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Treatment of inflammatory internal root resorption with mineral trioxide aggregate: a case report
Author(s) -
Jacobovitz M.,
De Lima R. K. P.
Publication year - 2008
Publication title -
international endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.988
H-Index - 119
eISSN - 1365-2591
pISSN - 0143-2885
DOI - 10.1111/j.1365-2591.2008.01412.x
Subject(s) - mineral trioxide aggregate , dentistry , cementum , root canal , resorption , perforation , medicine , post and core , dentin , orthodontics , materials science , pathology , crown (dentistry) , punching , metallurgy
Aim To report the treatment and follow‐up of a maxillary central incisor with internal resorption managed by root canal treatment, white mineral trioxide aggregate (MTA) repair and a fibre‐glass post for reinforcement. Summary This study presents a case of extensive internal root resorption affecting tooth 11 (FDI) in a 28‐year‐old male patient, with a history of trauma in that region. The substantial loss of tooth structure, including cementum, and a perforation with lateral periodontal communication were complicating factors. Despite a guarded prognosis but encouraged by a healthy periodontal condition, treatment based on reconstructing the tooth with white MTA and a fibre‐glass core was carried out. Follow‐up radiographs over 20 months demonstrated the maintenance of a functional tooth. The tooth did, however, discolour after MTA treatment. Key learning points • Because of its insidious pathology, internal root resorption can extend to significant dimensions before being recognized. • MTA plus the fitting of a fibre‐glass post provided adequate, functional rehabilitation of a compromised tooth for 20 months. • Despite the favourable biological and mechanical properties of white MTA, considerable tooth discolouration may occur.