An unusual repair of perforating internal inflammatory root resorption; a case report of endodontic treatment
J. res. dent
; 10(2): 16-20, apr.-jun2022.
Article
in En
| LILACS, BBO
| ID: biblio-1395878
Responsible library:
BR97.1
ABSTRACT
Internal inflammatory root resorption (IIRR) can occur as a serious complication of dental trauma which leads to progressive loss of the root structure. An early diagnosis could influence the therapeutic approach, but endodontic treatment becomes a challenge with a doubtful prognosis. The present report described an unusual clinical presentation of an IIRR with perforation resulting from a trauma four years previous. A 15-year-old female patient was presented to our service with pain in the maxillary incisor region. Intraoral radiography revealed a large radioloucent area compatible with IIRR, communicating with the periodontium in the middle third on the distal root face of the right central incisor. The root canal of the right central incisor was chemo-mechanically prepared. The calcium hydroxide (CH) intracanal medication was used and renewed periodically four times. The root canal was filled only in the cervical region to the level of resorption by the inverted gutta-percha cone technique. Clinically and radiographically, all follow-up examinations revealed an asymptomatic tooth, evidencing periapical tissue repair and new bone formation. The tooth remained asymptomatic 3 years afterwards. The present case report supports the idea of executing satisfactory intracanal decontamination by chemo-mechanical preparation, thus creating a favourable environment for tissue repair.
Key words
Full text:
1
Collection:
01-internacional
Database:
BBO
/
LILACS
Main subject:
Root Canal Therapy
/
Dental Pulp Necrosis
Type of study:
Screening_studies
Limits:
Female
/
Humans
Language:
En
Journal:
J. res. dent
Journal subject:
ODONTOLOGIA
/
Sa£de Bucal
Year:
2022
Document type:
Article
Affiliation country:
Brazil
Country of publication:
Brazil