{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T23:54:10Z","timestamp":1784332450970,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T00:00:00Z","timestamp":1736380800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Internal root resorption (IRR) is a complex and often asymptomatic dental condition that can severely compromise tooth vitality and function. This case report presents the successful management of a perforated large IRR lesion in a 49\u2010year\u2010old female using an ultraconservative approach involving partial pulpectomy (PP) using calcium\u2010enriched mixture (CEM) cement. The patient, initially presenting with an asymptomatic resorptive lesion in her left first premolar, underwent ultraconservative PP following diagnosis via conventional radiography and cone beam computed tomography. Despite encountering excessive bleeding during treatment, the tampon technique using CEM cement allowed reasonable hemostasis and effective sealing of the pulp stump, facilitating the preservation of tooth structure. Follow\u2010up at 2\u2009weeks and 2\u2009years showed positive outcomes, including cessation of the resorptive process and normal periodontal health. This case demonstrates the efficacy of vital pulp therapy, specifically partial pulpectomy, in managing advanced IRR and underscores the potential for tooth preservation and long\u2010term stability through an ultraconservative approach.<\/jats:p>","DOI":"10.1002\/ccr3.70099","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:20:32Z","timestamp":1736468432000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Managing Large Perforated Internal Root Resorption With Partial Pulpectomy: A Case Report"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6691-0478","authenticated-orcid":false,"given":"Saeed","family":"Asgary","sequence":"first","affiliation":[{"name":"Iranian Centre for Endodontic Research, Research Institute of Dental Sciences Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,9]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.4502"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2013.431"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-1546.2008.00226.x"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/00368504221109217"},{"key":"e_1_2_13_6_1","first-page":"71","article-title":"Interdisciplinary Approach for Management of Iatrogenic Internal Root Resorption: A Case Report","volume":"11","author":"Ramazani M.","year":"2015","journal-title":"Iranian Endodontic Journal"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.7508\/iej.2016.01.010"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.2713"},{"key":"e_1_2_13_9_1","article-title":"Successful Arrest of Internal Root Resorption Using Partial Pulpotomy: A Case Report","volume":"16","author":"Asgary S.","year":"2024","journal-title":"Cureus"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.7508\/iej.2015.03.015"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12938\u2010024\u201001290\u20104"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.22037\/iej.v18i4.43232"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.22037\/iej.v14i3.25005"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.22037\/iej.2017.50"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747\u20104477.2008.00137.x"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2008.05.006"},{"key":"e_1_2_13_17_1","first-page":"75","article-title":"Nonsurgical Management of an Extensive Perforative Internal Root Resorption With Calcium\u2010Enriched Mixture Cement","volume":"10","author":"Esnaashari E.","year":"2015","journal-title":"Iranian Endodontic Journal"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.22037\/iej.v19i1.44253"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.22037\/iej.v18i2.41772"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2022.05.001"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.55006"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.22037\/iej.v18i3.42508"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.6879"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.70099","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T03:20:56Z","timestamp":1752808856000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.70099"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1002\/ccr3.70099"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.70099","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-11-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70099"}}