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Management Of Internal Root Resorption In Permanent Teeth

Internal root resorption is a condition in which the innermost layer of the tooth – the dentin – is resorbed by the body's own cells. This results in the loss of tooth structure from the inside out, which can lead to weakening and even fracture of the tooth. In permanent teeth, internal root resorption is more likely to occur in teeth that have been traumatized or have had previous dental procedures.

Symptoms

Internal root resorption is often asymptomatic in its early stages. As the resorption progresses, you may experience tooth sensitivity, swelling, and pain. The affected tooth may also appear discolored, as the resorbed dentin is replaced by tissue that has a different color.

Symptoms Of Internal Root Resorption

Diagnosis

If your dentist suspects internal root resorption, they will perform a clinical examination and take dental x-rays. X-rays can reveal changes in the shape and size of the tooth's root canal, as well as the presence of a resorptive defect.

Dental X-Ray For Diagnosing Internal Root Resorption

Treatment

The treatment for internal root resorption depends on the severity of the condition. In mild cases, your dentist may simply monitor the tooth for changes and recommend regular follow-up appointments. In more advanced cases, root canal therapy may be necessary to remove the affected tissue and prevent further damage to the tooth.

Root Canal Therapy For Internal Root Resorption

Prognosis

The prognosis for a tooth with internal root resorption depends on the severity of the condition and the effectiveness of the treatment. If the resorption is caught early and treated promptly, the tooth may be able to be saved. However, if the resorption is allowed to progress unchecked, the tooth may need to be extracted.

Prevention

Preventing internal root resorption is not always possible, as it can be caused by trauma or previous dental procedures. However, maintaining good oral hygiene and wearing a mouthguard during contact sports can help to reduce the risk of dental trauma. Additionally, avoiding overly aggressive dental procedures can help to prevent unnecessary damage to the tooth.

Conclusion

Internal root resorption is a condition that can result in the loss of tooth structure and function. If you are experiencing any symptoms of internal root resorption, it is important to seek treatment as soon as possible to prevent further damage to the tooth. With proper diagnosis and management, it is often possible to save the affected tooth and maintain your oral health.

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