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Updated: Apr 15, 2026

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
Conservative treatment of a large facial midroot perforation
Stephane Kerner1, François Bronnec2
1Department of Periodontology, Service of Odontology, Rothschild Hospital, AP-HP, UFR of Odontology, Paris 7-Denis Diderot University, 5 rue Santerre, 75012 Paris, France.
Abstract:
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.
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