Abstract
BackgroundInternal inflammatory root resorption is a rare condition in permanent teeth, which requires the presence of necrotic and infected pulp tissue within the coronal portion of the root canal system as well as inflamed pulp tissue apical to the resorptive defect. The aetiology of internal root resorption is not completely understandable, trauma and chronic pulpitis are considered the main risk factors.Case presentationWe report a rare case of the multiple idiopathic resorption in the permanent maxillary and mandibular molars in a healthy 33-year-old female patient. In addition to clinical examination the patient was imaged using conventional radiography techniques and cone beam computed tomography (CBCT).The patient had recurrent throbbing pain in her # 46. The radiographic examination including “panoramic radiography and CBCT” revealed that radiographic evidence of internal resorption in #37 #36 #35 #34 #33 #47 #46 #45 #44 #43 #16 #15 #14 #13 and also including in unerupted #17, #26, #27, #28 teeth. The definitive diagnosis was made with the histopathological examination of the extracted tooth.ConclusionsInternal root resorption is a rare clinical process that should be examined using different radiographic modalities. CBCT seems to be useful in evaluation of the lesions with superior diagnostic performance.
Highlights
Internal inflammatory root resorption is a rare condition in permanent teeth, which requires the presence of necrotic and infected pulp tissue within the coronal portion of the root canal system as well as inflamed pulp tissue apical to the resorptive defect
cone beam computed tomography (CBCT) seems to be useful in evaluation of the lesions with superior diagnostic performance
Resorption is either a physologic or pathologic condition which can affect hard tissues, such as bone and dental hard tissues [1] and can involve soft tissues and foreign materials such as necrotic pulp tissue or materials used in pulp capping or root filling extruded through the apical foramen [2]
Summary
Inflammatory root resorption is a multidisciplinary problem, requiring a variety of specialists to understand the etiology, pathogenesis, diagnosis and treatment of this disease. Once idiopathic internal resorptions in several teeth are identified, thorough CBCT examination and short-term follow-up should be performed to preserve the teeth from rapid resorptive process and longterm follow-up should be conducted to examine evidence of the success of treatments performed. Consent Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review of the journal. Competing interests The authors declare that they have no competing interests. KO prepared the CBCT images and rendering of the resorption case. All authors read and approved the final manuscript
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