Factors Influencing the Outcome of Iatrogenic Perforation Repair in Permanent Teeth—A Narrative Review

The management of iatrogenic perforations in the permanent dentition is challenging. Early detection and timely repair of iatrogenic tooth perforations are crucial for achieving a favourable prognosis. This article brings together information on the factors that affect the success of perforation repair and categorises them into three domains: Perforation-related, patient-related, and clinician-related. By analysing the existing literature, the review offers a holistic perspective on how these factors impact the prognosis of perforation repair, providing useful guidance for clinical decision-making and risk evaluation. In highlighting the current limitations within the evidence base, the review also suggests avenues for future research aimed at enhancing the predictability and success rates of iatrogenic perforation repair in contemporary endodontic treatment.