CBCT Management of Previously Treated Mandibular Incisor with Extensive Internal Root Resorption: A Case Report

Document Type : Case Reports

Authors

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

2 Department of Clinical Dentistry, School of Dentistry, Universidad Europea de Madrid, Madrid, Spain

Abstract

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.

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Main Subjects


[1] Gulabivala K, Searson LJ. Clinical diagnosis of internal resorption: an exception to the rule. International endodontic journal. 1995;28(5):255-60. https://doi.org/10.1111/j.1365-2591.1995.tb00310.x.
[2] Andreasen JO. Luxation of permanent teeth due to trauma A clinical and radiographic follow‐up study of 189 injured teeth. European Journal of Oral Sciences. 1970;78(1‐4):273-86. https://doi.org/10.1111/j.1600-0722.1970.tb02074.x.
[3] Rabinowitch BZ. Internal resorption. Oral Surgery, Oral Medicine, Oral Pathology. 1972;33(2):263-82. https://doi.org/10.1016/0030-4220(72)90396-9.
[4] 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.
[5] Cabrini RL, Maisto OA, Manfredi EE. Internal resorption of dentine: histopathologic control of eight cases after pulp amputation and capping with calcium hydroxide. Oral Surgery, Oral Medicine, Oral Pathology. 1957;10(1):90-6. https://doi.org/10.1016/S0030-4220(57)80120-0.
[6] Penido RS, Carrel R, Chialastri AJ. The anachoretic effect in root resorption: report of case. The Journal of pedodontics. 1980;5(1):85.
[7] Walton RE, Leonard LA. Cracked tooth: an etiology for “idiopathic” internal resorption?. Journal of endodontics. 1986;12(4):167-9. https://doi.org/10.1016/S0099-2399(86)80056-5.
 [8] Silveira FF, Nunes E, Soares JA, Ferreira CL, Rotstein I. Double ‘pink tooth’associated with extensive internal root resorption after orthodontic treatment: a case report. Dental Traumatology. 2009;25(3):e43-7. https://doi.org/10.1111/j.1600-9657.2008.00755.x.
[9] Pérez-Alfayate R, Mercadé M, Vera J. Relationship between internal root resorption and dens in dente. Journal of Clinical and Experimental Dentistry. 2020;12(8):e800-e804. doi: 10.4317/jced.56944.
[10] 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.
[11] Haapasalo M, Endal U. Internal inflammatory root resorption: the unknown resorption of the tooth. Endodontic topics. 2006;14(1):60-79. https://doi.org/10.1111/j.1601-1546.2008.00226.x.
[12] Thomas P, Krishna Pillai R, Pushparajan Ramakrishnan B, Palani J. An insight into internal resorption. International Scholarly Research Notices. 2014. https://doi.org/10.1155/2014/759326.
[13] WEDENBERG C, LINDSKOG S. Evidence for a resorption inhibitor in dentin. European Journal of Oral Sciences. 1987;95(3):205-11. https://doi.org/10.1111/j.1600-0722.1987.tb01832.x.
[14] de Souza SN, Marques AA, Sponchiado-Júnior EC, Garcia LD, da Frota MF, de Carvalho FM. Technological advances in endodontics: treatment of a mandibular molar with internal root resorption using a reciprocating single-file system. Gen Dent. 2017;65(3):e5-8.
[15] Ulusoy ÖI, Savur IG, Alaçam T, Çelik B. The effectiveness of various irrigation protocols on organic tissue removal from simulated internal resorption defects. International endodontic journal. 2018;51(9):1030-6. https://doi.org/10.1111/iej.12919.
[16] Patel S, Durack C, Abella F, Roig M, Shemesh H, Lambrechts P, Lemberg K. European Society of Endodontology position statement: the use of CBCT in endodontics. International Endodontic Journal. 2014;47(6):502-4. https://doi.org/10.1111/iej.12267.
[17] Türker SA, Uzunoğlu E, Sungur DD, Tek V. Fracture resistance of teeth with simulated perforating internal resorption cavities repaired with different calcium silicate–based cements and backfilling materials. Journal of endodontics. 2018;44(5):860-3. https://doi.org/10.1016/j.joen.2018.01.019.
[18] Vallés M, Mercadé M, Duran-Sindreu F, Bourdelande JL, Roig M. Influence of light and oxygen on the color stability of five calcium silicate–based materials. Journal of endodontics. 2013;39(4):525-8. https://doi.org/10.1016/j.joen.2012.12.021.
Volume 2, Issue 4
December 2020
Pages 141-144
  • Receive Date: 21 October 2020
  • Revise Date: 01 December 2020
  • Accept Date: 14 December 2020
  • First Publish Date: 14 December 2020