CASE REPORT Treatment of inflammatory internal root resorption with mineral trioxide aggregate: a case report

Jacobovitz M, de Lima RKP. Treatment of inflammatory internal root resorption with mineral trioxide aggregate: a case report. International Endodontic Journal, 41, 905–912, 2008. Aim To report the treatment and follow-up of a maxillary central incisor with internal resorption managed by root canal treatment, white mineral trioxide aggregate (MTA) repair and a fibre-glass post for reinforcement. Summary This study presents a case of extensive internal root resorption affecting tooth 11 (FDI) in a 28-year-old male patient, with a history of trauma in that region. The substantial loss of tooth structure, including cementum, and a perforation with lateral periodontal communication were complicating factors. Despite a guarded prognosis but encouraged by a healthy periodontal condition, treatment based on reconstructing the tooth with white MTA and a fibre-glass core was carried out. Follow-up radiographs over 20 months demonstrated the maintenance of a functional tooth. The tooth did, however, discolour after MTA treatment. Key learning points • Because of its insidious pathology, internal root resorption can extend to significant dimensions before being recognized. • MTA plus the fitting of a fibre-glass post provided adequate, functional rehabilitation of a compromised tooth for 20 months. • Despite the favourable biological and mechanical properties of white MTA, considerable tooth discolouration may occur.