Management of Perforating Idiopathic Internal Root Resorption

Area of Science:

• Dentistry
• Endodontics
• Oral Surgery

Background:

• Idiopathic internal root resorption is a rare condition requiring precise diagnosis and treatment.
• Early detection and intervention are crucial for preserving tooth structure and function.

Observation:

• A 24-year-old male presented with internal root resorption in two anterior teeth, diagnosed via cone-beam computed tomography (CBCT).
• The patient had no significant medical history, trauma, or orthodontic treatment history.
• Resorptive lesions were treated with non-surgical root canal therapy for one tooth and a combined approach for the other.

Findings:

• Mineral trioxide aggregate (MTA) was utilized as the primary filling material in both treatment approaches.
• Clinical and radiographic follow-up at three years revealed significant periapical healing.
• Both teeth were maintained in function, indicating successful management of the resorptive lesions.

Implications:

• This case highlights the efficacy of MTA in treating internal root resorption, promoting long-term tooth survival.
• Accurate diagnosis using CBCT and tailored endodontic treatment are vital for favorable outcomes.
• The findings support conservative management strategies for internal root resorption to preserve natural dentition.