Treatment for internal resorption is usually indicated. This condition involves cells from the tooth's own pulp causing slow resorption of the tooth. Although it may sometimes occur as result of trauma, the condition is often also called Idiopathic Internal Resorption since no one knows why it happens. Left unchecked it can cause a perforation of the tooth and can compromise the long term prognosis for a tooth.
The best treatment for this condition is to electively remove all the vital pulpal tissue by performing a conventional root canal. After the root canal is completed there should be not further resorption. Treatment of internal resorption after a perforation has occurred is more complicated and should be discussed with an endodontist. Appropriate treatment should be determined on a case by case basis, depending on the size and position of the perforation.
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