Endodontic and surgical management of invasive cervical resorption: literature review and case report

• Quispe López, Norberto ; García-Faria García, Carmen ; Alonso Ezpeleta, Luis Oscar ^[1] ; Mena Álvarez, Jesús ^[1] ; Morales Sánchez, Araceli ; Garrido Martínez, Pablo
  1. [1] Universidad Alfonso X el Sabio

     Universidad Alfonso X el Sabio

     Villanueva de la Cañada, España

     
• Localización: Científica dental: Revista científica de formación continuada, ISSN 1697-6398, ISSN-e 1697-641X, Vol. 12, Nº. Extra 4 (Versión en inglés de los trabajos ganadores y los segundos clasificados de los premios de la revista), 2015, págs. 49-55
• Idioma: inglés
• Enlaces
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• Resumen

  • Background: Invasive cervical resorption (ICR) is a type of external root resorption, characterised by the loss of hard dental tissue by the action of odontoclasts. It appears most often in the cervical region of the root surface of the teeth.

    Objective: To present a case report describing the protocol for dealing with an invasive cervical resorption, and literature review of the etiology, diagnosis and treatment.

    Case report: Female patient, 19 years old, with no relevant medical history, who came to our clinic due to a pinkish colouration in the cervico-buccal surface of the right maxillary central incisor.

    The tooth had no pain on percussion and palpation. The vitality of the tooth was negative. After rigorous analysis, treatment was performed which consisted of 2 phases: Firstly, a nonsurgical phase followed by a surgical procedure. The reconstruction of the defect was carried out using glass ionomer cement.

    Conclusions: The endodontist needs to understand and manage the periodontal and restorative aspects of treating ICR. After treatment, the patient was satisfied with the aesthetic result.