Question 225 · LDEK · Resorption
During interview a patient reports that he suffered from heart failure three years ago. On X-ray type A internal resorption in tooth 22 is visible. The tooth is asymptomatic and responds correctly to mechanical and thermal stimuli. The patient maintains oral hygiene at a satisfactory level. Indicate the procedure recommended in this case:
- A. immediate RCT and filling the resorption cavity with glass-ionomer.
- B. immediate RCT and filling the root canal with calcium hydroxide.
- C. immediate RCT and filling the root canal with MTA for 6 months.
- D. apical resection of the tooth after RCT and retrograde filling the resorption cavity with MTA.
- E. extraction of the tooth.
Hint
Internal resorption progresses only while vital, inflamed tissue remains in the canal — and a past cardiac event is no contraindication.
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