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Novel management of internal root resorption with vertical root fracture using mineral trioxide aggregate - A case
Chellaswamy Savarimalai Karumaran1, Anil Kumar Ramachandran1, Nirmala Chandrasekaran1
1Department of Conservative Dentistry and Endodontics, Ragas Dental College and Hospital, (Affiliated to The Tamil Nadu Dr. MGR Medical University), Chennai, Tamil Nadu, India.
Introduction:
This case report presents the diagnosis and management of extensive internal root resorption (IRR) in a 17-year-old male patient, with a 9-year-old history of trauma.
Method:
The affected tooth 21 was associated with vertical root fracture (VRF) and incomplete apex closure with a substantial loss of tooth structure, including dentin and cementum. Encouraged by a healthy periodontal condition, the choice was made to use mineral trioxide aggregate (MTA) to reconstruct and reinforce the resorptive defect and the fractured segment. A composite veneer was placed to enhance the aesthetics.
Result:
A follow-up of the patient after 2 years revealed healing with a resolution of the lesion.
Conclusion:
This case report highlights the use of MTA as a lone-standing filling material for the treatment of IRR with VRF in a non-vital immature tooth.
