Apical internal inflammatory root resorption and open apex treated with MTA: a case report

PURPOSE: Internal inflammatory root resorption is a rare condition, characterized by progressive loss of tooth substance which starts on the root canal wall. Usually the process is asymptomatic and diagnosed upon routine radiographic examination. The following report shows the treatment of a case of periapical lesion and apical internal resorption that reached the external root surface. CASE DESCRIPTION: A 16 year-old male was referred for a routine dental treatment for oral rehabilitation. Radiographic examination showed a resorptive lesion in the apical third and periapical lesion on tooth 21. Crown down preparation was performed and calcium hydroxide was placed for 2 weeks. An apical plug with white MTA was condensed into the resorption cavity and then the canal was obturated with gutta-percha and AH Plus sealer. The follow-up radiographs showed satisfactory resolution. CONCLUSION: This report showed the results of the treatment with MTA apical plug. The technique avoided an invasive procedure and presented some advantages, like materials biological properties and capable of sealing.