https://doi.org/10.32067/GIE.2024.38.01.24
The treatment options for the management of internal root resorption
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Published: 7 November 2024
Aim: This systematic review aimed to analyze and compare the outcomes of reported treatment options for managing IRR in mature teeth.
Methodology: Literature search was conducted using the PubMed, Wiley Online Library and EBSCOhost databases. Clinical trials, case reports/series, which were conducted over a nine-year period describing methodology of IRR treatment were included.
Results: From 38 cases of twenty included manuscripts, 19 – described REP, 19 – entire root canal treatment for the management of IRR. The eligible studies showed low risk of bias. The clinical symptoms of causative tooth such as pain or sinus tract, if was related, disappeared during follow up period. Bone destruction healing process was assessed during radiological evaluation despite the applied IRR management method. The resorption area reduced in size or was repaired by mineralized tissue formation in all cases treated by REP.
Conclusion: Despite the differences in treatment protocols analyzed for managing of IRR, the outcomes of root canal treatment and REP were comparable and favorable. Based on the limitations of this review, both methods are applicable for treating IRR after evaluating the specific clinical situation in practice.
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