Rescuing a “hopeless” tooth with severe internal resorption during orthodontic therapy: a case report

Root resorption is one of the leading complications that follows orthodontic treatment. It's an inflammatory process involving ischemic necrosis. Therefore, it is called orthodontically induced inflammatory root resorption (OIIRR). The purpose of this report is to present a case study of a patient in her 20s who experienced internal root resorption on two maxillary central incisors as a result of orthodontic treatment. Mineral trioxide aggregates (MTAs) were applied to the root resorption lesion to promote remineralization. A clinical and radiographic examination revealed that no radiolucency related to the resorptive lesion was found without any pathological symptoms after a 3-year follow-up.

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Publication Details

Journal
Frontiers in Oral Health
Published
2025-08-14
DOI
https://doi.org/10.3389/froh.2025.1604976
Primary Topic
Oral and Craniofacial Lesions
Type
article
Field-Weighted Citation Impact
0.00

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article

Rescuing a “hopeless” tooth with severe internal resorption during orthodontic therapy: a case report

Zhidan Li, Wenjing Liu, Junqiang Wang, Xuezhong Xu
Frontiers in Oral Health
Oral and Craniofacial Lesions
article

Rescuing a “hopeless” tooth with severe internal resorption during orthodontic therapy: a case report

Zhidan Li, Wenjing Liu, Junqiang Wang, Xuezhong Xu
article en

Abstract

Root resorption is one of the leading complications that follows orthodontic treatment. It's an inflammatory process involving ischemic necrosis. Therefore, it is called orthodontically induced inflammatory root resorption (OIIRR). The purpose of this report is to present a case study of a patient in her 20s who experienced internal root resorption on two maxillary central incisors as a result of orthodontic treatment. Mineral trioxide aggregates (MTAs) were applied to the root resorption lesion to promote remineralization. A clinical and radiographic examination revealed that no radiolucency related to the resorptive lesion was found without any pathological symptoms after a 3-year follow-up.

Frontiers in Oral HealthVol. 6
Yanan University Affiliated Hospital (CN), Yan'an University (CN), Yiwu Science and Technology Research Institute (CN), Xi'an Jiaotong University (CN)
Natural Science Basic Research Program of Shaanxi Province
Openalex Percentile: Top 68%
Oral and Craniofacial Lesions
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