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Abstract

Root resorption occurs gradually and silently, generally found with a history of trauma. This may occur in chronic pulpal inflammation, caries, or high-impact trauma. The pulp reacts defensively to stress by calcifying the root (calcific transformation). Intensity, duration, and pulp response to trauma affect the degree of calcification.


IRRR (Internal Root Replacement Resorption) is a rare and complex dental condition characterized by the pathological replacement of the root canal dentin with bone-like tissue. This condition often results from chronic inflammation due to trauma, infection, or other etiological factors, leading to the obliteration of the root canal and posing significant challenges for conventional endodontic treatment.[1,2] The presence of calcification within the root canal further complicates the management, making it difficult to locate and negotiate the canal path.[3] Traditional endodontic approaches often fall short in effectively treating such cases, necessitating the exploration of advanced techniques.


Guided endodontics is a promising solution for managing IRRR with calcified root canals. This innovative technique leverages CBCT (Cone Beam Computed Tomography) and 3D-printed surgical guides to enhance the precision and safety of endodontic procedures.[3-6] By providing a minimally invasive and highly accurate method for accessing calcified canals, guided endodontics ensures the preservation of tooth structure and reduces the risk of iatrogenic damage. The integration of digital planning and surgical guides has shown promising results in the treatment of complex endodontic cases, including those involving calcifications.[3,4,7]


This case report details the successful management of a tooth affected by internal root replacement resorption with calcification using guided endodontic techniques. The clinical application of this innovative approach is demonstrated, highlighting its effectiveness in overcoming the challenges associated with IRRR and calcified canals. The outcomes of this case underscore the potential of guided endodontics to improve the prognosis of teeth with complex endodontic pathology.[8] This report contributes to the evidence supporting the use of advanced digital technologies in endodontic practice, offering insights into their practical implementation and benefits.

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How to Cite
Sasha Allayya Tiffany, Trimurni Abidin, & Wandania Farahanny. (2025). Management of Internal Root Replacement Resorption with Calcification Root Canal Using Guided Endodontic - A Case Report. Journal of Evolution of Medical and Dental Sciences, 14(3), 56–59. https://doi.org/10.14260/jemds.v14i3.749
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References

  1. Fernandes M, De Ataide I, Wagle R. Tooth resorption part I - Pathogenesis and case series of internal resorption. Vol. 16, Journal of Conservative Dentistry 2013:4-8. DOI: https://doi.org/10.4103/0972-0707.105290
  2. Patel S, Saberi N, Pimental T, et al. Present status and future directions: root resorption. Vol. 55, International Endodontic Journal. John Wiley and Sons Inc 2022:892-921. DOI: https://doi.org/10.1111/iej.13715
  3. Ishak G, Habib M, Tohme H, et al. Guided endodontic treatment of calcified lower incisors: a case report. Dent J (Basel) 2020;8(3). DOI: https://doi.org/10.3390/dj8030074
  4. Zehnder MS, Connert T, Weiger R, et al. Guided endodontics: accuracy of a novel method for guided access cavity preparation and root canal location. Int Endod J 2016;49(10):966-72. DOI: https://doi.org/10.1111/iej.12544
  5. Krastl G, Zehnder MS, Connert T, et al. Guided Endodontics: A novel treatment approach for teeth with pulp canal calcification and apical pathology. Dental Traumatology 2016;32(3):240–6. DOI: https://doi.org/10.1111/edt.12235
  6. Patel S, Brown J, Pimentel T, et al. Cone beam computed tomography in Endodontics – a review of the literature. Vol. 52, International Endodontic Journal. Blackwell Publishing Ltd 2019:1138–52. DOI: https://doi.org/10.1111/iej.13115
  7. Maia LM, Toubes KM, Junior GM, et al. Guided endodontics in nonsurgical retreatment of a mandibular first molar: a new approach and case report. IEJ Iranian Endodontic Journal 2020;15(2):111-6.
  8. Lara-Mendes ST de O, Barbosa C de FM, Machado VC, Santa-Rosa CC. Guided endodontics as an alternative for the treatment of severely calcified root canals. Dental Press Endodontics 2019;9(1):15-20. DOI: https://doi.org/10.14436/2358-2545.9.1.015-020.oar
  9. Patel S, Foschi F, Condon R, et al. External cervical resorption: part 2 – management. Vol. 51, International Endodontic Journal. Blackwell Publishing Ltd 2018:1224-38. DOI: https://doi.org/10.1111/iej.12946
  10. Peumans M, De Munck J, Mine A, et al. Clinical effectiveness of contemporary adhesives for the restoration of non-carious cervical lesions. A systematic review. Vol. 30, Dental Materials. Elsevier Inc 2014:1089–103.
  11. Chang YC, Lin HJ, Lee YL, et al. Repairing invasive cervical root resorption by glass ionomer cement combined with mineral trioxide aggregate. J Dent Sci 2012;7(4):395–9. DOI: https://doi.org/10.1016/j.jds.2012.04.001
  12. Vinothkumar TS, Tamilselvi R, Kandaswamy D. Reverse sandwich restoration for the management of invasive cervical resorption: a case report. J Endod 2011;37(5):706-10. DOI: https://doi.org/10.1016/j.joen.2011.02.005
  13. Grech L, Mallia B, Camilleri J. Investigation of the physical properties of tricalcium silicate cement-based root-end filling materials. Dental Materials 2013;29(2):e20-8. DOI: https://doi.org/10.1016/j.dental.2012.11.007
  14. Sidhu S, Nicholson J. A review of glass-ionomer cements for clinical dentistry. J Funct Biomater 2016;7(3):16. DOI: https://doi.org/10.3390/jfb7030016
  15. Tirone F, Salzano S, Piattelli A, et al. Response of periodontium to mineral trioxide aggregate and Biodentine: a pilot histological study on humans. Aust Dent J 2018;63(2):231-41. DOI: https://doi.org/10.1111/adj.12605
  16. Peumans M, De Munck J, Mine A, et al. Clinical effectiveness of contemporary adhesives for the restoration of non-carious cervical lesions. A systematic review. Vol. 30, Dental Materials. Elsevier Inc 2014:1089–103. DOI: https://doi.org/10.1016/j.dental.2014.07.007
  17. Ambu E, Gori B, Marruganti C, et al. Influence of calcified canals localization on the accuracy of guided endodontic therapy: a case series study. Dent J (Basel) 2023;11(8). DOI: https://doi.org/10.3390/dj11080183
  18. Llaquet Pujol M, Vidal C, Mercadé M, et al. Guided endodontics for managing severely calcified canals. J Endod 2021;47(2):315-21. DOI: https://doi.org/10.1016/j.joen.2020.11.026
  19. Velmurugan N, Kasabwala KA, Saumya-Rajesh P, et al. Pulp canal obliteration: a review. J Operative Dentistry & Endodontics 2020;5(1):6–11. DOI: https://doi.org/10.5005/jp-journals-10047-0085
  20. de Lima CO, de Souza LC, Devito KL, et al. Evaluation of root canal morphology of maxillary premolars: a cone-beam computed tomography study. Australian Endodontic Journal 2019;45(2):196-201. DOI: https://doi.org/10.1111/aej.12308
  21. Tavares WLF, Machado V de C, Fonseca FO, et al. Guided endodontics in complex scenarios of calcified molars. Iran Endod J 2020;15(1):50–6.
  22. McCabe PS, Dummer PM. Pulp canal obliteration: an endodontic diagnosis and treatment challenge. International Endodontic Journal 2012;45(2):177–97. DOI: https://doi.org/10.1111/j.1365-2591.2011.01963.x
  23. Tavares WLF, Viana ACD, de Carvalho Machado V, et al. Guided endodontic access of calcified anterior teeth. J Endo 2018;44(7):1195-9. DOI: https://doi.org/10.1016/j.joen.2018.04.014