Management of perforations: four cases from two private practices with medium- to long-term recalls.

INTRODUCTION Perforation repair is a fairly common endodontic procedure, but most of the recall data in the endodontic literature are short-term (ie, 1-2 years). The purpose of this article was to present 4 clinical cases of perforation repair with medium- to long-term recalls. METHODS Four cases were selected with different clinical scenarios. Three nonsurgical cases were retreated, repaired with mineral trioxide aggregate, and restored. The fourth case was strictly a surgical repair. Recalls up to 13 years are presented. RESULTS Perforation repair was shown to be successful in this case series, the teeth were preserved, and extraction was avoided. CONCLUSIONS If managed properly, perforation repairs can result in long-term clinical success.