Page 150 - 7. FINAL draft Compendium 2019 2020_22072022
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MANAGEMENT OF EXTENSIVE  EXTERNAL  ROOT RESORPTION  LEADING TO  ROOT
            PERFORATION: A CASE REPORT
            Masri MS, Yusof NAM, Noor E


            Introduction:  Resorption is a clastic cellular activity of hard tissue  which is both
            physiological and pathological. Timely management of the affected tooth can slow down
            the resorptive lesion and increase the prognosis of the survival of the tooth. In the cases of
            invasive external inflammatory root resorption, a multidisciplinary approach is needed to
            restore the root surface  and it’s surrounding tissues.  Case report:  This case  report
            described the periodontal surgical management of extensive external root resorption post
            root canal treatment MTA placement in addition to Concentrated Growth Factors (CGF).
            Clinical case: A 30-year-old man presented with recurrent external root resorption post
            root canal treatment with gingival recession Miller Class II on tooth 23. A Cone Beam CT
            imaging (CBCT) showed multiple recurrent root resorption at both cervical and apical part
            of the root. This case report presenting the result of Coronally Repositioned flap surgery
            supplemented with CGF, following retrograde filling with MTA and Glass Ionomer Cement
            to reduce the extension of gingival recession following root resorption. The result of the
            studies shows promising clinical healing of gingiva towards GIC and MTA after periodontal
            flap surgery. Conclusion: A predictable outcome achieved from a coronally repositioning
            flap  surgery with  the supplement  of connective  tissue  graft  (CTG)  and  Concentrated
            Growth Factors (CGF) on the tooth with extensive external inflammatory root resorption.
            A sandwich technique had been used to restore the dentine defect using MTA and resin
            glass ionomer.

                                                          rd
            Poster presentation at the International Conference EuroPerio9, 20-23  June 2018 in Amsterdam.
            Dr Mohd Salman bin Masri
            Dr Nurul Ain Mohamed Yusof
            Teknologi MARA University
            Ministry of Health

            Dr Erni Noor
            Centre of Excellence in Periodontology
            Teknologi MARA Universiy
            Kuala Lumpur Malaysia



















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