Repair of a perforating internal resorption: two case reports

Internal resorption is a rare condition in permanent teeth, and may result from trauma, caries, or restorative procedures. Internal resorption is usually asymptomatic and is first identified as a round-shaped enlargement of a root-canal space on routine radiographs. Large resorption defects may resu...

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Main Authors: Fang-Chi Li, Wei-Chiang Hung
Format: Article
Language:English
Published: Elsevier 2016-09-01
Series:Journal of Dental Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1991790213000524
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author Fang-Chi Li
Wei-Chiang Hung
author_facet Fang-Chi Li
Wei-Chiang Hung
author_sort Fang-Chi Li
collection DOAJ
description Internal resorption is a rare condition in permanent teeth, and may result from trauma, caries, or restorative procedures. Internal resorption is usually asymptomatic and is first identified as a round-shaped enlargement of a root-canal space on routine radiographs. Large resorption defects may result in penetration of the tooth into the periodontium through the cementum. The gold-standard treatment consists of debridement and obturation of the pulp space, sealing of the external communication, and restoration of the normal function of the tooth through a nonsurgical or surgical method. In this case presentation, we report on two methods for repair of internal resorption with perforation. The first method consisted of treating the lower right second premolar by conventional endodontic therapy under a microscope, followed by repair with mineral trioxide aggregate. The second method consisted of surgical treatment of the upper right central incisor. The choice of treatment depends on the size of the perforation, its location, and the ability to approach it for repair.
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spelling doaj.art-61a40356da644d99bcfc273499cf84a12022-12-21T19:10:27ZengElsevierJournal of Dental Sciences1991-79022016-09-0111333834210.1016/j.jds.2013.02.030Repair of a perforating internal resorption: two case reportsFang-Chi Li0Wei-Chiang Hung1Department of Dentistry, Taipei Medical University, Shuang Ho Hospital, Taipei, TaiwanDepartment of Dentistry, Taipei Medical University Hospital, Taipei, Taiwan, Republic of ChinaInternal resorption is a rare condition in permanent teeth, and may result from trauma, caries, or restorative procedures. Internal resorption is usually asymptomatic and is first identified as a round-shaped enlargement of a root-canal space on routine radiographs. Large resorption defects may result in penetration of the tooth into the periodontium through the cementum. The gold-standard treatment consists of debridement and obturation of the pulp space, sealing of the external communication, and restoration of the normal function of the tooth through a nonsurgical or surgical method. In this case presentation, we report on two methods for repair of internal resorption with perforation. The first method consisted of treating the lower right second premolar by conventional endodontic therapy under a microscope, followed by repair with mineral trioxide aggregate. The second method consisted of surgical treatment of the upper right central incisor. The choice of treatment depends on the size of the perforation, its location, and the ability to approach it for repair.http://www.sciencedirect.com/science/article/pii/S1991790213000524Ca(OH)2internal root resorptionmicroscopemineral trioxide aggregate (MTA)radiography
spellingShingle Fang-Chi Li
Wei-Chiang Hung
Repair of a perforating internal resorption: two case reports
Journal of Dental Sciences
Ca(OH)2
internal root resorption
microscope
mineral trioxide aggregate (MTA)
radiography
title Repair of a perforating internal resorption: two case reports
title_full Repair of a perforating internal resorption: two case reports
title_fullStr Repair of a perforating internal resorption: two case reports
title_full_unstemmed Repair of a perforating internal resorption: two case reports
title_short Repair of a perforating internal resorption: two case reports
title_sort repair of a perforating internal resorption two case reports
topic Ca(OH)2
internal root resorption
microscope
mineral trioxide aggregate (MTA)
radiography
url http://www.sciencedirect.com/science/article/pii/S1991790213000524
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AT weichianghung repairofaperforatinginternalresorptiontwocasereports