‏From Strip Perforation With GP Inside to Perfect Seal: A Step-by-Step Management of Perforation

• History : Retreatment case with overextended GP and strip perforation. • Main Challenge : Safe removal of gutta-percha and achieving an effective seal at the perforation site and apical Step 1 – GP Removal Technique: Braided technique using H-Files. This method allows engagement of the gutta-percha from multiple file flutes simultaneously, enabling controlled retrieval and minimizing the risk of further extrusion. braided tech for gp removal with H files gp removal removed in two Pieces Step 2 – Perforation Management Technique: Sandwich technique to ensure a double-seal approach. This step addressed both the apical termination and the lateral perforation in a single sequence Step 3 – Apical & Lateral Sealing Material: Injectable MTA • Advantages: Easy delivery via syringe,…