Limited Internal Approach to External Resorption

Terry Pannkuk, DDS, MScD Complications: Advanced Management, Perforations, Resorption Management, Recall Observations

Advanced external resorption can be treated successfully through and internal approach

Patient: 55 year old male with controlled hypertension

Chief Complaint: Asymptomatic

Dental History: Previous endodontic therapy was performed in 2002 by an endodontist after which a porcelain fused to metal crown was placed (tooth #19).. A coincidental routine periapical radiograph showing a large mid-root radiolucency prompted referral to the author.

Significant Findings: The patient presented with normal responses to all tests except bleeding upon probing at the mid-mesial, mesiobuccal, and mesiolingual line angle areas. The probing depths were within normal limits. Conventional radiographic and CBCT exams revealed a significant mid-root radiolucency of the distal root consistent with external inflammatory resorption. There was no evidence of endodontic pathosis or flow of the root canal filling material into the defect area so it was presumed to be resorption having developed after 2002.

Sign In

Subscribe to View the Case

There are 21 images included with this case summary.


Back to All Cases

Join The Discussion

0 comments

Commenting Guidelines Please make scholarly cited references or expert opinions suitable for publication. The comments can either be "pro" or "con" with references to the treatment philosophy. We encourage objectivity and detailed demonstration of knowledge/literature.
You must log in or create a free account to post a comment.

Related Cases

Finding a Severely Calcified Canal Instructional, Complications: Advanced Management, Calcification
20 year Recall of a Molar Tooth Having a Crown-Root Fracture Complications: Advanced Management, Fractured Roots, Recall Observations
Master Class Instructional on Managing Calcified Canals Instructional, Clinical Endodontic Technique Instruction, Access, Complications: Advanced Management, Calcification
My First 30 Year Recalled Molar (failed twice) Complications: Advanced Management, Missed Canals, Recall Observations
Calcium Hydroxide Treatment:Validation of Healing Instructional, Complications: Advanced Management, Fractured Roots, Retreatment Strategies, Gutta Percha Removal, Recall Observations