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Related Experiment Video

Updated: Jun 3, 2025

Author Spotlight: Enhancing Dental Pulp Research with Improved Mouse Models
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Managing Large Perforated Internal Root Resorption With Partial Pulpectomy: A Case Report.

Saeed Asgary1

  • 1Iranian Centre for Endodontic Research, Research Institute of Dental Sciences Shahid Beheshti University of Medical Sciences Tehran Iran.

Clinical Case Reports
|January 13, 2025
PubMed
Summary

This case report shows that partial pulpectomy (PP) with calcium-enriched mixture (CEM) cement successfully treated a perforated internal root resorption (IRR) lesion. This ultraconservative approach preserved tooth structure and ensured long-term stability.

Keywords:
calcium‐enriched mixture cementinternal root resorptionpulpitispulpotomyvital pulp therapy

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Area of Science:

  • Dentistry
  • Endodontics
  • Regenerative Dentistry

Background:

  • Internal root resorption (IRR) is a challenging dental condition that can compromise tooth vitality.
  • Large or perforated IRR lesions often require aggressive treatment, potentially leading to tooth loss.

Purpose of the Study:

  • To present a case of successful management of a perforated internal root resorption lesion.
  • To evaluate the efficacy of an ultraconservative vital pulp therapy approach using partial pulpectomy (PP) and calcium-enriched mixture (CEM) cement.

Main Methods:

  • A 49-year-old female patient with a perforated large IRR lesion underwent ultraconservative partial pulpectomy (PP).
  • Diagnosis was confirmed using conventional radiography and cone beam computed tomography (CBCT).
  • Calcium-enriched mixture (CEM) cement was used with a tampon technique for hemostasis and pulp stump sealing.

Main Results:

  • The ultraconservative PP approach successfully managed the perforated IRR lesion.
  • The tampon technique with CEM cement achieved hemostasis and effective pulp stump sealing.
  • Follow-up at 2 weeks and 2 years demonstrated cessation of resorption and normal periodontal health, indicating long-term tooth stability.

Conclusions:

  • Vital pulp therapy, specifically partial pulpectomy with CEM cement, is effective for managing advanced internal root resorption.
  • An ultraconservative approach can preserve tooth structure and achieve long-term stability in cases of perforated IRR lesions.