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Terapia comunitária integrativa como metodologia de autocuidado
No full textO processo da Terapia Comunitária Integrativa (TCI) é intenso, pois quando estou em campo, me proponho a viver os benefícios propostos pela prática que cria um espaço de partilha e acolhimentos das dificuldades que enfrentamos. Iniciei a reflexão sobre os impactos que a TCI tem na minha vida, como terapeuta Comunitária e optei por expandir esse questionamento para outros colegas terapeutas e entender se podemos considerar que a Terapia Comunitária Integrativa também carrega a função de ferramenta de autocuidado para o aplicador. Por meio de pesquisa mista, levantei informações como datas de formação, aplicação da TCi no seu cotidiano, motivo que levou a ser e permanecer como terapeutas, impactos na saúde e momentos mais marcantes durante a aplicação da TCI.A análise das respostas de 71 terapeutas comunitários integrativos, em formação ou formados, de diferentes polos formadores, explicita que a importância da prática que eu havia já identificado em minha vida, é compartilhada com os demais colegas em diferentes graus e com relatos e informações extremamente ricas. Todos os respondentes autorizaram o uso das respostas para a elaboração deste trabalho. E foram obtidos nas perguntas fechadas: 70,4% formado e 29,6 em formação; 98,6% consideram que os aprendizados da TCI fazem diferença em suas vidas; Em uma escala de 0 a 10, 84,5% consideram que aplica a TCI no seu dia a dia e 88,7% responderam a partir de 8 para a contribuição da TCI em sua própria saúde, 28 públicos-alvo diferentes foram citados como integrantes das rodas já aplicadas, sendo mais citados os profissionais da saúde, idosos e mulheres; 63,4% gostariam de depositar ainda mais tempo para a TCI; Apenas 1,4% (um respondente) considera a TCI como sua fonte de renda principal, ou seja, as pessoas não praticam a TCI pelo retorno financeiro, mas pela crença na prática. Nas perguntas abertas, a TCI também aparece forte como uma metodologia de autocuidado: Motivo de ser Terapeuta Comunitário Integrativo: Eu nem sabia o que era, mas aos poucos fui notando sua ação transformadora; No começo - conhecer melhor a técnica, hoje - aprender mais sobre mim e o outro.; Cuidar de mim e me sentir bem na vida!; Me ajuda a ser e fazer bem a mim e às pessoas ao redor. Benefícios da própria saúde: Tranquilidades. Menos stress; me trouxe um certo alívio e harmonia, diminuindo até mesmo minha ansiedade em resolver os problemas na hora.; Compreensão e maior maturidade, capacidade de lidar com grupos, paciência, compreensão sobre o outro, e menos pré-conceito sobre públicos que desconhecia e tinha pouco contato; Melhora minha saúde mental. Seguindo os ensinamentos de Paulo Freire que diz que “importante na escola não é só estudar, é também criar laços de amizade e convivência, nós, terapeutas comunitários integrativos, não estamos ali apenas para aplicar o que aprendemos na formação, mas também fazemos parte do processo da TCI que é horizontal e transformador, que nos ensina a levar a nossa vida de forma mais leve e saudável.
Aromaterapia na Oncologia: tecnologia complementar para a assistência de enfermagem ao paciente oncológico sob quimioterapia
No full textINTRODUÇÃO: Os efeitos colaterais provocados especificamente pela quimioterapia envolvem sintomas como náusea, vômito, inapetência, xerostomia, mucosite, diarreia, constipação e infecções, por exemplo1. Estes sintomas afetam diretamente a qualidade de vida dos pacientes e também influenciam negativamente as condições emocionais, espirituais e psicológicas como alterações no padrão do humor e sono2. A utilização de práticas integrativas e complementares em saúde (PICS), quando associadas ao tratamento convencional, podem contribuir para a diminuição ou atenuação dos sintomas enfrentados durante o tratamento oncológico e melhoria da qualidade de vida3. Dentre as 29 PICS oferecidas atualmente pelo SUS, está a aromaterapia, que por apresentar poucas contraindicações, quando aplicada em doses seguras e via adequada, pode ser considerada uma potencial tecnologia de cuidado para a assistência de enfermagem. Objetivo: Com o intuito de identificar as pesquisas realizadas com o uso da aromaterapia para o tratamento complementar dos pacientes oncológicos adultos sob quimioterapia, a pergunta deste estudo foi: quais os benefícios do uso da aromaterapia em pacientes oncológicos durante o tratamento quimioterápico? METODOLOGIA: Trata-se de uma revisão integrativa da literatura. Foram realizadas buscas nas bases eletrônicas de dados EMBASE, MEDLINE, PUBMED e Cochrane Library em Julho de 2021, com os descritores: aromatherapy, cancer e oncology nursing auxiliados pelos operadores booleanos AND e OR. Ao todo, identificaram-se 24 artigos publicados a partir de 2016 até 2021, foram excluídos os que não atendiam aos critérios de inclusão (14), as pesquisas que incluíam público alvo infantil (2) e estudos duplicados (4). A seleção final resultou em 4 artigos. RESULTADOS: Os artigos encontrados são dos anos 2016 (2); 2017 (1); 2018 (1) e 2019 (1), originários dos EUA (1); Malásia (1); Irã (1) e Turquia (1). Segundo o desenho metodológico, os estudos são ensaios clínicos randomizados (3) e ensaio clínico quasi-randomizado (1). As pesquisas afirmaram a correlação positiva entre o uso da aromaterapia com lavanda, camomila ou hortelã-pimenta em pacientes com leucemia, sob regime de quimioterapia, e melhora da qualidade e duração do sono4. Em relação aos distúrbios alimentares provocados por náusea e vômito, houve indicação de que o óleo essencial de gengibre é capaz de aumentar a ingesta calórica após as sessões de quimioterapia5 e reduzir os episódios de vômito e náusea em mulheres com câncer de mama através do óleo essencial de hortelã-pimenta6. No que concerne o acometimento de neuropatia periférica por classes específicas de quimioterápicos, o uso da massagem com a sinergia entre hortelã-pimenta, camomila e alecrim reduziu a incidência e gravidade das lesões nervosas periféricas causadas por Oxaliplatina7. CONCLUSÕES: A aromaterapia possui evidências iniciais positivas para controle de sintomas e manejo de desordens provocadas pelo tratamento oncológico, mas que carecem de maior investigação. Dessa forma, entende-se a importância do aprofundamento sobre a temática para o melhor entendimento da aplicação dos óleos essenciais na assistência ao paciente oncológico e direcionamento para futuras pesquisas na área para o favorecimento das equipes de enfermagem as quais podem propiciar, mediante a prática baseada em evidência, a assistência integrativa e complementar em saúde à essa população. 
USE OF GUIDED ENDODONTICS FOR UPPER PREMOLAR TREATMENT: A CASE REPORT
No full textGuided endodontics involves merging cone-beam computed tomographic imaging and surface a scan of the tooth to create a guide to perform a drilling path in the apparently obliterated root canal. The objective of this case report was to demonstrate the use of guided endodontics in a maxillary right second premolar with the buccal and lingual canals obliterated. A 42-year-old patient was referred for endodontic treatment of the upper right premolar with pain on percussion and the cold and hot tests were negative. At first, an attempt was made to access the canals with an active-tipped trunk conical drill, but without success in both canals, after some attempts it was proposed to use an endodontic surgical guide to access the canals. After planning and making this guide, it was checked for adaptation and stability, followed by execution of the procedure through access with a Neodent NSG Guide Glamp drill with a length of 28 mm and a diameter of 1.3 mm. After accessing the canals, endodontic treatment was followed with a rotary file up to tip 25 and taper 04. The two canals were filled with calcium hydroxide and after 30 days, filling was performed with gutta percha cones and ah plus cement from dentisply®. The use of the surgical guide for this treatment facilitated the negotiation of these channels, avoiding possible root perforations due to deviations made with the conical trunk drill
ENDODONTIC TREATMENT IN MANDIBULAR MOLAR WITH SUBGINGIVAL CARIOUS LESION AND IRREVERSIBLE PULPITIS DIAGNOSIS
No full textThis case report aims to describe an endodontic treatment performed in a lower molar with diagnosis of irreversible pulpitis and subgingival carious lesion. Due to previous third molar impaction, a carious cavity developed on the second lower molar distal surface, on the cervical portion of the distal root and towards the pulp chamber. Because of a difficult access and tooth isolation, in addition to painful symptoms, the procedure was divided into stages. In the first visit, a Tofflemire matrix was used to perform a temporary glass ionomer cement restoration on the distal surface, however with limited cervical margin sealing. In the second visit, the inferior alveolar nerve block with 2% mepivacaine/epinephrine 1:100 000 and local anesthesia with 4% articaine/epinephrine 1:100 000 were necessary to perform the pulpectomy due to persistent painful symptoms. After the pulpectomy and patient’s pain control, it was possible to build a vertical custom matrix associated with the Tofflemire matrix and perform the composite resin restoration under rubber dam isolation. In the last visit, being the tooth properly restored, the endodontic treatment was completed, followed by the occlusal surface composite resin restoration. The carious lesion location and extension were the complex parameters in this case. The crown lengthening surgery and even tooth extraction were considered as possible treatment planning at the beginning. Furthermore, it is challenging to treat a patient with mandibular molar irreversible pulpitis. The correct execution of the planned clinical techniques allowed the tooth’s carious lesion removal, the adequate composite resin restoration and the endodontic treatment with no need to perform invasive procedures. Combining clinical and radiographic exams with a good treatment planning and careful execution of techniques, it is possible to achieve clinical success in complex cases in a conservative way
ASSOCIATION BETWEEN APICAL PERIODONTITIS AND DIABETES MELLITUS: literature review
No full textApical periodontitis is an inflammatory response of the periapical periodontal tissues to infection of the root canal system with pulpal origin. Simultaneously there is a significant increase in systemic conditions and in the levels of inflammatory mediators, which are potential factors in modulating the pathology of endodontic origin. Different clinical conditions and therapeutic factors may interfere in the process of periapical repair, such as diabetes mellitus. In diabetic patients, an increased risk of infection and pulpal necrosis is expected, due to impaired collateral circulation and reduced microvascularization of pulpal tissues. However, the evidence supporting the pathogenesis, progression and resolution of endodontic infections in patients with Diabetes Mellitus is still inconclusive. The aim of this paper is to determine to what extent diabetes mellitus interferes with the treatment of apical periodontitis. The study is characterized as an integrative literature review. For data collection, scientific articles were searched in the Bireme and Pubmed databases, using the descriptors (Decs/Mesh) apical periodontitis/ apical periodontitis AND diabetes mellitus/ diabetes mellitus, published in the last 20 years. Eleven articles were selected that indicated that diabetes mellitus is significantly associated with a higher prevalence of periapical lesions in endodontically treated teeth and is a modifying factor in the preoperative prognosis of endodontic treatment. Professionals should be aware of the relationship between the outcome of endodontic treatment and diabetes and should maintain current data on the diabetic status of their patients, informing them of the risks involved in endodontic therapy. Therefore, although the results found so far are not conclusive, they suggest an association between diabetes mellitus and apical periodontitis
AVALIAÇÃO DO PLANO MUNICIPAL DE GESTÃO INTEGRADA AOS RESÍDUOS SÓLIDOS (PMGIRS) DO MUNICÍPIO DE CORRENTE-PI
No full textThe objective of the study was to analyze the Municipal Plan for Integrated Management of Solid Waste (PMGIRS) of the municipality of Corrente-PI if it complies with the minimum content of art. 19 of Law No. 12,305/2010. Where the analysis of the plan was carried out, in which the indicators were prepared based on the minimum content of items I to XIX of art. 19th The indicators were evaluated by three criteria, namely: attendance, sufficiency and condition. The tool also comprises four complementary indices: the PMGIRS Service Index (IAP), the PMGIRS Quality Index (IQP), the PMGIRS Complexity Index (ICP) and the PMGIRS Potential Index (IPP). The results showed that the IAP was evaluated with grade 10, IQP 18, ICP 22 and IPP 28.5, the percentages being 47.61%, 14.28%, 12.86% and 14.61% respectively. It was observed that the results were not satisfactory, as they did not reach the maximum percentage established to be considered adequate, which is 67%. Based on the analysis made in this study, the PMGIRS of Corrente-PI is considered incomplete, with inconsistencies and failures that do not represent reality, through the research it was possible to observe that the tool developed by the authors, on which this research was based, is of great importance in the evaluation of solid waste plans, since it can detect flaws in the plans and allow the suggestion of possible improvements.El objetivo del estudio fue analizar el Plan Municipal de Gestión Integral de Residuos Sólidos (PMGIRS) del municipio de Corrente-PI si cumple con el contenido mínimo del art. 19 de la Ley nº 12.305/2010. Donde se realizó el análisis del plan, en el cual se elaboró los indicadores con base en el contenido mínimo de los incisos I al XIX del art. 19 Los indicadores fueron evaluados por tres criterios, a saber: asistencia, suficiencia y condición. La herramienta también comprende cuatro índices complementarios: el índice de servicio de PMGIRS (IAP), el índice de calidad de PMGIRS (IQP), el índice de complejidad de PMGIRS (ICP) y el índice de potencial de PMGIRS (IPP). Los resultados mostraron que la IAP fue evaluada con grado 10, IQP 18, ICP 22 e IPP 28,5, siendo los porcentajes 47,61%, 14,28%, 12,86% y 14,61% respectivamente. Se observó que los resultados no fueron satisfactorios, ya que no alcanzaron el porcentaje máximo establecido para ser considerado adecuado, que es del 67%. Con base en el análisis realizado en este estudio, el PMGIRS de CorrentePI se considera incompleto, con inconsistencias y fallas que no representan la realidad, a través de la investigación se pudo observar que la herramienta desarrollada por los autores, sobre la cual se basó esta investigación basado, es de gran importancia en la evaluación de los planes de residuos sólidos, ya que puede detectar fallas en los planes y permitir la sugerencia de posibles mejoras.O objetivo do estudo foi analisar o Plano Municipal de Gestão Integrada de Resíduos Sólidos (PMGIRS) do município de Corrente-PI se o mesmo está em conformidade com o conteúdo mínimo do art. 19º da Lei nº 12.305/2010. Onde realizou-se a análise do plano, no qual os indicadores foram elaborados com base no conteúdo mínimo dos incisos I a XIX do art. 19º. Os indicadores foram avaliados por três critérios, sendo eles: atendimento, suficiência e condição. A ferramenta constituise ainda de quatro índices complementares: o Índice de Atendimento do PMGIRS (IAP), Índice de Qualidade do PMGIRS (IQP), Índice de Complexidade do PMGIRS (ICP) e Índice do Potencial do PMGIRS (IPP). Os resultados demonstraram que o IAP foi avaliado com nota 10, IQP 18, ICP 22 e IPP 28,5 sendo os percentuais 47,61%, 14,28%, 12,86% e 14,61% respectivamente. Observou-se que os resultados não foram satisfatórios, pois não atingiram o percentual máximo estabelecido para ser considerado adequado que é 67%. Com base na análise feita neste estudo, considera-se o PMGIRS de Corrente-PI incompleto, com inconsistências e falhas que não representam a realidade, através da pesquisa foi possível observar que a ferramenta desenvolvida pelos autores, em que se baseou esta pesquisa, é de grande importância na avaliação de planos de resíduos sólidos, visto que pode detectar falhas nos planos e possibilitara sugestão de possíveis melhorias
POST-OPERATIVE PAIN INCREASE AFTER ADDITIONAL ENLARGEMENT OF ROOT CANAL PREPARATION - RANDOMIZED CLINICAL TRIAL
No full textThe fact that single-file preparation is incapable in resulting completely disinfect root canals, makes room for the idea that further enlargement of the endodontic preparation would be necessary to optimize root canal disinfection, especially in cases of pulp necrosis. The aim of this study was to evaluate the influence of additional root canal enlargement of single-file preparation on the incidence and intensity of postoperative pain after endodontic treatment of 46 mandibular molars with pulp necrosis and radiographically visible periapical lesion (PAI Index). A prospective, randomized, double-blind, single-center clinical trial was developed. Groups were randomly divided into: Group 1: instrumentation completed using a single reciprocating file (Reciproc System, VDW); Group 2: instrumentation was performed with additional enlargement after single file preparation, using an instrument immediately larger than the previous one. Postoperative pain and analgesic intake were assessed after 24h, 48h and 7 days using a numerical scale (NRS). Intergroup comparison was performed using Mann-Whitney U tests. The incidence of postoperative pain and frequency of analgesic intake were analyzed with the chi-square test with statistical significance of P<0.05. After 24h, the incidence of postoperative pain was significantly higher in group 2 (P = 0.033), but similar in the periods of 48h (P = 0.135) and 7 days (P = 1.000). Mean postoperative pain levels were significantly higher after 24h in group 2 (P = 0.015), however, with no difference after 48h (P = 0.068) and 7 days (P = 0.317). It is concluded that further enlargement of the root canal preparation in mandibular molars with pulp necrosis and periapical lesion resulted in higher incidence and intensity of postoperative pain after 24hs of the endodontic treatment, without impact after 48h and 7 days
INTERNAL MORPHOLOGY OF THE LOWER INCISIVE ROOT CANAL BASED ON TWO CLASSIFICATIONS: MICROTOMOGRAPHY STUDY
No full textTo investigate the root canal configurations of mandibular incisors (MI) using Vertucci (1984) and Ahmed et al. (2017) classification, accessed by micro computed tomography (?CT). A total of one hundred and sixty-five human permanent MIs were scanned using a high-resolution ?CT. Two examiners classified the samples based on the coding systems of Vertucci and Ahmed et al. The Kappa coefficient was used to assess the degree of agreement between examiners. The most significant proportion of MIs had a single root canal along the entire root (52.1%). Type III (1-2-1) Vertucci and 1 MI 1-2-1 Ahmed et al. were the most common type of root canal in 2-canals incisors (20%). In the apical third, the presence of one, two and three canals were found in 81.8%, 15.2% and 3% of the samples, respectively. In the cervical and middle thirds, 1, 2 and 3 root canals were found in 86%, 12.2% and 1.8%, respectively. Ahmed et al. classification managed to classify the entire studied sample, and 11 teeth (6.66%) did not fit the Vertucci classification. Ahmed et al. classification describes root and canal configurations in a more complete and practical way compared to Vertucci classification and should be encouraged in ?CT internal dental anatomy studies.To investigate the root canal configurations of mandibular incisors (MI) using Vertucci (1984) and Ahmed et al. (2017) classification, accessed by micro computed tomography (?CT). A total of one hundred and sixty-five human permanent MIs were scanned using a high-resolution ?CT. Two examiners classified the samples based on the coding systems of Vertucci and Ahmed et al. The Kappa coefficient was used to assess the degree of agreement between examiners. The most significant proportion of MIs had a single root canal along the entire root (52.1%). Type III (1-2-1) Vertucci and 1 MI 1-2-1 Ahmed et al. were the most common type of root canal in 2-canals incisors (20%). In the apical third, the presence of one, two and three canals were found in 81.8%, 15.2% and 3% of the samples, respectively. In the cervical and middle thirds, 1, 2 and 3 root canals were found in 86%, 12.2% and 1.8%, respectively. Ahmed et al. classification managed to classify the entire studied sample, and 11 teeth (6.66%) did not fit the Vertucci classification. Ahmed et al. classification describes root and canal configurations in a more complete and practical way compared to Vertucci classification and should be encouraged in ?CT internal dental anatomy studies
EFFECT OF ENDODONTIC IRRIGATION CONTAMINATION ON DENTIN FOR ADHESIVE RESTORATIONS
No full textThis study aimed to evaluate if 2.5% sodium hypochlorite compromises the adhesion of bonding materials. The factors in the study were the irrigation solutions in two levels: 2.5% sodium hypochlorite and saline solution; and the adhesive systems used in three levels: three-step adhesive, universal adhesive, and two-step self-etch adhesive systems. The answer variable used was the microshear bond strength obtained through a universal testing machine and fracture mode. Six groups were obtained (n=10) : Etch-and-rinse/Saline (saline solution + 3-step adhesive system - Scotchbond Multipurpose, 3M ESPE); Universal/saline (saline solution + universal adhesive system – Prime&Bond,); Self-etch/saline (saline solution + 2-step self-etch adhesive systems - Clearfil SE Bond); Etch-and-rinse/Hypo (sodium hypochlorite 2,5% + 3-step adhesive system - Scotchbond Multiuso); Universal/Hypo (sodium hypochlorite 2,5% + universal adhesive system – Prime&Bond); Self-etch/Hypo (sodium hypochlorite 2,5% + 2-step self-etch adhesive system - Clearfil Se Bond). The specimens were obtained from 60 healthy bovine incisors. The crowns were separated from the roots, and the regularization of the buccal surface was performed. The groups received saline solution and 2.5% sodium hypochlorite for 30 minutes, respectively. A matrix of 1mm and 3mm oh height was stabilized by Scotch tape to obtain the resin sticks. Afterward, the bond strength test was performed in a universal testing machine at 1mm/min speed. The data were analyzed with normality Shapiro-Wilk, two-way ANOVA, and Tukey’s tests (p<0.001). Etch-and-rinse and Self-etch adhesives presented the highest bond strength values after irrigation with saline solution and 2.5% sodium hypochlorite, respectively (P < 0.01). The irrigation with 2.5% sodium hypochlorite decreased the bond strength values of Etch-and-rinse and Universal (P < 0.01). On the other hand, 2.5% sodium hypochlorite improved the bond strength values of Self-etch (P < 0.01). In conclusion, 2.5% sodium hypochlorite negatively impacted the bond strength of Etch-and-rinse and Universal but improved the adhesion of Self-etch.This study aimed to evaluate if 2.5% sodium hypochlorite compromises the adhesion of bonding materials. The factors in the study were the irrigation solutions in two levels: 2.5% sodium hypochlorite and saline solution; and the adhesive systems used in three levels: three-step adhesive, universal adhesive, and two-step self-etch adhesive systems. The answer variable used was the microshear bond strength obtained through a universal testing machine and fracture mode. Six groups were obtained (n=10) : Etch-and-rinse/Saline (saline solution + 3-step adhesive system - Scotchbond Multipurpose, 3M ESPE); Universal/saline (saline solution + universal adhesive system – Prime&Bond,); Self-etch/saline (saline solution + 2-step self-etch adhesive systems - Clearfil SE Bond); Etch-and-rinse/Hypo (sodium hypochlorite 2,5% + 3-step adhesive system - Scotchbond Multiuso); Universal/Hypo (sodium hypochlorite 2,5% + universal adhesive system – Prime&Bond); Self-etch/Hypo (sodium hypochlorite 2,5% + 2-step self-etch adhesive system - Clearfil Se Bond). The specimens were obtained from 60 healthy bovine incisors. The crowns were separated from the roots, and the regularization of the buccal surface was performed. The groups received saline solution and 2.5% sodium hypochlorite for 30 minutes, respectively. A matrix of 1mm and 3mm oh height was stabilized by Scotch tape to obtain the resin sticks. Afterward, the bond strength test was performed in a universal testing machine at 1mm/min speed. The data were analyzed with normality Shapiro-Wilk, two-way ANOVA, and Tukey’s tests (p<0.001). Etch-and-rinse and Self-etch adhesives presented the highest bond strength values after irrigation with saline solution and 2.5% sodium hypochlorite, respectively (P < 0.01). The irrigation with 2.5% sodium hypochlorite decreased the bond strength values of Etch-and-rinse and Universal (P < 0.01). On the other hand, 2.5% sodium hypochlorite improved the bond strength values of Self-etch (P < 0.01). In conclusion, 2.5% sodium hypochlorite negatively impacted the bond strength of Etch-and-rinse and Universal but improved the adhesion of Self-etch
AN UNUSUAL REPAIR OF PERFORATING INTERNAL INFLAMMATORY ROOT RESORPTION; A CASE REPORT OF ENDODONTIC TREATMENT
No full textInternal inflammatory root resorption (IIRR) can occur as a serious complication of dental trauma which leads to progressive loss of the root structure. An early diagnosis could influence the therapeutic approach, but endodontic treatment becomes a challenge with a doubtful prognosis. The present report described an unusual clinical presentation of an IIRR with perforation resulting from a trauma four years previous. A 15-year-old female patient was presented to our service with pain in the maxillary incisor region. Intraoral radiography revealed a large radioloucent area compatible with IIRR, communicating with the periodontium in the middle third on the distal root face of the right central incisor. The root canal of the right central incisor was chemo-mechanically prepared. The calcium hydroxide (CH) intracanal medication was used and renewed periodically four times. The root canal was filled only in the cervical region to the level of resorption by the inverted gutta-percha cone technique. Clinically and radiographically, all follow-up examinations revealed an asymptomatic tooth, evidencing periapical tissue repair and new bone formation. The tooth remained asymptomatic 3 years afterwards. The present case report supports the idea of executing satisfactory intracanal decontamination by chemo-mechanical preparation, thus creating a favourable environment for tissue repair.Internal inflammatory root resorption (IIRR) can occur as a complication of dental trauma which leads to progressive loss of the root structure. An early diagnosis could influence the therapeutic approach. Nevertheless, endodontic treatment in these situations is challenging, with a doubtful prognosis. The present report described a perforating IIRR, resulting from a trauma suffered four years previous. A 15- year-old female patient was presented to the endodontic clinic, reporting pain in the maxillary incisor region. Intraoral radiography revealed a large radiolucent area compatible with IIRR, communicating with the periodontium in the middle third on the distal root face of the right central incisor. The root canal of the right central incisor was chemo-mechanically prepared. Calcium hydroxide (CH) paste was used and renewed periodically four times. Root canal filling was performed only in the cervical third, up to the level of the root resorption. During follow-ups, tooth was asymptomatic. Radiographically, there was evidence of periapical tissue repair and bone tissue formation. The tooth remained asymptomatic 3 years afterwards. The present case report supports the idea that a satisfactory intracanal decontamination allows a favorable environment for tissue repair