Open AccessEndodontic management of a mandibular second premolar with perforating internal resorption by using MTA and cone beam computed tomography as a diagnostic aid
Author(s) -
Hetal J Kothari,
Rahul Kumar
Publication year - 2013
Publication title -
journal of conservative dentistry/journal of conservative dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 31
eISSN - 0974-5203
pISSN - 0972-0707
DOI - 10.4103/0972-0707.114343
Subject(s) - cone beam computed tomography , mineral trioxide aggregate , medicine , dentistry , root canal , resorption , gutta percha , orthodontics , computed tomography , radiology , pathology
This case report demonstrates the benefits of utilizing Cone Beam Computed tomography (CBCT) in the assessment and mineral trioxide aggregate (MTA) in the management of perforating internal resorption in a 54-year-old woman. The advent of CBCT has enhanced the clinician's ability to make a confirmatory diagnosis and determining the treatment plan before undertaking the actual treatment. Thorough cleaning and shaping of the root canal space and the resorptive defect was achieved by mechanical instrumentation, irrigation, and interim calcium hydroxide dressing. Following this obturation of the canal below, the resorptive defect was done with gutta percha using lateral and warm vertical condensation. The resorptive defect was filled with mineral trioxide aggregate. Follow-up intraoral periapical radiographs and CBCT scans at 6 months showed adequate repair of the resorption and periapical rarefaction and the tooth remained asymptomatic.