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Surgical root restoration after external inflammatory root resorption: A case report
Geert M G Hommez1, Hilde A A Browaeys, Roeland J G De Moor
1Department of Restorative Dentistry and Endodontology, Ghent University Hospital, Ghent University, Ghent, Belgium. Geert.Hommez@UGent.be
Journal of Endodontics
|July 25, 2006
Summary
External inflammatory root resorption is a rare complication following jaw fractures. This case study details successful management of extensive root resorption in a mandibular canine using root canal treatment and surgical repair.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Endodontics
Background:
- External inflammatory root resorption (EIRR) is an uncommon complication following maxillofacial trauma.
- Jaw fractures, particularly those involving tooth sockets, pose a risk for dental complications.
Observation:
- A case of extensive EIRR in the middle third of a mandibular right canine root is presented.
- The resorption occurred secondary to a mandibular fracture and surgical intervention with a screw.
Findings:
- Delayed treatment and surgical screw damage complicated the initial presentation.
- A combined approach of root canal treatment and surgical debridement followed by restoration with glass ionomer cement was employed.
- Complete healing of the resorptive defect was observed postoperatively.
Implications:
- This case highlights the possibility of EIRR after jaw fractures and the need for careful management.
- Surgical intervention combined with endodontic treatment can effectively manage extensive resorptive defects.
- Restorative glass ionomer cement shows promise for rebuilding resorbed root structure.