Pt 50 YOF presented with dislodged crown and severe pain in the recently RCT done #31. Started Re-treatment, after cleaning the chamber saw three orifices and finished the canals preparation, but was not sure of the distolinugal. I did not diagnose perforation as there was no bleeding nor patient complained of any pain during the preparation. Later Scan confirmed perforation and was sealed with fiber reinforced composite.





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