Managing Large Perforated Internal Root Resorption With Partial Pulpectomy: A Case Report
ABSTRACT Internal root resorption (IRR) is a complex and often asymptomatic dental condition that can severely compromise tooth vitality and function. This case report presents the successful management of a perforated large IRR lesion in a 49‐year‐old female using an ultraconservative approach invo...
Saved in:
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-01-01
|
| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.70099 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832589903259500544 |
|---|---|
| author | Saeed Asgary |
| author_facet | Saeed Asgary |
| author_sort | Saeed Asgary |
| collection | DOAJ |
| description | ABSTRACT Internal root resorption (IRR) is a complex and often asymptomatic dental condition that can severely compromise tooth vitality and function. This case report presents the successful management of a perforated large IRR lesion in a 49‐year‐old female using an ultraconservative approach involving partial pulpectomy (PP) using calcium‐enriched mixture (CEM) cement. The patient, initially presenting with an asymptomatic resorptive lesion in her left first premolar, underwent ultraconservative PP following diagnosis via conventional radiography and cone beam computed tomography. Despite encountering excessive bleeding during treatment, the tampon technique using CEM cement allowed reasonable hemostasis and effective sealing of the pulp stump, facilitating the preservation of tooth structure. Follow‐up at 2 weeks and 2 years showed positive outcomes, including cessation of the resorptive process and normal periodontal health. This case demonstrates the efficacy of vital pulp therapy, specifically partial pulpectomy, in managing advanced IRR and underscores the potential for tooth preservation and long‐term stability through an ultraconservative approach. |
| format | Article |
| id | doaj-art-4b930ced33fa4951b5f8bfcfe82aed62 |
| institution | Kabale University |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-4b930ced33fa4951b5f8bfcfe82aed622025-01-24T05:08:46ZengWileyClinical Case Reports2050-09042025-01-01131n/an/a10.1002/ccr3.70099Managing Large Perforated Internal Root Resorption With Partial Pulpectomy: A Case ReportSaeed Asgary0Iranian Centre for Endodontic Research, Research Institute of Dental Sciences Shahid Beheshti University of Medical Sciences Tehran IranABSTRACT Internal root resorption (IRR) is a complex and often asymptomatic dental condition that can severely compromise tooth vitality and function. This case report presents the successful management of a perforated large IRR lesion in a 49‐year‐old female using an ultraconservative approach involving partial pulpectomy (PP) using calcium‐enriched mixture (CEM) cement. The patient, initially presenting with an asymptomatic resorptive lesion in her left first premolar, underwent ultraconservative PP following diagnosis via conventional radiography and cone beam computed tomography. Despite encountering excessive bleeding during treatment, the tampon technique using CEM cement allowed reasonable hemostasis and effective sealing of the pulp stump, facilitating the preservation of tooth structure. Follow‐up at 2 weeks and 2 years showed positive outcomes, including cessation of the resorptive process and normal periodontal health. This case demonstrates the efficacy of vital pulp therapy, specifically partial pulpectomy, in managing advanced IRR and underscores the potential for tooth preservation and long‐term stability through an ultraconservative approach.https://doi.org/10.1002/ccr3.70099calcium‐enriched mixture cementinternal root resorptionpulpitispulpotomyvital pulp therapy |
| spellingShingle | Saeed Asgary Managing Large Perforated Internal Root Resorption With Partial Pulpectomy: A Case Report Clinical Case Reports calcium‐enriched mixture cement internal root resorption pulpitis pulpotomy vital pulp therapy |
| title | Managing Large Perforated Internal Root Resorption With Partial Pulpectomy: A Case Report |
| title_full | Managing Large Perforated Internal Root Resorption With Partial Pulpectomy: A Case Report |
| title_fullStr | Managing Large Perforated Internal Root Resorption With Partial Pulpectomy: A Case Report |
| title_full_unstemmed | Managing Large Perforated Internal Root Resorption With Partial Pulpectomy: A Case Report |
| title_short | Managing Large Perforated Internal Root Resorption With Partial Pulpectomy: A Case Report |
| title_sort | managing large perforated internal root resorption with partial pulpectomy a case report |
| topic | calcium‐enriched mixture cement internal root resorption pulpitis pulpotomy vital pulp therapy |
| url | https://doi.org/10.1002/ccr3.70099 |
| work_keys_str_mv | AT saeedasgary managinglargeperforatedinternalrootresorptionwithpartialpulpectomyacasereport |