INTRODUCTION

•Loss of tooth structure (hard tissue i.e., cementum and dentin) as a result of odontoclastic cell action

•Broadly classified into Internal resorption & External Resorption

•Multifactorial process

•Treatment if- Successful: Ceases the process

Less successful: Slows down the process

•If resorption continues- loss of tooth

Chief Complaint: Pain -1 month with swelling in the gums that re-surfaces every 4-5 days.

History: Blunt trauma to the front teeth, 5-6 years back.

Investigations:

ØE/E: No significant findings

ØI/E: Mild discolouration in 11, tender on percussion

A soft, tender swelling in the palatal aspect in 11

On digital pressure, pus discharge through the gingival sulcus

Elli’s class II fracture in 21

Poor oral hygiene.

Diagnosis: Chronic apical periodontitis w.r.t 11, with Internal-Resorption.

Treatment Plan:

Endodontic treatment in 11 followed by surgical curettage.

Composite restoration in 21

CONCLUSION:

•Success in management of a case of IR:

•early detection,

•appropriate treatment planning- removal of inflammatory pulp tissue, reinforcement of weaker tooth structure, and a three-dimensional obturation

•It is imperative to initiate endodontic treatment as soon as possible to arrest the progression of the resorptive process and to prevent further weakening of tooth structure.

•In the present case, replacement of the lost tooth was financially burdening the patient and the patient could not afford extraction of a crucial tooth at such young age- hence the decision to salvage the tooth.