Journal of Conservative Dentistry
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CASE REPORT
Year : 2013  |  Volume : 16  |  Issue : 4  |  Page : 380-384

Endodontic management of a mandibular second premolar with perforating internal resorption by using MTA and cone beam computed tomography as a diagnostic aid


Department of Conservative Dentistry and Endodontics, Mahatma Gandhi Mission's Dental College and Hospital, Navi Mumbai, Maharashtra, India

Correspondence Address:
Rahul Kumar
Department of Conservative Dentistry and Endodontics, Mahatma Gandhi Mission's Dental College and Hospital, Sector - 18, Kamothe, Junction of NH4 and Sion Panvel Expressway, Navi Mumbai - 410 209, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0707.114343

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This case report demonstrates the benefits of utilizing Cone Beam Computed tomography (CBCT) in the assessment and mineral trioxide aggregate (MTA) in the management of perforating internal resorption in a 54-year-old woman. The advent of CBCT has enhanced the clinician's ability to make a confirmatory diagnosis and determining the treatment plan before undertaking the actual treatment. Thorough cleaning and shaping of the root canal space and the resorptive defect was achieved by mechanical instrumentation, irrigation, and interim calcium hydroxide dressing. Following this obturation of the canal below, the resorptive defect was done with gutta percha using lateral and warm vertical condensation. The resorptive defect was filled with mineral trioxide aggregate. Follow-up intraoral periapical radiographs and CBCT scans at 6 months showed adequate repair of the resorption and periapical rarefaction and the tooth remained asymptomatic.


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