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CC BY-NC-ND 4.0 · Eur J Dent 2018; 12(03): 450-453
DOI: 10.4103/ejd.ejd_31_17
Case Report
Dental Investigation Society

Endodontic management of root perforating internal replacement resorption

Rustem Kemal Subay
1   Department of Endodontics, School of Dentistry, Istanbul Aydin University, Istanbul, Turkiye
,
Melike Ordulu Subay
2   Department of Oral and Maxillofacial Surgery, School of Dentistry, Istanbul University, Istanbul, Turkiye
,
Sirin Baloglu Tuzcu
3   Private practice, Nisantasi, Istanbul, Turkiye
› Author Affiliations
Further Information

Publication History

Publication Date:
16 September 2019 (online)

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ABSTRACT

This case report presents the management of a case of rarely seen perforating internal replacement resorption using calcium hydroxide (CH) medication and mineral trioxide aggregate (MTA) root canal obturation. A maxillary central incisor of a 20-year-old female was showing a sinus track on the mucosa. Radiographically, an irregularly shaped and perforating internal resorption area was seen at the middle third of the root canal. Appearances of the bone-like fuzzy material were observed inside the resorption site. The apical part of the canal was obliterated. Following 3 months of CH medication, the canal and the perforation were obturated with MTA filling. At 6-year follow-up, the tooth was clinically asymptomatic and showing radiographical appearances of the hard tissue repair, resembling a barrier and periodontal membrane healing around MTA at the perforation site.

Key words:

Endodontic treatment - internal root replacement resorption - internal root resorption
 

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