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Successful Arrest of Internal Root Resorption Using Partial Pulpotomy: A Case Report
1Endodontics, Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IRN.
Cureus
|November 11, 2024
Summary
This case report introduces a new minimally invasive technique for internal root resorption (IRR). A tampon partial pulpotomy using calcium-enriched mixture (CEM) cement successfully treated IRR, preserving pulp vitality.
Area of Science:
- Endodontics
- Dental Traumatology
Background:
- Internal root resorption (IRR) poses a significant clinical challenge.
- Conventional root canal therapy (RCT) often involves complete pulp removal, potentially compromising tooth vitality.
Observation:
- A 32-year-old patient presented with rapidly progressing IRR and apical radiolucency.
- Symptoms included irreversible pulpitis and apical periodontitis.
Findings:
- A novel tampon partial pulpotomy using calcium-enriched mixture (CEM) cement was performed.
- Over two years, apical radiolucency healed, resorption halted, and root canals narrowed.
- The outcome mimicked successful biological pulpotomy results.
Implications:
- Tampon partial pulpotomy with CEM cement is a viable alternative to conventional RCT for IRR.
- This approach offers enhanced preservation of pulpal vitality and favorable long-term prognosis.
- Minimally invasive endodontic techniques show promise for managing complex dental conditions.
