After completion of orthodontic treatment he came complaining of pain in 11 tooth radiograph show absorption in the middle third of the root of 11 wt is the proper management

After completion of orthodontic treatment he came complaining of pain in 11 tooth radiograph show absorption in the middle third of the root of 11 wt is the proper management:

• a. Apply caoh at the site of resorption.***
• b. Do RCT in a single visit.
• c. Extract the tooth & reimplant it.
• d. Extract the tooth & do implantation.

Area of Resorpation:

Bowl -shaped area of resorpation in volving cementument dentin characterize external inflamatory root resorption, this type of external resorption is rapidly progressive and will continue if treatement is not instituted. the process can be arrested by immeditae root canal treatment with calcium hydroxide paste. remembre the etiology of external resorption : excessive orthodontie forces, periradicular inflammation, dental trauma, impacted teeth.

The most appropriate management for this case, based on the available information, is a. Apply calcium hydroxide (CaOH) at the site of resorption.

Here's why:

- Pain:

The patient complains of pain in tooth 11, indicating pulp involvement.

Radiograph: The radiograph shows absorption in the middle third of the root of tooth 11, suggesting external root resorption.

- Orthodontic treatment:

The patient recently completed orthodontic treatment, which is a known risk factor for external root resorption.

CaOH is the preferred treatment for external root resorption in the early stages. It promotes the formation of reparative dentin and can stop the progression of resorption.

Here are the reasons why the other options are not as appropriate:

b. Do RCT in a single visit:

This option is not indicated because the radiograph suggests external root resorption, not pulp necrosis. Performing an RCT in this case would not address the underlying problem and might even exacerbate the resorption.

c. Extract the tooth & reimplant it:

This option is considered a last resort, especially for a young patient. Reimplantation can be successful, but it carries risks such as root fracture, ankylosis, and internal resorption.

d. Extract the tooth & do implantation:

This option is even more invasive and expensive than reimplantation. It should only be considered if all other options have failed.

Therefore, applying CaOH at the site of resorption is the most conservative and appropriate treatment approach in this case. However, it is important to note that the final decision should be made by a qualified dental professional after a thorough examination and discussion with the patient.

Here are some additional factors that the dentist may consider when making the treatment decision:

- Severity of the resorption:

The size and depth of the resorption will influence the prognosis for CaOH treatment.

- Patient's age and general health:

Younger patients are generally better candidates for CaOH treatment.

Patient's preferences: The patient should be involved in the decision-making process and should have a clear understanding of the risks and benefits of each treatment option.