Lateral root perforations are unfortunate procedures during endodontic treatment and often lead to tooth extraction. Conditioning factors such as time, size, location, inappropriate disinfection and sealing, are indispensable to achieve acceptable long-term outcomes. Calcium silicate cements are bioactive materials used for perforation repair. They can be set in moist environments such as blood, saliva and dentinal fluid making them a reliable material for clinical applications. This case report describes the treatment and repair after a 16-month follow-up of a lateral root perforation of the maxillary lateral incisor.