Root Canal perforations have always been regarded as serious complications in dental practice and from a historical perspective most likely resulted in tooth extractions in the majority of cases. These types of defects whether of pathologic or mechanical origin often require a creative approach to management. The word “perforate” comes from the Latin word “perforo” which means to “bore” “pierce-through” or “penetrate.Root Canal Perforation is a mechanical or pathological communication between the root canal system and the external tooth surface. It can be of two types one that results from a resorptive process and the other that is iatrogenically produced which can occur during access cavity preparation or biomechanical preparation of the root canal or a post-endodontic procedure.
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