Regenerative Endodontic Treatment in Teeth with Internal Root Resorption: An Insight Over the Available Literature

Document Type : Review Article

Authors

Department of Endodontics, School of Dentistry, Universidad Europea de Madrid, Madrid, Spain

Abstract

Internal root resorption (IRR) is a resorptive defect of the root's internal aspect, and its pathogenesis occurs because of the activity of odontoclasts. If left untreated, IRR will eventually cause necrosis of the pulp tissue apical to the resorptive lesion, leading to periapical pathologies and resistance failure of the tooth. Treatment of this kind of pathology encompasses many options ranging from conventional root canal treatment to endodontic surgery. The most recent innovation for the treatment of IRR is revascularization. The present review aims to discuss revascularization as a treatment option for IRR. An extensive search for recent available data regarding this kind of treatment and potential suggestions for the future have been made. Revascularization of teeth with IRR has promising results and should be considered a choice for treating IIR cases as an alternative to conventional root canal treatment.

Keywords

Main Subjects


[1] Patel S, Ford TP. Is the resorption external or internal?. Dental Update. 2007;34(4):218-29. https://doi.org/10.12968/denu.2007.34.4.218.
[2] Kaval ME. CASE REPORT Regenerative endodontic treatment of perforated internal root resorption: a case report.2018;51:128-137. doi:10.1111/iej.12784.
[3] Patel S, Ricucci D, Durak C, Tay F. Internal root resorption: a review. Journal of endodontics. 2010;36(7):1107-21. https://doi.org/10.1016/j.joen.2010.03.014.
[4] Thomas P, Krishna Pillai R, Pushparajan Ramakrishnan B, Palani J. An insight into internal resorption. International Scholarly Research Notices. 2014. http://dx.doi.org/10.1155/2014/759326.
[5] Nilsson E, Bonte E, Bayet F, Lasfargues JJ. Management of internal root resorption on permanent teeth. International journal of dentistry.2013. https://doi.org/10.1155/2013/929486.
[6] Trope M. Root resorption of dental and traumatic origin: classification based on etiology. Practical periodontics and aesthetic dentistry: PPAD. 1998;10(4):515-22.
[7] SAHARA N, OKAFUJI N, TOYOKI A, SUZUKI I, DEGUCHI T, SUZUKI K. Odontoclastic resorption at the pulpal surface of coronal dentin prior to the shedding of human deciduous teeth. Archives of histology and cytology. 1992;55(3):273-85. https://doi.org/10.1679/aohc.55.273.
[8] Calişkan MK, Türkün M. Prognosis of permanent teeth with internal resorption: a clinical review. Dental Traumatology. 1997;13(2):75-81. https://doi.org/10.1111/j.1600-9657.1997.tb00014.x.
[9] Ricucci D, Langeland K. Apical limit of root canal instrumentation and obturation, part 2. A histological study. International endodontic journal. 1998;31(6):394.
[10] Patel S, Kanagasingam S, Ford TP. External cervical resorption: a review. Journal of endodontics. 2009;35(5):616-25. https://doi.org/10.1016/j.joen.2009.01.015.
[11] Whitworth J. Dental root resorption. Part 2: internal inflammatory defects and understanding replacement resorption, the untreatable resorptive lesion. Endodontic Practice. 2004;2:7-11. DOI: 10.1111/j.1365-2591.2009.01592.x.
[12] Scarfe WC, Levin MD, Gane D, Farman AG. Use of cone beam computed tomography in endodontics. International journal of dentistry.2009. https://doi.org/10.1155/2009/634567.
[13] Maldonado A, Muñoz E. Manejo de una Reabsorción Radicular Interna en una Pieza Permanente. Reporte de Caso. Journal of Oral Research. 2015;4(4):275-81. DOI: https://doi.org/10.17126/joralres.2015.053.
[14] Li FC, Hung WC. Repair of a perforating internal resorption: two case reports. Journal of Dental Sciences. 2016;11(3):338-42. https://doi.org/10.1016/j.jds.2013.02.030.
[15] Bukhari S, Kohli MR, Setzer F, Karabucak B. Outcome of revascularization procedure: a retrospective case series. Journal of Endodontics. 2016;42(12):1752-9. https://doi.org/10.1016/j.joen.2016.06.021.
[16] Nosrat A, Seifi A, Asgary S. Regenerative endodontic treatment (revascularization) for necrotic immature permanent molars: a review and report of two cases with a new biomaterial. Journal of endodontics. 2011;37(4):562-7. https://doi.org/10.1016/j.joen.2011.01.011.
[17] Brito-Júnior M, Quintino AF, Camilo CC, Normanha JA, Faria-e-Silva AL. Nonsurgical endodontic management using MTA for perforative defect of internal root resorption: report of a long term follow-up. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2010;110(6):784-8. https://doi.org/10.1016/j.tripleo.2010.07.008.
[18] Andreasen JO, Farik B, Munksgaard EC. Long‐term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dental Traumatology. 2002;18(3):134-7. https://doi.org/10.1034/j.1600-9657.2002.00097.x.
[19] Macwan C, Deshpande A. Mineral trioxide aggregate (MTA) in dentistry: A  review of literature. Journal of Oral Research and Review.  
         2014;6(2):71-4. DOI:  10.4103/2249-4987.152914.
[20] Saoud TM, Mistry S, Kahler B, Sigurdsson A, Lin LM. Regenerative endodontic procedures for traumatized teeth after horizontal root fracture, avulsion, and perforating root resorption. Journal of Endodontics. 2016;42(10):1476-82. https://doi.org/10.1016/j.joen.2016.04.028.
[21] Cohen S, Hargreaves KM, Berman L. Cohen’s Pathways of the Pulp. Mosby Elsivier 2011: 602–19. 
[22] Murray PE, Garcia-Godoy F, Hargreaves KM. Regenerative endodontics: a review of current status and a call for action. Journal of endodontics. 2007;33(4):377-90. https://doi.org/10.1016/j.joen.2006.09.013.
[23] Paryani K, Kim SG. Regenerative endodontic treatment of permanent teeth after completion of root development: a report of 2 cases. Journal of Endodontics. 2013;39(7):929-34. https://doi.org/10.1016/j.joen.2013.04.029.
[24] Tambakad PB, Naidu J. Pulp and periodontal regeneration of an avulsed permanent mature incisor using platelet-rich plasma after delayed replantation: a 12-month clinical case study. Journal of Endodontics. 2016;42(1):66-71. https://doi.org/10.1016/j.joen.2015.07.016.