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Teeth with double internal inflammatory resorption: report of two cases
Giampiero Rossi-Fedele1, Jose A P Figueiredo, Paul V Abbott
1grossifede@yahoo.com
Summary
Internal inflammatory resorption, a rare dental condition, involves tooth root defects caused by pulp infection. This study presents unusual cases with double resorption areas, offering insights into their development and management.
Area of Science:
- Endodontics
- Dental Radiology
- Oral Pathology
Background:
- Internal inflammatory resorption is an uncommon endodontic condition.
- It necessitates necrotic pulp tissue and an infected root canal system.
- The defect typically presents as a coronal, bowl-shaped radiolucency.
Observation:
- Most cases are asymptomatic and diagnosed late, often with apical periodontitis.
- This study details two unusual cases exhibiting double distinct areas of internal inflammatory resorption.
- The lesions were located at different levels within the tooth root.
Findings:
- A hypothesis suggests a sequential development of resorption defects.
- The initial coronal lesion may cease activity as infection progresses apically.
- A secondary resorptive defect develops subsequently at a more apical location.
Implications:
- Understanding double internal inflammatory resorption is crucial for accurate diagnosis.
- Diverse management strategies may be required for complex resorption cases.
- Further research is needed to elucidate the precise mechanisms and optimize treatment outcomes.
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