Background: Dental anxiety is a prevalent condition in pediatric oral healthcare and linked with multiple etiologic factors. Although sociodemographic factors are frequently examined, the influence of internal psychological constructs such as self-esteem remains underexplored in children. This cross-sectional study aims to evaluate the association between dental anxiety and self-esteem among school-age Turkish children. Methods: The study was conducted with 204 participants aged 7–12 years. Dental anxiety and self-esteem were assessed using Corah’s Dental Anxiety Scale and the Rosenberg Self-Esteem Scale, respectively. Group comparisons were performed with the Mann–Whitney U and Kruskal–Wallis tests, and their association was examined with Spearman’s rank correlation. Independent predictors of dental anxiety were further identified through a stepwise multiple linear regression. Results: Dental anxiety was prevalent in 24.5% of participants. No significant differences in anxiety or self-esteem were found by gender, age, or socioeconomic status (p > 0.05). A moderate negative correlation (r = −0.301, p < 0.001) was observed between self-esteem and dental anxiety. Regression analysis confirmed self-esteem as the only significant independent predictor of dental anxiety (Adjusted R² = 0.080, p < 0.001) in this model. Conclusions: Findings indicate that self-esteem is independently associated with pediatric dental anxiety, although the explained variance was modest. Whether incorporating children’s psychological profile into behavioral management improves clinical outcomes remains to be investigated.

A 21‐year‐old male presented with a nonvital right maxillary central incisor with percussion sensitivity and mild mobility. Cone‐beam computed tomography (CBCT) confirmed extensive internal root resorption (IRR) involving nearly the entire root, with a buccal cortical bone defect but no perforation of the root. Nonsurgical treatment was completed in three sessions using chemomechanical preparation with ProTaper Gold and 2.5% sodium hypochlorite irrigation at each session, with an interim calcium hydroxide dressing between sessions. The calcium hydroxide was removed using 17% EDTA with EDDY sonic activation, followed by a final saline rinse. Obturation was performed using a hybrid technique: MTA Angelus in the resorptive defect and an epoxy resin sealer with warm vertical gutta‐percha condensation coronally. Clinical and radiographic follow‐ups at 6, 12, and 48 months demonstrated resolution of clinical symptoms, periapical healing, and no further progression of resorption on periapical radiographs. A follow‐up CBCT at 48 months showed healing of the buccal cortical bone defect. In this case, nonsurgical orthograde treatment, combining CBCT‐guided diagnosis, chemomechanical debridement, and hybrid bioceramic–resin obturation, was associated with clinical and radiographic healing, suggesting that a nonsurgical orthograde approach may be a feasible tooth‐preserving option for selected cases of extensive nonperforating IRR.