Edition V02N04 | Year 2012 | Editorial Original Article | Pages 51 to 56
Introduction: Internal root resorption is a rare occurrence, asymptomatic, with slow progression, detected through routine radiographic examination, in which appears as a radiolucent and uniform lesion. The etiology and pathogenesis are not well understood, and it can occur as a result of trauma, orthodontic force, excess of heat, and other iatrogenic causes. After diagnosis of internal resorption, endodontic treatment is the choice.
Objective: This article aims to report the clinical case of a female patient, 19 years of age, underwent orthodontic treatment. After three years of treatment in the clinical and radiographic examination was verified the presence of internal root resorption in the tooth #22, which was asymptomatic.
Methods: Pulpectomy and changes of calcium hydroxide curative was performed. After six months of the beginning of treatment, with the tooth asymptomatic, radiographically stable and no bleeding, was performed the fill of the pulp cavity with white MTA. In esthetic recovery of the element, was chosen subepithelial connective tissue graft through the technique of plastic and microsurgery, subsequently a direct facet of composite resin was made.
Conclusion: Therefore, it can be concluded that the clinical and radiographic control of patients undergoing orthodontic treatment is important in the diagnosis of internal resorption. The White MTA presented itself as an excellent alternative for treatment of internal resorption, assisted with esthetic treatments.