Arrest and Calcification Repair of internal root resorption with a novel treatment approach: Report of two cases

Dental Traumatology : Official Publication of International Association for Dental Traumatology
K A Ebeleseder, L Kqiku

Abstract

We report a novel treatment option for teeth with internal root resorption (IRR) in which the lesion had perforated to the PDL and was located in the coronal aspect of the root. Arrest and calcification of IRR can be achieved by local application of calcium hydroxide without further intracanal instrumentation. Two cases of severe IRR without periapical inflammation were treated with a novel technique: The vital pulp including the granuloma was left in place and subjected to long-term disinfection with application of calcium hydroxide in the coronal aspect of the IRR. In both cases, the radiolucent areas were reduced and showed progressive calcification. Solid barriers were found in the coronal layers of the IRRs, and mineral trioxide aggregate (MTA) was placed as definitive fillings. No apical periodontitis was seen during the follow-up period of 6 years. The root canals appeared to gradually be narrowed. The results were similar to those obtained after successful cervical pulpotomy. Thus, the biological outcome was improved in comparison with pulp extirpation and conventional root canal treatment. A treatment option for internal root resorption without periapical inflammation.

References

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Jul 12, 2002·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Jens Ove AndreasenErik Christian Munksgaard
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Dec 14, 2011·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Jale TanalpGündüz Bayırlı

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Citations

Jun 16, 2015·International Endodontic Journal·L KarygianniM J Altenburger
Dec 14, 2017·Materials·Sowmya ShettyBill Kahler
Aug 29, 2021·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Marcio José da Silva CamposRobert Willer Farinazzo Vitral

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