Mineral Trioxide Aggregate for Management of Three Resorptive Areas in a Single Rooted Tooth

The maxillary anterior tooth is the key tooth for the esthetics of an individual. Unfortunate trauma to the maxillary anterior tooth results in compromised esthetics and self-esteem of a young patient. Multiple resorptive defects in a tooth may compromise its prognosis and may be indicated for extraction following replacement by the implant. However, “a naturally retained tooth is the ultimate implant”. A 25-year-old patient visited the Department of Conservative Dentistry and Endodontics with the complaint of purulent pus discharge and unacceptable color in the front tooth region for two months. The yellowish-brown discolouration was observed in 11. Radiographic imaging revealed two internal resorption areas. Apical resorption was evident on the distal aspect of the root. The Cone-beam Computed Tomography (CBCT) imaging revealed two internal resorptive areas with external resorption. This case report describes the successful surgical therapy of communicating internal, external and apical resorption with complicated pulp space that was managed effectively with the help of CBCT, magnification and bioceramic materials. This case report highlights the importance of Mineral Trioxide Aggregate (MTA), Dental operating microscope and CBCT for the diagnosis and effective management of a structurally compromised tooth.