aie las) Upgall aslo gl call Jos Lal Gl yulall - fete ye all - SA Gapsle SLs! - Signs J!9 symptom: -Severe pain. -Swelling. -Not relif with analgesic. cralde 123 ol visits! Gay Jacdl Jus Ll - -obturation bso Sad 8 aud! coud MOS! Jie Gaal ylac- (Wo}s enxa%4+ ) crown down technique go" -phonex apcess J lgg>> ly - Host factor Yes ax20 Alans! all yasus JS 03 Dl aald ad nce Saall 0 (2251) Jeol ye gala eMall slgail se suas SILI yo %E- - Site pgs siesd Sarg HuS) gg. 3) %AO-A- - dL HS! ol ylall 445 with periodontitis Waal - enterococcus J! pulpitis J! 9 bse E93 55! - .fecalis 3 chronic inflammation pave csSull 5 2 yall- hia alle dyno dle cl yalldg jole Jsbyudl ell F 94) Eonw ll Jay lal sealy «> Soverinstrumentation gous 31 Sycl a5 - Jl cod Jjstle Lab sLall Job uA paper point ..over (2 gikae blood (3 I31 49419 apex paper J! .!¢ (dexamethasone) «393.5395 ¢ Jol .inflammation(4 4 Sal! Ig> als.s39 point ‘irritation Geaux UIICM ole alaal - Nop la ALIS dyes alana! ge \3! formacresol J!-1 EDLY BE yyy09 dle Jobl log tdmsyh a yr0 periapical J! cod eyse og) dcra*formaldehyde 445 »us - 2 wl gla Glu! ya. yo extrusion of irrigation J! - 09991 = high conc. NAOCH+ open apex chlorohexidine J! ¢3 351 irrigation ess2ul Jou! side perforated 4) 39/5 9! open apex JI Ole 5 -needle brownish color .,!245 paper point J! c4+. 9) - isin alain jx0 pulp tissue remenant ., ail dycl suche eo gadindsyte qo Jolall ssf lids Joul Beall Tog BW aegs Meal) gar gsuSl slo 9! - purl) ates i> 3Sa09 lS Il uma su LgsLo gl ISyuslilodl Lol - retreatment 9 overextention egug WL oy! Toxw9 BM 4x09 overfilling 9! Lal gl retreatment lo! Jou! g>oil 2 9) « follow up -apecectomy ob cele oS pall MLS 28 ese pu AAS 1995 uke SlBso2n2 © lmyeSg agdle tra oles duns Yrqusle (putin gurallVertical Root Fracture* Vertical root fracture slo S355 345 duty quasll ee, Jlo caries J! a2; Guu! als Gu cdl ga = -periodontal = In anterior >extraction. = In posterior >corrective surgery. pS! ELgil = )) Crown originating fracture COF : .apical |! s20l9 crown! yo suSII ) VRF: - Jeane Ul gla! 8 ula! JSitv9 Sol glo gl gd! Id ) Trauma related fracture. Trauma dowd! opbzle Ai VRF JI Jou JSLaall JS» (apical J! elesl 30 cle lI logs) = etiology: 1- over widening of root canal: 3.5 g.s cba Jl ei threaded J! geal pins Jlo post J! plasxul-2 parallel post J! Lal (We coronal J! .,8)tapered .apical third J! 3 -bruxism J! gb due lale -3 4-extensive restoratin ;.J! _,5. esorption J! 63 sae Graal) uu -5Classification ‘Vertical root fractures (VRFs), The basis of separation On the basis of relative of the _ en teeens: position of fracture to the alveolar crest (cempice } —[-Sapaomons | [ tarasou 4d vy Jas Jaail as sous 398 ogi odiell on ote cee gsoniles ood) gouesg “SBM ee ata 9 stl Stine Soa radiolugency pgiasl lac periodenitl -oué8 pockets root fractures J! Elsil lvertical. 2.horizontal. ie 3.oblique. er CY oust ao =) Y.laminar.pele’ . dull satus s4 all microcrack J! <8 dlsdl (.3- .discomforts , mastication! 26 y95u9 sinus tract or..8 cha ae». pladl pled 9.5! cy qus- pdl pocket. “xray J! 3 = gl radiolucency Waza ya obturation sou 9! root filling or post J! wile Job Lc (apicocoronal)45 jus! Job Se 323 -bone defect? $shemisectioning J) indication J! = (gia Slo youuSall Soll Set! il) Hl Soll y9Q 9 no effusion W227 yebaze gigSs lo no bone resorption and no @sbs als! gay -mobility= Widening of periodontal ligament space { Radiolucent halos Step-like bone defects A Unexplained biftrcation boSq) Hat=] Mn COolt ResorptionExternal root resorption gl (aes Mea) gt Gol sdlam rey yo Le] orthodontic s| reimplantation ©4b» .¢3 trauma Sao pio lwo « vitality of toothJl des all le ala youu ySa09 .....good oral hygien J! 20 4352 scyaell impacted canine or)! S4by > with secondary cementum. .oiyol ol trauma Gnu Bale § JS le danily Igdqal ySao- small irregularity in root surface (lamina dura is normal). } Outer S! yo 35 ySaog yay alarpanull 5 nox leb- -dentin 2.inflammatory: .inflammation J! 34> pdl infection 4 YET Ca(OH)2 aette Wolel agale 3.replacement:(apical) Kaun? Sy gill go mechnical factors(type of force , movement or magnitude). [jlo qazgdsll 8523 Job anal qny abag ajdt LS glace laadgs 2> of Mall 5.8) resorption jboDentoalveolar ankylosis? v4 os4uu9. root resorption J! y's 2 bone! -metallic sound with percussion J! J¥+ 4 Gara wllty Lys> gi ca(OH)2 9 endo Soul 43 resorption! cl cause J! lb «2 follow up 4.cervical ( appear pink discoloration due to granulation tissue): ySs« trauma al ortho 99! pdl therapy>> (USitio casg BL pleas ela Soy! ye Naty ble) < iil alas] wee Tela LS cblusle logy Sas! Targa JoleC gikze bleeding 9 red color so 3) vob Js2O . resorption OR> Ido yl dsl yo Vital 6954 Guill gale Ula 30 root surface 22,9 resorption! 89 a! aalO pink color J! Jaas9 position andJ! wuu> dha> Ml evall E93 O :extent of lesion JI Suto lesion J! 495 y Lac flap 235!-1 J! Suds Jmsaro aie aig granulation tissue jSx9 restoration ¢949 undermined enamel O. Hygeine auhel 9 abil ¥ sa) 4589 suture v flapJ! -follow up ¢s9 instructions 955] Ay 42) 996 SL 8-2 -extraction ( au yu59 youl cod SiU oI -3Internal Root Resorptioninternal root resorption icerrolg eae (o[Talco] Mia) 0 A elge ee Reset Ce ee nen) trauma ReebYSeS CROCUS NOL] oy8 eee Ccene ng Ce va] ier Re Ps fee we ee in ve Tae NTeS Daaiecenel) henln ree ive renee Management of internal inflamatory resorption / Non surgical repaire sleRCT Jesu nonperforatedJ! Ub U9 Cusla fue se -tee U1 o)|-1-1e | nrers ew Ce-s] Nee] Ne*1 S16 p) Lyevaw sueeeck- ever se -selyp Rorelsle] 8] [OSE eee) ee Ne) es) er rece tee ey AS UCCST MO itcolelal (ord |e he setee me Bycee Dy) fe CNC RC Sey orem la alerelt(o)a We sme leitiize]t(e)a) inaccessible areaWJ ol<-\ae lO |Cme ce omer de-remelo) icol(e) se ease New Am FResewalpe -oy-becHoro)ii|oleloit(olam (crema) (e101) glues thermoplastisised obturation techniqueJ! ro eieu rg up EAU SUPTS Bp one rene mvc bump Lel Surgical repair FUL r.2 0 o7-)- Wn c-s-10) 0 0) (oa TO LE o)=18(e) colt lo)ameeaelearsSurgical repair Ole weer 018 LAO Me elke | osmee wel) dle Joleis al8 Ge Cul pdl recalcification with calcium hydroxide or /\ WN apxectomy/Y extraction/Y Pe SCEn SSH CONE Soe ene Seu kore peer a eer IC WIP IRCRSSNC Ten es] Ege OREO UCC TERE eT Mo[-1(-le108 Rei [10] aNe see) aD CHB Ce st] dahie Suuis 9l obturation Joris ysis restore WevepY vel) I aes Were eRe SU) ONC eee Byer) [PESKY ey 0] OUCe-IRC Bue WENe Te -00) Features of internal root resorption Foeemolel Vere] Rol -Xe (0 NOR ere eee es Seems) a A} toothW oo _asls granulation tissue edINI retest perwapeerney ve] MRUr- (a0 (110) ¢-) felt] Yel cee wer ameeee Se TMU ive) Mace seem Ae Cvalor-Wee Um ats10 1) 8 de 4c] Uiscluu cone beam CTU! /* SENS GE eV NE-YO Lee alee ne-tig ei o\-laie)cel (e)a) bYolol-)) laasis are] ys Oe eele OORT O7-ULCN aee(e]t(o]p it eta eereb Ys SoeRC Ree) Um re ce cre ure sr.) aR ee] COW eee RC CORED) Wet ae Re SONTE | ete lev] Re)-vemyl ewan @8 seb ie ecee-s.]| Reereren ou ove FAS ere RCI OLE eee Ee cS oC Ce ae PWNS Me Seteae pre Sete. i UC SIREN Rel pe elevv meerenennel Worynele.yPSU ETFO YET PE SS TET ioorebe de esl ec eee eR Nee) ENON ees oee ere LC Sreke Rees PY venel CS Neeser ag erep YC See RENC Ey SC SIECR IC Ree clieevpeverentinelorefynele peer were UCI (0g) Co MENT-V ee vere. e ee von eve me Pewter Ue | By eemper sven] meey) fe Weevee ee oat RU IEG Clery erUe-t] ENCE IW-11([ 016) Ta dtele Lt (eae eRe eatee Eee erOr puree. wry vers |\6) eS ene) gotkiol Uled! sila) obturation Uecl lu (serum as thermoplastisizedJ ever W110 [lle uct elem tl meelees) intermediate restorative material esxiai Reve p vere ROUT e SMG Cee]etiological factors for internal root resorption