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Case Reports in Dentistry
Volume 2015, Article ID 326302, 8 pages
Case Report

Conservative Treatment of a Large Facial Midroot Perforation

1Department of Periodontology, Service of Odontology, Rothschild Hospital, AP-HP, UFR of Odontology, Paris 7-Denis Diderot University, 5 rue Santerre, 75012 Paris, France
2Department of Conservative Dentistry and Endodontics, Pitie-Salpetriere Hospital, AP-HP, UFR of Odontology, Paris 7-Denis Diderot University, 47/83 boulevard de l’Hopital, 75013 Paris, France

Received 9 December 2014; Accepted 28 February 2015

Academic Editor: Marília G. de Oliveira

Copyright © 2015 Stephane Kerner and François Bronnec. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aim. To report on the endodontic and periodontal management of a root and alveolar process perforation in a maxillary front tooth. Summary. Perforation during access cavity preparation is an infrequent complication during endodontic therapy, leading to potential periodontal tissue breakdown. The case described the two-stage management of a massive facial root perforation requiring a connective tissue graft to correct a mucosal fenestration persisting after orthograde repair of the root defect with MTA.