Among the factors that influence the success of treatment of a root perforation, its location and possibility of contamination are determinant because the interaction of these 2 factors may result in significant periodontal injury. The management of cases of hard-to-reach contaminated perforations depends on the choice of an adequate technique. In the case reported in this article, controlled orthodontic tooth extrusion was successfully performed to treat gingival recession secondary to root perforation. The outcomes showed that this technique preserves the zone of attached gingiva, maintains the crown height, and prevents the involvement of the supporting bone tissue. The favorable clinical and radiographic conditions after 7 years of follow-up demonstrate the viability of this treatment approach. Schlagwörter: controlled tooth extrusion, endodontic treatment, integrated multidisciplinary approach, integrated treatment approach, orthodontics, root perforation