Year: 2025
Type: article
Study design: Case Report
Abstract: Internal inflammatory root resorption (IRR) poses significant challenges in endodontic treatment due to its potential to compromise tooth integrity. This case report describes the conservative management of IRR in a 40-year-old woman with a radiolucent lesion in the midroot of a maxillary central incisor. Early diagnosis using cone-beam computed tomography prevented perforation and guided treatment planning. Non-surgical endodontic treatment was performed using a dental operating microscope, ultrasonic irrigation, and a hybrid obturation technique. The apical portion of the canal was sealed with a bioceramic sealer and single-cone gutta-percha, while the resorptive defect was filled with calcium-enriched mixture cement due to its biocompatibility and sealing properties. At one-year follow-up, the patient was asymptomatic, with radiographic evidence of healing. This case highlights the efficacy of combining advanced diagnostic tools, bioactive materials, and minimally invasive techniques for successful IRR management.
Authors: Arezoo Mirzaie, Nazanin Zargar, Rezvan Shahhosseini
Language: English
Subfield: Oral Surgery
Field: Dentistry
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $450
OpenAlex ID: W4409346963