Treatment of severe inflammatory root resorption in a young permanent incisor with mineral trioxide aggregate.

Abstract

Inflammatory root resorption is a pathologic condition caused by several etiologic factors including traumatic dental injury. In this case report, we describe treatment of a maxillary lateral incisor affected by severe, perforating inflammatory root resorption. An 11-year-old patient presented with a previously traumatized, root-filled maxillary lateral incisor associated with pain, mobility and a sinus tract. Radiographic examination revealed a large periradicular lesion involving pathologic resorption of the apical region of the root. After removal of the root canal filling, the tooth was treated with intracanal calcium hydroxide for 2 weeks. The calcium hydroxide dressing was then removed and the entire root canal was filled with mineral trioxide aggregate. The endodontic access cavity was restored with composite resin. After 1 year, advanced osseous healing of the periradicular region had occurred and no clinical symptoms were apparent.

• Authors: Irem Guzeler, Serdar Uysal, Zafer C Cehreli
• Journal: Journal (Canadian Dental Association) (J Can Dent Assoc) Vol. 77 Pg. b108 ( 2011) ISSN: 1488-2159 [Electronic] Canada
• PMID: 21846458 (Publication Type: Case Reports, Journal Article)

Chemical References

• Aluminum Compounds
• Calcium Compounds
• Drug Combinations
• Oxides
• Root Canal Filling Materials
• Silicates
• mineral trioxide aggregate

Topics

• Aluminum Compounds
• Calcium Compounds
• Child
• Dental Fistula (etiology, therapy)
• Drug Combinations
• Humans
• Incisor
• Male
• Maxilla
• Oxides
• Radiography
• Retreatment
• Root Canal Filling Materials
• Root Canal Obturation (methods)
• Root Resorption (diagnostic imaging, etiology, therapy)
• Silicates
• Tooth Injuries (complications)
• Tooth, Nonvital (etiology, pathology, therapy)