Management of a Case of Internal Root Resorption: Case Report

Internal root resorption is a pathological process, sequel of a chronic pulp inflammation. The aim of this case report is to describe the interdisciplinary treatment plan that was applied in a case of perforating internal root resorption. A 24-year-old patient presented to the clinic with complains that her front right incisor got slightly intruded two years after orthodontic treatment. The root canal system was accessed. A large zone of internal resorption with two perforating points (vetibularly and proximally) was observed in the cervical region of the incisor. The root canal was temporary filled with calcium hydroxide. The root was permanently filled with gutta-percha and a sealer till the level of the resorption area. A flap was elevated and the two perforated sites were visualized and filled with BioDentine. A composite veneer was placed in order to restore the esthetics. The success of the treatment of internal root resorption depends on the early diagnosis and initiation of endodontic treatment. In cases of perforating internal resorption a multidisciplinary approach, including endodontic treatment, surgical reconstruction of the root perforation and in some cases orthodontic extrusion should be applied.