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Endodontic treatment of teeth with perforating internal root resorption represents a clinical challenge. In most cases, extraction of the tooth and subsequent replacement with an osseointegrated implant is indicated. Presented herein is a case report of a maxillary lateral incisor with advanced perforating internal root resorption in the middle third of the root and the presence of a sinus tract. Mineral Trioxide Aggregate (MTA) was used with the aid of a surgical microscope in order to fill the resorption area after conventional root canal therapy of the apical segment. At the follow-up after 11 years and 8 months, the patient was clinically asymptomatic and the sinus tract had disappeared. The radiographic examination and computerized tomography indicated periodontal bone repair.


Eduardo Nunes, Frank F Silveira, Janir A Soares, Marco A H Duarte, Suelleng M C S Soares. Treatment of perforating internal root resorption with MTA: a case report. Journal of oral science. 2012 Mar;54(1):127-31

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PMID: 22466897

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