Endodontic Management of External Apical Root Resorption: A Case Report

Prachi Mittal, A. Prasad, Deepak Raisingani, Harshit Srivastava, Nikita Sarraf, Akansha Jharwal
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Abstract

Resorption is the combination of either physiological or pathological factors that results in the loss of dentin, cementum, and the alveolar bone of tooth structure due to the action of polynuclear giant cells. The most frequent causative factor for resorption is local factors, notably excessive pressure and inflammatory process. Different types of resorption have been classified depending upon its etiology and site, and different treatment regimens have been proposed based on the type of resorption present. External apical root resorption is usually pathological. The case in this article demonstrates external root resorption managed with nonsurgical root canal therapy with the use intracanal medicament of calcium hydroxide, with 1 month follow-up revealing arrest of resorption. Subsequent follow-up at 6 months shows complete repair of periradicular and furcation area.
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根管治疗外根尖吸收1例
吸收是由于多核巨细胞的作用,导致牙本质、牙骨质、牙槽骨等牙齿结构的丧失,是生理和病理因素共同作用的结果。最常见的导致吸收的因素是局部因素,特别是过度的压力和炎症过程。不同类型的吸收根据其病因和部位进行分类,并根据吸收的类型提出了不同的治疗方案。外根尖吸收通常是病理性的。本病例采用非手术根管治疗,并使用根管内氢氧化钙治疗,1个月随访发现外根吸收停止。6个月随访显示根周和分叉区完全修复。
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