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RAHUL MARIA *
VIJAY MANTRI **
SHRADDHA KOOLWAL **
ABSTRACT
Internal resorption of teeth is an insidious process and is generally found in teeth with previous history of trauma.
Tooth is asymptomatic. It is important to diagnose this condition and institute treatment as early as possible to
improve the prognosis of such teeth. This paper presents a case having resorptive defect in the apical 1/3rd which
was treated non surgically with thermoplastized gutta percha technique. A six-month follow up demonstrated
clinically asymptomatic and adequately functional tooth, with radiographic signs of healing.
It is caused by transformation of normal pulp For internal resorption to take place, vital pulp
tissue into granulomatous tissue with giant cells, tissue is required. Therefore non surgical root canal
which resorb dentin. This transformation is thought therapy is the treatment of choice to arrest the
to stem from chronic inflammation of the coronal destruction process.
pulp caused by continuous bacterial stimulation.2
CLASSIFICATION
Trauma, caries and restorative procedures have
Classifications play an important role for the
been suggested to be contributing factors, but it
clinician in the process of diagnosis and treatment
also occurs as an idiopathic dystrophic changes.
planning. Andreasen has made a unique
Clinically, internal root resorption is usually contribution to the understanding of tooth
asymptomatic and is detected coincidentally resorption following dental trauma and his original
through routine radiographs. Internal resorption can classification remains the most widely accepted3 i.e.
be found in all areas of the root canal but is most Tooth Resorption
commonly found in cervical region. Pain or
discomfort may be the chief complain if the Internal External
Inflammatory Surface
granulation tissue has been exposed to oral fluids. Replacement Inflammatory
The granulation tissue can clinically manifest itself Replacement
* Professor, Guide & HOD, ** Reader, *** PG student, Department of Conservative Dentistry and Endodontics, Modern Dental College and Research Centre, Indore.
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ENDODONTOLOGY RAHUL MARIA, VIJAY MANTRI, SHRADDHA KOOLWAL
Apical Interradicular
studies these appear to be the same process. Internal cytokine like proteins involved in the regulation of
resorption is rarely found in permanent dentition. osteoclast cell differentiation from hematopoietic
Usually incisors and mandibular molars are precursors and from the upregulation of mature
involved. osteoclasts has become available which are as
follows:
Recently evidence of the existence of three
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ENDODONTOLOGY INTERNAL RESORPTION: A REVIEW & CASE REPORT
Their distribution of the pulp canal is symmetrical system, it should be possible to follow the canal
but can be eccentric. walls unaltered through the area of defect.
The radiolucency is of uniform density. Their distribution is not symmetrical and can occur
on any root surface.
Lesion is within the confine of root canal on angled
radiographs (fig.5). Their may be variations in the radiodensity of the
body of lesion.
MANAGEMENT OF RESORPTION:3
Surface Transient apical Pressure Orthodontic Replacement resorption
Resorption internal
resorption
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ENDODONTOLOGY RAHUL MARIA, VIJAY MANTRI, SHRADDHA KOOLWAL
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ENDODONTOLOGY INTERNAL RESORPTION: A REVIEW & CASE REPORT
ILLUSTRATION
DIFFERENT MATERIALS AVALIABLE
MTA,
Super EBA,
CASE REPORT
A 40 yr old male patient was referred to
Department of Conservative Dentistry and
Endodontics. Patient was asymptomatic. On taking Fig.2: Showing Pink tooth
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ENDODONTOLOGY RAHUL MARIA, VIJAY MANTRI, SHRADDHA KOOLWAL
Fig.5:
A. Lesion is within the confine of root canal on Fig.6: E&Q Plus
angled radiographs. (Thermoplasticized gutta percha technique)
B. Lesion shift on changing angulations.
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ENDODONTOLOGY INTERNAL RESORPTION: A REVIEW & CASE REPORT
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Resorption using a syringeable composite resin: JADA,
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Vol.131:493, 2000.
of root resorption lesions using intraoral radiography and cone
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