In this case report, Ghandi et al. (2025) present the successful management of internal inflammatory resorption in a Turner’s tooth, complicated by both buccal and palatal perforations.
Background and Diagnosis
A 14-year-old patient, with a history of trauma to primary teeth, presented with enamel hypoplasia and visible caries in the anterior region.
Periapical radiography revealed a radiolucent lesion in the mid-apical third of the root canal of the right maxillary central incisor.
To determine the full extent of the lesion, Cone-Beam Computed Tomography (CBCT) was performed, confirming internal resorption with perforations on both buccal and palatal aspects—typically considered a poor prognostic sign.
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Treatment Approach
The clinicians opted for a non-surgical orthograde endodontic treatment to preserve the tooth.
★ First session
After isolation, working length determination, and cleaning/shaping with rotary files, irrigation with 2.5% sodium hypochlorite was activated ultrasonically. Calcium hydroxide was used as intracanal medication for 10 days.
★ Second session
Calcium hydroxide was removed, and final irrigation was performed with NaOCl and EDTA. The apical third and resorption sites were obturated with Mineral Trioxide Aggregate (MTA), while the coronal third was filled with thermoplastic gutta-percha and AH-26 sealer.
Follow-Up and Outcomes
At 12 and 24 months, the tooth remained asymptomatic with radiographic evidence of periapical healing. This highlights the importance of:
★ Advanced imaging with CBCT for accurate diagnosis and treatment planning.
★ The use of bioceramic materials like MTA for sealing resorption defects and perforations.
★ Careful disinfection protocols and long-term follow-up to confirm clinical and radiographic success.
Clinical Significance
This case demonstrates that even when prognosis is uncertain due to perforations, non-surgical endodontic treatment—combined with precise imaging and modern biomaterials—can achieve favorable long-term outcomes in managing internal root resorption.
👉 We invite the international dental community to explore the full article in PDF, which includes detailed CBCT images, treatment protocols, and follow-up data.
