Management of Internal Root Resorption on Permanent Teeth
Figure 2
Management of internal root resorption with endodontic treatment and complete root canal filling with warm gutta percha (tooth 47). (a) Preoperative intraoral radiograph of the second right lower molar showing an abnormal width of the distal root canal. (b), (c), and (d) Sagittal, coronal, and axial CBCT cross-sections confirm the internal resorption without perforation of radicular walls. (e) Clinical aspect of the internal root defect after cleaning and shaping under operative microscope. (f) Filling of the apical third with vertical condensation of warm gutta-percha (system B Heat source, SybronEndo) and (g) warm gutta percha thermocompaction in the coronal resorbed part of the root canal. Note the density of the filling and the absence of vacuity. (h) Periapical X-ray: control of treatment at one year. Note the absence of periapical disease and the integrity of the root.
