Endodontic tooth treatment with internal root resorption: case report

Abstract

INTRODUCTION: Internal tooth resorption is characterized by the destruction of dentin in the root canal wall due to an imbalance of clastic cell activity resulting mainly from trauma. Thus, endodontic treatment is indicated with the aim of removing the etiology of resorption by using intracanal medication to combat possible infection and thus provide tissue repair. OBJECTIVE: The aim of this study is to investigate the treatment of root resorption by conventional endodontic therapy by identifying internal resorption and highlighting the steps of endodontic treatment. CASE REPORT: The methodology adopted was a clinical study in which we selected a female patient who required endodontic treatment of tooth 12 with pulp necrosis and resorption in the middle third of the root. Thus, the endodontic treatment was performed according to the technique, through instrumentation of the root canal followed by irrigation with sodium hypochlorite 6%. After instrumentation, the PUI (Ultrasonic Passive Irrigation) was performed followed by irrigation with 6% sodium hypochlorite and EDTA solution. The root canal was also dried and filled, allowing the respective tooth to be provisionally restored with glass ionomer so that it could later be permanently restored according to the indication of the material. Therefore, internal tooth resorption causes irreversible damage to the individual, such as tooth loss, thus altering the functioning of the stomatognathic system. Thus, endodontic treatment has great advantages in the treatment of teeth with internal tooth resorption since it promotes stagnation of the resorption process and tissue repair. CONCLUSIONS: Therefore, the treatment of internal tooth resorption requires close attention by the dental surgeon due to careful evaluation throughout the entire clinical case.