Successful endodontic treatment on an upper lateral incisor with non-perforating inflammatory internal root resorption: case report

• Autor(a) principal: Travassos, Rosana Maria Coelho
• Data de Publicação: 2020
• Outros Autores: Negreiros, Jhony Herick Cavalcanti Nunes, Ribeiro, Yuri de Arruda Tavares, Silva, Yuri Cássio de Lima, Silva, Maria Clara de Andrade Jatobá, Souza, Talita Giselly dos Santos, Barbosa, Lívia Mirelle, Silva, Hilton Justino da
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/7046
• topic: Endodoncia; Diagnóstico; Relleno del conducto radicular.; Endodontia; Diagnóstico; Obturação do canal radicular.; Endodontics; Diagnosis; Root canal obturation.

Internal tooth resorption is usually asymptomatic and is almost always diagnosed on routine radiographic examinations. The objective of this study is to present a clinical case report of a tooth affected by internal non-perforating inflammatory root resorption, in order to disseminate information that can be used to guide professionals in these cases, helping with therapeutic management. A 53-year-old female patient was referred to the specialization course at Faculdade CIODONTO after performing a routine periapical radiographic examination, which showed non-perforating internal resorption at the level of the radicular middle third of the tooth 12. Radiographically it was verified that the contour of the pulp boundaries undergoes a relatively symmetrical expansion with a ballooning aspect, with regular and rounded contours. After coronary opening, bleeding compatible with the vital pulp was observed, initially irrigating with lime water. Biomechanical preparation using the crown-apex technique without pressure was performed and Callen was selected as an intracanal medication for 30 days and L&C paste for 90 days. After this period, root canal filling was performed using the Tagger hybrid thermoplastic technique and calcium hydroxide-based endodontic cement. Proservation was performed after 1 year and the success of endodontic therapy was confirmed. Thus, according to the protocol indicated in the literature, effective clinical resolution of teeth affected by internal non-perforating resorption is allowed, proving to be an excellent alternative for conservative treatment.