Science and Education Publishing International Journal of Dental Sciences and Research 2 4 2014 08 19 An Innovative Approach to Repair Perforating External Root Resorption in a Chronically Infected and Pulpless Incisor - A Case Report 99 102 EN Asaad Javaid Mirza Department of Operative Dentistry, Peshawar Dental College, Peshawar, Pakistan Mohammad Khalid Shafiq Maaz Asad javaid Marwah Berkathullah Shariff IJDSR2014247 10.12691/ijdsr-2-4-7 2014 08 05 2014 08 15 2014 08 19 This is a case report of a young boy who had a physical trauma to his right maxillary central Incisor. As it remained untreated for many years, it underwent severe inflammatory external root resorption causing perforation. The root of the tooth was damaged to an extent that extraction of the tooth was indicated. But keeping the site of the tooth, age of the patient and his interest in saving the tooth in view, we decided to take a chance to save the tooth in an innovative manner. Firmness of the tooth in its socket also motivated us to opt for a restorative treatment instead of referring him to surgery for extraction. A hopelessly damaged tooth which was very much indicated for extraction has been saved which satisfies patient's cosmetic demands on lower cost. He otherwise, would have to bear the cost of either 3-unit Bridge or Implant supported crown. Quarterly radiographic examination shows progressive apical and periodontal healing after the treatment since last six months.