This study represents a case of extensive perforating internal root resorption in tooth 7 in 22-year-old female, with a history of trauma in the anterior segment of maxilla in childhood. Diagnosis was made by clinical manifestation, intraoral periapical radiograph and cone beam computed to-mography (CBCT). CBCT has superior diagnostic accuracy that results in better management of complicated cases. Due to hemorrhage from the perforation site into the canal, and inability to dry the canal space

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... urgical approach was employed to seal the resorptive defect. Clinical and radio-graphic examination revealed a successful outcome six months after treatment.