Successful Arrest of Internal Root Resorption Using Partial Pulpotomy: A Case Report.

Cureus

Endodontics, Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IRN.

Published: October 2024

AI Article Synopsis

  • This case report details a new, less invasive technique for treating internal root resorption (IRR) in a patient with serious tooth issues.
  • A 32-year-old patient experienced rapid IRR progression and apical radiolucency one month after diagnosis.
  • Instead of the standard root canal therapy, a partial pulpotomy was performed using calcium-enriched mixture (CEM) cement, leading to successful healing and no further issues over a two-year period.

Article Abstract

This case report presents a novel, minimally invasive approach for treating internal root resorption (IRR) in a tooth diagnosed with symptomatic irreversible pulpitis and symptomatic apical periodontitis. A 32-year-old patient exhibited rapidly progressing IRR, along with apical radiolucency, one month after the initial diagnosis. Instead of conventional root canal therapy (RCT), a partial pulpotomy was performed using calcium-enriched mixture (CEM) cement with a tampon approach. Over a two-year follow-up period, apical radiolucency healed, with halting of the resorptive area. The root canals gradually narrowed, and no further pathology was detected, resembling the biological outcomes of successful pulpotomies. This case highlights the potential of tampon partial pulpotomy with CEM cement as an effective alternative to conventional RCT, offering improved preservation of pulpal vitality and favorable long-term outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11548984PMC
http://dx.doi.org/10.7759/cureus.71157DOI Listing

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