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Published on: May 24, 2022
Endodontic management of root perforating internal replacement resorption
Rustem Kemal Subay1, Melike Ordulu Subay2, Sirin Baloglu Tuzcu3
1Department of Endodontics, School of Dentistry, Istanbul Aydin University, Istanbul, Turkiye.
Abstract:
This case report presents the management of a case of rarely seen perforating internal replacement resorption using calcium hydroxide (CH) medication and mineral trioxide aggregate (MTA) root canal obturation. A maxillary central incisor of a 20-year-old female was showing a sinus track on the mucosa. Radiographically, an irregularly shaped and perforating internal resorption area was seen at the middle third of the root canal. Appearances of the bone-like fuzzy material were observed inside the resorption site. The apical part of the canal was obliterated. Following 3 months of CH medication, the canal and the perforation were obturated with MTA filling. At 6-year follow-up, the tooth was clinically asymptomatic and showing radiographical appearances of the hard tissue repair, resembling a barrier and periodontal membrane healing around MTA at the perforation site.
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