– A referred case to our clinic with a swelling and large periapical lesion that caused periapical bone loss + mesial root resorption that led to pathological perforation in the mesiolingual canal .
![🦷](https://static.xx.fbcdn.net/images/emoji.php/v9/t26/1/16/1f9b7.png)
– The tooth was covered with PFM crown that was carefully evaluated and access cavity was gained throw the PFM crown .
![🦷](https://static.xx.fbcdn.net/images/emoji.php/v9/t26/1/16/1f9b7.png)
– guttapercha removal was done using Videya D files D1 , D2 ( Retreatment kit ) at 600 rpm – 1 N/CM .
![🦷](https://static.xx.fbcdn.net/images/emoji.php/v9/t26/1/16/1f9b7.png)
-working length correction and a slight canal enlargement using T files ( Videya ) , the root canal disinfection was carried out on multiple visits .
![🦷](https://static.xx.fbcdn.net/images/emoji.php/v9/t26/1/16/1f9b7.png)
– eventually after 3 weeks we managed to get a dry canal and MTA was used to close the perforation site , then next visit obturation was carried out the full working length .
![](https://elcarpula.net/wp-content/uploads/2022/08/Ahmed-Ali-1024x739.jpg)