Restoring a tooth with massive internal

resorption to form and function: report of

case
Article Abstract:

Preserving the function of teeth with internal resorption (pathological

absorption and removal of the tooth material) is difficult, and the case study is
presented of the efforts made in this regard on behalf of a young, healthy
patient. In the absence of major trauma, but after a slight chip was made in
the right upper first molar following the patient's biting on a strain gauge (to
measure biting force), extensive resorption had taken place in the tooth.
Endodontic treatment (treatment of the tooth pulp) was begun, but surgery
was avoided because of the danger of perforating this fragile tooth. The
nonsurgical approach is described; it consisted of inserting a temporary
restoration, then removing it a week later and filling the tooth canals with
gutta-percha (a latex material) and sealer. This was then removed and the
tooth restored two weeks later by filling the pulp chamber (the resorbed area)
with glass ionomer cement and amalgam (a material containing mercury)
filings. The tooth was then filed and beveled to aesthetically pleasing
proportions. At one year follow-up, the tooth was functioning well, with slight
discoloration. Possible reasons for this excessive resorption are discussed. The
unconventional approach used is recommended only for teeth with intact
cusps (the points on the tooth's chewing surface), since worn cusps could
hasten tooth perforation with subsequent wear and tear. (Consumer Summary
produced by Reliance Medical Information, Inc.)

author: Herrin, H. Keith, Ludington, John R., Jr.

Publisher: American Dental Association Publishers Inc.
Publication Name: Journal of the American Dental Association

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