Purpose: to present 4 perforation repairs performed in 2 private practices ,3 nonsurgical and 1 surgical, with 4.5- to 13-years recalls.
•Cases were selected with different clinical scenarios.
•Three nonsurgical cases were retreated, repaired with MTA and restored. The fourth case was a surgically repaired.
•Recalls up to 13 years are presented.
Perforation repair was shown to be successful in this case series, the teeth were preserved, and extraction was avoided
Proper management of perforation repairs can result in long-term clinical success.