisor Having Failed Root Treatment – A Case Report

Asaad Javaid Mirza1, , Khalid Shafiq2, Maaz Asad3 and Shaheen AbuBakar2

1Department of Restorative Dental Sciences, College of Dentistry, Ha’il University, KSA

2Department of Operative Dentistry, Baqai Dental College, Baqai Medical University, Karachi

3Department of Periodontolgy, Baqai Dental College, Baqai Medical University, Karachi

Pub. Date: April 25, 2016

Cite this paper:
Asaad Javaid Mirza, Khalid Shafiq, Maaz Asad and Shaheen AbuBakar. Repair of Accidentally Perforated Labial Wall of a Central Incisor Having Failed Root Treatment – A Case Report. International Journal of Dental Sciences and Research. 2016; 4(3):49-51. doi: 10.12691/ijdsr-4-3-4


This is a successfully managed clinical case report of a young lady whose tooth # 11 was root treated in 2010 which reinfected after three years. The root treatment was repeated but was iatrogenically perforated because of the operating dentist’s error. The tooth was therefore opened for surgical correction. During the procedure, it was found that labial wall of the tooth was missing in the mid-root area. The labial wall was built using glass ionomer cement keeping the endodontic file in the canal to avoid obliteration of canal space by glass ionomer. The rebuilt canal was treated with Calcium Hydroxide dressings at an interval of 7 days. In two weeks as the sinus healed, swelling subsided and the canal became effortlessly dryable using just two absorbent points, the canal was obturated with a custom made gutta percha cone, employing glass ionomer as a canal sealer.

root perforation endodontic procedural errors iatrogenic perforation

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