Conservative Nonsurgical Treatment of Class 4 Invasive Cervical Resorption: A Case Series

Salzano, Stefano; Tirone, Federico

doi:10.1016/j.joen.2015.08.003

Cited by 37 publications

(30 citation statements)

References 27 publications

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“…). This interest is confirmed by the increasing number of recently published articles in this field (Salzano & Tirone , Wu et al . ).…”

Section: Introductionmentioning

confidence: 70%

“…External cervical resorption (ECR) has attracted the interest of endodontists and dental clinicians, due to its complex and invasive pattern (Patel et al 2009). This interest is confirmed by the increasing number of recently published articles in this field (Salzano & Tirone 2015, Wu et al 2016. However, the majority of this research focuses only on teeth with vital pulps.…”

Section: Introductionmentioning

confidence: 87%

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Understanding external cervical resorption patterns in endodontically treated teeth

et al. 2017

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Similar ECR patterns were observed in all examined teeth. These patterns consisted of an initiation, a resorption and a reparative stage. Some differences were noticed between endodontically treated and teeth with vital pulps, mainly in the resorption and reparative stages. The resorption stage in root filled teeth was more intense than the repair stage, as many clastic cells and abundant granulation tissue were observed in all samples. This is possibly due to the absence of the pulp and protective PRRS layer and/or to the altered chemical composition of the root dentine after root canal treatment. Furthermore, at the repair stage, formation of reparative bonelike tissue took place to a lesser extent in root filled teeth.

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“…). This interest is confirmed by the increasing number of recently published articles in this field (Salzano & Tirone , Wu et al . ).…”

Section: Introductionmentioning

confidence: 70%

Section: Introductionmentioning

confidence: 87%

Understanding external cervical resorption patterns in endodontically treated teeth

et al. 2017

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“…Recently, a conservative nonsurgical approach for treatment of class 4 ICRR has been introduced by Salzano and Tirone (17). The authors suggested mechanically removing the resorptive lacuna through an access cavity and sealing the entire cavity with MTA.…”

Section: Discussionmentioning

confidence: 99%

“…No treatment (simple observation) (1) 2. A nonsurgical approach with attempts to remove the resorptive lacuna (17) …”

Section: Discussionmentioning

confidence: 99%

Conservative Management of Class 4 Invasive Cervical Root Resorption Using Calcium-enriched Mixture Cement

Asgary

Nosrat

2016

Journal of Endodontics

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“…Alternatively, a bioactive material such as Biodentine may be used as a dentine substitute (Fig. ), over which a thin layer of glass–ionomer cement and/or composite resin may be placed (Salzano & Tirone , Patel & Vincer ). The use of a bioactive material will result in a high pH which may impair the osteoclastic action of any residual ECR remnants (Arnett , Gandolfi et al .…”

Section: Internal Repairmentioning

confidence: 99%

External cervical resorption: part 2 – management

et al. 2018

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Effective management of external cervical resorption (ECR) depends on accurate assessment of the true nature and accessibility of ECR; this has been discussed in part 1 of this 2 part article. This aim of this article was firstly, to review the literature in relation to the management of ECR and secondly, based on the available evidence, describe different strategies for the management of ECR. In cases where ECR is supracrestal, superficial and with limited circumferential spread, a surgical repair without root canal treatment is the preferred approach. With more extensive ECR lesions, vital pulp therapy or root canal treatment may also be indicated. Internal repair is indicated where there is limited resorptive damage to the external aspect of the tooth and/or where an external (surgical) approach is not possible due to the inaccessible nature of subcrestal ECR. In these cases, root canal treatment will also need to be carried out. Intentional reimplantation is indicated in cases where a surgical or internal approach is not practical. An atraumatic extraction technique and short extraoral period followed by 2-week splinting are important prognostic factors. Periodic reviews may be indicated in cases where active management is not pragmatic. Finally, extraction of the affected tooth may be the only option in untreatable cases where there are aesthetic, functional and/or symptomatic issues.

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Conservative Nonsurgical Treatment of Class 4 Invasive Cervical Resorption: A Case Series

Cited by 37 publications

References 27 publications

Understanding external cervical resorption patterns in endodontically treated teeth

Understanding external cervical resorption patterns in endodontically treated teeth

Conservative Management of Class 4 Invasive Cervical Root Resorption Using Calcium-enriched Mixture Cement

External cervical resorption: part 2 – management

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