The Conservative Management of External Root Resorption of Permanent Incisive Central Caused By A Trauma:A Case Report

• Main Authors: Ruth Sarah Wibisono, Tamara Yuanita
• Format: Conference or Workshop Item PeerReviewed
• Language: English; English
• Published: 2017
• Subjects: R Medicine; RK Dentistry
• Online Access: http://repository.unair.ac.id/84532/1/tamara15.pdf; http://repository.unair.ac.id/84532/2/Tamara%20per%2015.pdf; http://repository.unair.ac.id/84532/
• Institution: Universitas Airlangga

Background: External tooth resorption usually follows trauma to the periodontal ligament. It is a lytic process occurring in the cementum or cementum and dentin of the roots of teeth. Resorption of cementum is regulated by mechanisms similar to those controlling osteoclastogenesis and bone resorption. Case: A 20 year-old male patient reported to departement of endodontic, with the chief complaint of pain in his upper right central incisor. Twelve years ago he got an accident and his upper right central incisor got broken. His gum was often swollen but he never took any medicine. On clinical examination of tooth 11, it was found that his tooth was perforated, tender to vertical percussion and no tooth mobility was seen. The Intraoral periapical radiographic examination of tooth 11 revealed root resorption on the root, associated with periapical radiolucency and some bone loss. Case Management: Canal was cleaned and shaped with a brushing movement technique. Then Calcium hydroxide as an intracanal medicament was placed in canal for 2 weeks. The canal was next obturated with MTA on the apical third. After 1 day, the canal post and porcelain fused to metal crown. Conclusion: The use of biomaterials, such as MTA in teeth with perforating external root resorption gave optimal results.