Successful endodontic treatment on an upper lateral incisor with non-perforating inflammatory internal root resorption: case report
DOI:
https://doi.org/10.33448/rsd-v9i9.7046Keywords:
Endodontics; Diagnosis; Root canal obturation.Abstract
Internal tooth resorption is usually asymptomatic and is almost always diagnosed on routine radiographic examinations. The objective of this study is to present a clinical case report of a tooth affected by internal non-perforating inflammatory root resorption, in order to disseminate information that can be used to guide professionals in these cases, helping with therapeutic management. A 53-year-old female patient was referred to the specialization course at Faculdade CIODONTO after performing a routine periapical radiographic examination, which showed non-perforating internal resorption at the level of the radicular middle third of the tooth 12. Radiographically it was verified that the contour of the pulp boundaries undergoes a relatively symmetrical expansion with a ballooning aspect, with regular and rounded contours. After coronary opening, bleeding compatible with the vital pulp was observed, initially irrigating with lime water. Biomechanical preparation using the crown-apex technique without pressure was performed and Callen was selected as an intracanal medication for 30 days and L&C paste for 90 days. After this period, root canal filling was performed using the Tagger hybrid thermoplastic technique and calcium hydroxide-based endodontic cement. Proservation was performed after 1 year and the success of endodontic therapy was confirmed. Thus, according to the protocol indicated in the literature, effective clinical resolution of teeth affected by internal non-perforating resorption is allowed, proving to be an excellent alternative for conservative treatment.
References
Almeida, G. M., Cavalcanti, R. B. D. M. S., de Souza Medeiros, G., de Araújo Almeida, M. D., Castro, R. M., Andrade, M. A., ... & de Assis Arruda, L. F. (2020). Use of included teeth. Research, Society and Development, 9 (7), 653974585. doi: 10.33448/rsd-v9i7.4585
Barnett, F. (2015). Best practices in endodontics: A desk reference. Journal of Conservative Dentistry: JCD, 18 (6), 507. Recuperado de https://www.ncbi.nlm. nih.gov/pmc/articles/PMC4693331/
Cerqueira, L. G., Gomes, C. C., Penina, P., Prado, M. A., Freitas, L. F., Camões, I. C. G., & Fidel, R. (2007). Técnicas de instrumentação manual e rotatória: comparação da modelagem dos canais radiculares. UFES Revista de Odontologia, 9 (1), 13-9. Recuperado de https://periodicos.ufes.br/rbps/issue/view/69
Consolaro, A. (2013). The four mechanisms of dental resorption initiation. Dental Press Journal of Orthodontics, 18 (3), 7-9. doi: 10.1590/S2176-94512013000300004
do Nascimento, G. J. F., Emiliano, G. B. G., de Morais, I. H., de Carvalho, R. A., & Galvão, H. C. (2006). Mecanismo, classificação e etiologia das reabsorções radiculares. Revista da Faculdade de Odontologia de Porto Alegre, 47 (3). doi: 10.22456/2177-0018.3000
dos Santos, L. S. (2019). A complexidade do diagnóstico e tratamento da reabsorção radicular interna. Revista Brasileira de Odontologia, 76 (supl. 2), 186. Recuperado de http://www.revista.aborj.org.br/index.php/rbo/article/view/1551
Duque, J. A., Duarte, M. A. H., Canali, L. C. F., Zancan, R. F., Vivan, R. R., Bernardes, R. A., & Bramante, C. M. (2017). Comparative effectiveness of new mechanical irrigant agitating devices for debris removal from the canal and isthmus of mesial roots of mandibular molars. Journal of Endodontics, 43 (2), 326-331. doi: 10.1016/j.joen.2016.10.009
Endo, M. S., Gonçalves, C. S., de Morais, C. A. H., Kitayama, V. S., Martinho, F. C., & Pavan, N. N. O. (2015). Reabsorção radicular interna e externa: diagnóstico e conduta clínica. Arquivos do Mudi, 19 (2-3), 43-52. doi: 10.4025/arqmudi.v19i2-3.31302
Favarin, P., Ceretta, L. B., Simões, P. W., & Crema, M. M. (2017). Reabsorção dentária interna: relato de caso clínico. Revista de Odontologia da Universidade Cidade de São Paulo, 27 (1), 64-71. doi: 10.26843/ro_unicid.v27i1.246
Ferreira, M. M., Carrilho, E. V., & Leitão, J. (2006). Mecanismo e classificação das reabsorções radiculares. Rev. Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial, 47 (4), 241-248. Recuperado de https://www.spemd.pt/imagens/anexo_251.pdf
Kato, A. S., Cunha, R. S., da Silveira Bueno, C. E., Pelegrine, R. A., Fontana, C. E., & de Martin, A. S. (2016). Investigation of the efficacy of passive ultrasonic irrigation versus irrigation with reciprocating activation: an environmental scanning electron microscopic study. Journal of Endodontics, 42 (4), 659-663. doi: 10.1016/j.joen.2016.01.016
Lopes, H. P., & Siqueira Jr, J. F. (2015) Endodontia Biologia e Técnica. 4ª ed. Rio de Janeiro: Elsevier.
McClanahan S. B., Crepps III J. T., Maranga M. C., Worrell D. E., & Behnia, A. (2020). Glossary of Endodontic Terms. Chicago: American Association of Endodontists.
Neville, B. W., Damm, D. D., Allen, C. M., & Chi, A. C. (2015). Oral and maxillofacial pathology. 2ª ed. Missouri: Elsevier Health Sciences.
Nilsson, E., Bonte, E., Bayet, F., & Lasfargues, J. J. (2013). Management of internal root resorption on permanent teeth. International Journal of Dentistry, 2013, 1-7. doi: 10.1155/2013/929486
Nunes, K. S., Feron, L., Montagner, F., & de Melo, T. A. F. (2016). Analysis of root canal organic tissue dissolution capacity according to the type of irrigation solution and agitation technique. Braz Journal of Oral Sciences, 15 (1), 70-74. doi: 10.20396/bjos.v15i1.8647128
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/NTE/UFSM. Disponível em: https://repositorio. ufsm. br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica. pdf.
Pina, C. F. P. (2017). Reabsorções radiculares: uma abordagem clínica e cirúrgica. 54 f. Monografia (Mestrado Integrado em Medicina Dentária). Universidade do Porto, Porto, Portugal. Recuperado de https://repositorio-aberto.up.pt/bitstream/10216/107225 /2/211743.pdf
Porto, E. L., & Barbosa, J. F. (2015). Reabsorção Dentária: Revisão de Literatura. Revista UNINGÁ, 24 (2). Recuperado de http://revista.uninga.br/index.php/ uningareviews/article/view/1691
Toledo, R., Britto, M. L. B., Pallotta, R. C., & Nabeshima, C. K. (2010). Hidróxido de cálcio e iodofórmio no tratamento endodôntico de dentes com rizogênese incompleta. International Journal of Dentistry, 9 (1), 28-37. Recuperado de http://revodonto.bvsalud.org /scielo.php?script=sci_arttext&pid=S1806-146X2010000100006
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Jhony Herick Cavalcanti Nunes Negreiros, Rosana Maria Coelho Travassos, Yuri de Arruda Tavares Ribeiro, Yuri Cássio de Lima Silva, Maria Clara de Andrade Jatobá Silva, Talita Giselly dos Santos Souza, Lívia Mirelle Barbosa, Hilton Justino da Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.