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Multiple Idiopathic Internal Root Resorption in an Adolescent: A Case R Multiple Idiopathic Internal Root Resorption
The Journal of Clinical Pediatric Dentistry
|January 7, 2022
Summary
Internal root resorption (IRR) is a tooth resorption process often seen in primary teeth. This case report details a rare instance of multiple idiopathic IRR in a young patient's permanent teeth and its management.
Area of Science:
- Endodontics
- Dental Pathology
Background:
- Internal root resorption (IRR) is a pathological process involving tooth structure resorption from within the pulp cavity.
- It is attributed to odontoclast activity, often associated with chronic pulp inflammation and loss of protective dentin layers.
- Predisposing factors for IRR remain unclear, complicating prevalence studies and diagnosis.
Observation:
- This case report focuses on a 17-year-old female presenting with multiple instances of idiopathic internal root resorption.
- The resorption affected multiple anterior permanent teeth over a short duration.
- The idiopathic nature suggests a lack of identifiable external causes.
Findings:
- The case highlights the occurrence of multiple idiopathic internal root resorptions in permanent dentition, which is atypical.
- It underscores the challenges in diagnosing and managing IRR, especially when presenting aggressively and without clear etiology.
- The report details the specific management strategies employed for this complex presentation.
Implications:
- This case expands the understanding of internal root resorption presentation, particularly in permanent teeth.
- It emphasizes the need for heightened clinical suspicion and advanced diagnostic approaches for idiopathic IRR.
- Effective management strategies are crucial for preserving dentition affected by rapid internal root resorption.

