Management of iatrogenic errors of root canal treatment- A case with multiple complex mishaps, ledge and perforation management

In this case the Insufficiently designed access cavities lead to an improper guiding of the instruments by the walls of the cavity with a loss of control of the instruments during root canal preparation leading to ledge. To overcome the ledge there was multiple trials by the previous dentist to enlarge the cavity to ease the path of the file but unfortunately it led to perforation. Recognition is the first step in management which includes clinical and radiographic observation. The next step is correction of the mishap which depends on the type and extent of the procedural accident. The final step requires re-evaluation and assessing the prognosis of the tooth. Fig. 1 Pre-op X-rays shows GP inside coronal perforation in…