An Innovative Approach to Repair Perforating External Root Resorption in a Chronically Infected and Pulpless Incisor – A Case Report

Asaad Javaid Mirza^1, , Mohammad Khalid Shafiq², Maaz Asad javaid³ and Marwah Berkathullah Shariff³

¹Department of Operative Dentistry, Peshawar Dental College, Peshawar, Pakistan

²Department of Operative Dentistry, Baqai Dental College, Karachi, Pakistan

³Department of Restorative Dentistry, University of Malaya, Kuala Lumpur, Malaysia

Cite this paper:
Asaad Javaid Mirza, Mohammad Khalid Shafiq, Maaz Asad javaid and Marwah Berkathullah Shariff. An Innovative Approach to Repair Perforating External Root Resorption in a Chronically Infected and Pulpless Incisor – A Case Report. International Journal of Dental Sciences and Research. 2014; 2(4):99-102. doi: 10.12691/ijdsr-2-4-7

Abstract

This is a case report of a young boy who had a physical trauma to his right maxillary central Incisor. As it remained untreated for many years, it underwent severe inflammatory external root resorption causing perforation. The root of the tooth was damaged to an extent that extraction of the tooth was indicated. But keeping the site of the tooth, age of the patient and his interest in saving the tooth in view, we decided to take a chance to save the tooth in an innovative manner. Firmness of the tooth in its socket also motivated us to opt for a restorative treatment instead of referring him to surgery for extraction. A hopelessly damaged tooth which was very much indicated for extraction has been saved which satisfies patient’s cosmetic demands on lower cost. He otherwise, would have to bear the cost of either 3-unit Bridge or Implant supported crown. Quarterly radiographic examination shows progressive apical and periodontal healing after the treatment since last six months.

Keywords:
root resorption repair external root resorption

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