Management of endodontic mishaps is challenging for operator. Perforation of the root in the course of access cavity preparation is commonly encountered in modern practice. The prognosis of teeth with root perforations depends on several factors, including size, location, time since occurrence and rapidity of sealing the perforation area with biocompatible material. Root perforations are clinical situations that can be solved by either nonsurgical or surgical approach­es using different biocompatible materials. The purpose of this case report is to describe a successful repair of a long‑standing iatrogenic coronal root perforation in a maxillary right central incisor solved surgically using Biodentine (Septodont, Saint-Maur-des-Fossés, France) which was able to induce new bone formation and re-establish gingival and periodontal health status.