Repair of a perforating internal resorption: two case reports

Fang Chi Li, Wei Chiang Hung

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Internal resorption is a rare condition in permanent teeth, and may result from trauma, caries, or restorative procedures. Internal resorption is usually asymptomatic and is first identified as a round-shaped enlargement of a root-canal space on routine radiographs. Large resorption defects may result in penetration of the tooth into the periodontium through the cementum. The gold-standard treatment consists of debridement and obturation of the pulp space, sealing of the external communication, and restoration of the normal function of the tooth through a nonsurgical or surgical method. In this case presentation, we report on two methods for repair of internal resorption with perforation. The first method consisted of treating the lower right second premolar by conventional endodontic therapy under a microscope, followed by repair with mineral trioxide aggregate. The second method consisted of surgical treatment of the upper right central incisor. The choice of treatment depends on the size of the perforation, its location, and the ability to approach it for repair.

Original languageEnglish
Pages (from-to)338-342
Number of pages5
JournalJournal of Dental Sciences
Issue number3
Publication statusPublished - Sept 1 2016


  • Ca(OH)
  • internal root resorption
  • microscope
  • mineral trioxide aggregate (MTA)
  • radiography

ASJC Scopus subject areas

  • General Dentistry


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