Iatrogenic mid-root perforation of fused teeth
Published in the Saudi Endodontic Journal, the authors describe an unusual case of iatrogenic root perforation of fused permanent lower anterior teeth during intermaxillary fixation.

A 31 year old male reported with the chief complaint of pain and pus discharge from the labial gingival sulcus around the lower anterior teeth from past 1 year. He had a history of right mandibular body fracture 4 years ago, which was reduced and treated by inter maxillary fixation (IMF).

Clinical examination revealed an intraoral sinus with relation to mandibular right central and lateral incisor (tooth #41 and 42). Crowding of lower anterior teeth with fusion between crowns of mandibular left central and lateral incisors (tooth #31 and 32) was noticed.

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