Abstract

The etiology of internal root resorption is not fully understandable. Trauma and chronic pulpitis are considered the main risk factors. Usually the internal root resorption is asymptomatic and diagnosed upon routine radiographic examination. A 30-year-old male arrived at the clinic with complaints of pain at the night and swelling after the composite restoration in tooth 12. Radiographic examination revealed internal resorptions in teeth 12 and 21. The resorptif cavities were confirmed by evaluation with cone beam computed tomography. Root canal treatment was performed on three teeth; however in spite of the all attempts, the apical third of the tooth 12 was not achieved. Thus, the treatment strategy was changed and it was decided to perform a surgical approach on the tooth 12. This case report presents the ortograde approach to internal resorptions in teeth 11 and 21, and retrograde approach in tooth 12

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