case_images: PMC10787186_01
case_images: Clinical and Radiographic Progression of the Treatment of Invasive Cervical Root Resorption (ICRR) Class 3 in Tooth #21; A) Diagnostic periapical radiograph; illustrating the extensive resorption defect in the crown of tooth #21; B) Preoperative clinical photograph; showing the affected tooth with 3-mm periodontal probing depth; C) Cone-beam computed tomography images; demonstrating the resorptive lesion extended into the mid-root of the tooth, with a buccal aspect perforation; D) Intraoperative photograph; showcasing the modified pulpotomy procedure, with the inflamed tissues within the crown carefully curetted; E) Intraoperative photograph; displaying the application of calcium enriched mixture cement to fill and seal the pulp chamber and resorptive defect; F) Intraoperative periapical radiograph; confirming the successful pulpotomy and proper filling/sealing of the defect; G) Clinical photograph taken during the two-week post-treatment period; showing healthy and normal attached gingiva; H) Clinical photograph; indicating normal periodontal probing depths during clinical examination; I) Radiographic evaluation at one-year follow-up; demonstrating arrested resorption and healthy periapical area
case_images: IEJ-19-56-g001.jpg
case_images: PMC10787186_01_IEJ-19-56-g001.jpg
case_images: F1
case_images: The case involves a 32-year-old female who was referred to our endodontic clinic following a routine dental check-up that revealed an asymptomatic lesion (Figure 1A). Clinical examination yielded normal findings (Figure 1B), and sensibility dental pulp testing on anterior teeth produced a normal/positive response. Diagnostic periapical radiography identified a substantial resorption defect in the crown of tooth #21 (Figure 1A), leading to further assessment via cone-beam computed tomography (CBCT). The CBCT confirmed a large resorptive lesion extending into the mid-root of the tooth, with a mesio-buccal aspect perforation that was not covered by surrounding bone (Figure 1C). Delicate curettage was performed on the inflamed tissues, including the affected dental pulp within the crown, as part of a modified pulpotomy procedure (Figure 1D). Iran) was selected as the pulp-protecting and reparative biomaterial, filling and sealing the pulp chamber and the prepared cavity with the resorptive defect in the apical portion (Figure 1E). Intra-treatment periapical radiograph confirmed the successful pulpotomy and proper filling/sealing of the defect (Figure 1F). During the two-week post-treatment period, the attached gingiva remained normal (Figure 1G). Clinical examination revealed normal periodontal probing depths, indicating attachment gain (Figure 1H). The radiographic assessment demonstrated arrested resorption and a healthy periapical area (Figure 1I).