Authors :
Dr. Kalpana; Dr. Gowthami G Kava; Dr. Divya Shetty; Dr. Aftab Damda
Volume/Issue :
Volume 9 - 2024, Issue 9 - September
Google Scholar :
https://tinyurl.com/4mm9uxk5
Scribd :
https://tinyurl.com/3c9e4ttv
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24SEP1224
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Root resorption, involving the breakdown of
hard tissues like dentin and cementum, can result from
trauma and subsequent infection, potentially leading to
tooth loss. This case report details the management of
combined internal and external root resorption with a
periapical cyst in a 32-year-old male. After trauma, the
maxillary left central incisor (#21) presented with root
resorption and a displaced apex. Endodontic treatment
using MTA and surgical enucleation of the cyst were
performed. A 12-month follow-up showed successful
resolution and tissue regeneration. This case emphasizes
the effectiveness of combining advanced endodontic and
surgical techniques for complex resorption cases.
Keywords :
External Resorption, Endodontic Treatment, Internal Resorption, Mineral Trioxide Aggregate (MTA), Periapical Cyst, Platelet-Rich Fibrin (PRF), Root Resorption.
References :
- Digole VR, Dua P, Pathak P, Prakash P, Kumar V. Management of internal inflammatory root resorption - an endodontic challenge: Case series. IP Indian Journal of Conservative and Endodontics. 5(3):140–3.
- Tronstad L. Root resorption--etiology, terminology and clinical manifestations. Endod Dent Traumatol. 1988 Dec;4(6):241–52.
- Trope M. Root resorption of dental and traumatic origin: classification based on etiology. Pract Periodontics Aesthet Dent. 1998 May;10(4):515–22.
- Rai S, Kumari RA. Nonsurgical management of trauma-induced inflammatory internal- external root resorption: A case report. IP Indian Journal of Conservative and Endodontics. 5(4):212–5.
- Heithersay GS. Management of tooth resorption. Aust Dent J. 2007 Mar;52(1 Suppl):S105-121.
- Andreasen JO, Bakland LK, Andreasen FM. Traumatic intrusion of permanent teeth. Part 2. A clinical study of the effect of preinjury and injury factors, such as sex, age, stage of root development, tooth location, and extent of injury including number of intruded teeth on 140 intruded permanent teeth. Dent Traumatol. 2006 Apr;22(2):90–8.
- Estrela C, Bueno MR, De Alencar AHG, Mattar R, Valladares Neto J, Azevedo BC, et al. Method to evaluate inflammatory root resorption by using cone beam computed tomography. J Endod. 2009 Nov;35(11):1491–7.
- Nayak MT, Nayak A. External Inflammatory Root Resorption in Mandibular First Molar: A Case Report. Malays J Med Sci. 2015 Nov;22(6):63–6.
- Fuss Z, Tsesis I, Lin S. Root resorption--diagnosis, classification and treatment choices based on stimulation factors. Dent Traumatol. 2003 Aug;19(4):175–82.
- Trope M. Root Resorption due to Dental Trauma. Endodontic Topics. 2002;1(1):79–100.
- Ramachandran Nair PN, Pajarola G, Schroeder HE. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996 Jan;81(1):93–102.
- Natkin E, Oswald RJ, Carnes LI. The relationship of lesion size to diagnosis, incidence, and treatment of periapical cysts and granulomas. Oral Surg Oral Med Oral Pathol. 1984 Jan;57(1):82–94.
- Holden DT, Schwartz SA, Kirkpatrick TC, Schindler WG. Clinical outcomes of artificial root-end barriers with mineral trioxide aggregate in teeth with immature apices. J Endod. 2008 Jul;34(7):812–7.
- Witherspoon DE, Small JC, Regan JD, Nunn M. Retrospective analysis of open apex teeth obturated with mineral trioxide aggregate. J Endod. 2008 Oct;34(10):1171–6.
- Rezende T, Ribeiro Sobrinho A, Vieira L, Sousa M, Kawai T. Mineral trioxide aggregate (MTA) inhibits osteoclastogenesis and osteoclast activation through calcium and aluminium activities. Clin Oral Investig. 2021 Apr;25(4):1805–14.
- Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. J Endod. 1999 Mar;25(3):197–205.
Root resorption, involving the breakdown of
hard tissues like dentin and cementum, can result from
trauma and subsequent infection, potentially leading to
tooth loss. This case report details the management of
combined internal and external root resorption with a
periapical cyst in a 32-year-old male. After trauma, the
maxillary left central incisor (#21) presented with root
resorption and a displaced apex. Endodontic treatment
using MTA and surgical enucleation of the cyst were
performed. A 12-month follow-up showed successful
resolution and tissue regeneration. This case emphasizes
the effectiveness of combining advanced endodontic and
surgical techniques for complex resorption cases.
Keywords :
External Resorption, Endodontic Treatment, Internal Resorption, Mineral Trioxide Aggregate (MTA), Periapical Cyst, Platelet-Rich Fibrin (PRF), Root Resorption.