Document Type : Case Reports
Department of Endodontics, School of Dentistry, Universidad Europea de Madrid, Madrid, Spain
Department of Clinical Dentistry, School of Dentistry, Universidad Europea de Madrid, Madrid, Spain
This case report describes a central mandibular incisor's retreatment. Follow-up with perforating internal root resorption managed using a reciprocating file and obturated with down-pack and backfill technique, a surgical approach to seal the perforation. The medical history was non-contributory, and he had a history of traumatic injury resolved by a general dentist one year before. Tooth (4.1) presented pain and, after inspection and exploration, the clinical diagnosis was established as a previously-treated tooth with apical periodontitis. During periodic clinical and radiographic follow-up, the patient remained symptom-free, meeting functional expectations after eight years. Understanding the pathology and knowing the techniques to manage it could help recover the function of teeth considered lost.