Fig. 1

Pre - Op Radiograph , showing a lower 1st molar with a long extended GP at the perforation and a separated instrument on the entrance of the missed canal covered by composite restoration.

Fig. 2

Removal of the extruded GP , You can see the Granulation Tissue around.

Fig. 3

Disassembling of all the canal filling was done and checked by X-Ray (Detailed Technique Showing in the Video)

Fig. 4

Master Cone

Fig. 5

Post Op

White : MTA

Orange : Gutta Percha 

Green : Composite

Clinical Video

Conclusions

The Clinician must have enough knowledge about the root canal anatomy , techniques and to know how to deal with errors if happened. 

Bibliography

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