The purpose of this lecture is to emphasise that root perforations can occur both during and after endodontic treatment. These reduce the chance of a successful treatment outcome and can jeopardise the survival of the tooth. The aetiology and diagnosis of root perforations will describe also in our brilliant lecture. The lecture also focusses on the non-surgical and surgical management of root perforations and describes how selection of the appropriate treatment depends on an accurate diagnosis. So stay tuned to know everything about Root Perforations, from detection to perfection .