2016
DOI: 10.4103/0972-0707.181952
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Management of external invasive cervical resorption of tooth with Biodentine: A case report

Abstract: Invasive cervical resorption (ICR) of a tooth is relatively uncommon and the etiology is not very clear. It is sometimes misdiagnosed and can lead to improper management or tooth loss. Correct diagnosis and proper management can result in a successful outcome. The treatment should aim toward the complete suppression of all resorbing tissues and the reconstruction of resorptive defect by the placement of a suitable filling material or some biological systems. One of the most significant developments of the past… Show more

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Cited by 33 publications
(34 citation statements)
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“…This imaging technique can confirm the actual extent of reabsorption and the possibility of communication with the periodontal space. 23,24 Despite the fact that some types of dental resorption (Clark and Cone Beam techniques are necessary for a correct diagnosis), in the case reported, just the radiographic periapical was sufficient to determine the diagnosis. The Clark technique is an auxiliary strategy in the differential diagnosis between external and internal resorption; if the resorption is internal, the radiographic relationship between the root canal and the resorption cavity is not altered even if the horizontal angulation is modified, as opposed to external resorption, in which modification can be observed.…”
Section: Discussionmentioning
confidence: 99%
“…This imaging technique can confirm the actual extent of reabsorption and the possibility of communication with the periodontal space. 23,24 Despite the fact that some types of dental resorption (Clark and Cone Beam techniques are necessary for a correct diagnosis), in the case reported, just the radiographic periapical was sufficient to determine the diagnosis. The Clark technique is an auxiliary strategy in the differential diagnosis between external and internal resorption; if the resorption is internal, the radiographic relationship between the root canal and the resorption cavity is not altered even if the horizontal angulation is modified, as opposed to external resorption, in which modification can be observed.…”
Section: Discussionmentioning
confidence: 99%
“…In the present case, the resorption of the mandibular first molar was detected relatively early and graded as class III lesion involving the coronal dentin with extension to the coronal third of the root. Typically, surgical treatment of varying degrees of ICR involves periodontal flap reflection, curettage, granulation tissue removal, and restoration of the defect with suitable material, such as RMGIC, 11,12 mineral trioxide aggregate (MTA), 13,14 calcium-enriched mixture cement, 15 and Biodentine, 16 and repositioning the flap to its original position. In the present case, the resorption lacuna was exposed from the coronal approach rather than surgical exposure by full-thickness mucoperiosteal flaps.…”
Section: Discussionmentioning
confidence: 99%
“…[8,10,11]. Neuere Fallberichte zeigen auch die erfolgreiche Therapie mit Mineraltrioxidaggregat oder Biodentin [12,13]. In Einzelfällen kann es hilfreich sein, die Zahnkrone chirurgisch zu verlängern, um einen besseren Zugang und eine suffiziente Trockenlegung zu erzielen.…”
Section: Diagnostikunclassified