Treatment of internal resorption involves:
a. Complete extirpation of the pulp to arrest the resorption process. ***
b. Enlarging the canal apical to the resorbed area for better access.
c. Utilizing a silver cone and sealer to fill the irregularities in the resorbed area.
d. Filling the canal and defect with amalgam.
e. Sealing sodium hypochlorite in the canal to remove the inflammatory tissue necrotic in the area of the resorption.
Irrigation with copious amounts of 5 % sodium hypochlorite may have some effect, but the treatment of choice is to pack the canal and the resorption lacuna with calcium hydroxide paste. By the next visit, the calcium hydroxide will have necrotized any remaining tissue in the lacuna, and the necrotic remnants are readily removed by irrigation with sodium hypochlorite.
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Endodontics