Management of Perforating Invasive Cervical Resorption: Two Case Reports

Kumar, Mathangi; Srinivas, Prashanth Nuggehalli; Ramadevi, S; Prasad, Soni; Ajayprakash, P; Sudhakar, Meryl

doi:10.5005/jp-journals-10011-1326

Cited by 4 publications

(5 citation statements)

References 20 publications

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“…Different materials can be used for the restoration of defects, such as MTA, resinmodified GIC, and CEM. 16,[19][20][21] In this case, a bioceramic material total fill putty (FKG, Switzerland) was used for restoring the palatal defects resulting from the ICR lesion. Bioceramic restorative material has been investigated and showed favorable results in several studies of periodontal cell growth and attachment, making it the material of choice for management in our case.…”

Section: Discussionmentioning

confidence: 99%

Recurrence of Invasive Cervical Resorption after six years of Nonsurgical and Surgical management by Bioceramic-Material

AlAttas¹,

Edrees²,

Mohsin³

et al. 2023

Pak J Med Sci

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Invasive cervical resorption (ICR) is a phenomenon of unknown etiology that results in the loss of hard dental tissue. To have a successful outcome for a tooth affected by ICR, correct diagnosis and management are needed. With the introduction of new biocompatible materials and the advancement of CBCT imaging, these pathologies can be identified and treated with precision, resulting in promising outcomes. This case report aims to present the management of maxillary central incisors diagnosed with external ICR, treated with bioceramic root repair material, and followed-up to six years. doi: https://doi.org/10.12669/pjms.39.3.6959 How to cite this: AlAttas MH, Edrees HY, Mohsin SF, Javed MQ. Recurrence of Invasive Cervical Resorption after six years of Nonsurgical and Surgical management by Bioceramic-Material. Pak J Med Sci. 2023;39(3):908-912. doi: https://doi.org/10.12669/pjms.39.3.6959 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Recurrence of Invasive Cervical Resorption after six years of Nonsurgical and Surgical management by Bioceramic-Material

AlAttas¹,

Edrees²,

Mohsin³

et al. 2023

Pak J Med Sci

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“…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%

Nonsurgical Management and 2-year Follow-up by means of Cone Beam Computed Tomography of an Invasive Cervical Resorption in a Molar

Mashyakhy

Chourasia

Halboub

et al. 2018

The Journal of Contemporary Dental Practice

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Background: Invasive cervical resorption (ICR) is a relatively uncommon form of external tooth resorption, characterized by an invasive nature. It is usually painless and detection of lesions is often made incidentally. Three-dimensional imaging techniques, such as cone beam computed tomography (CBCT), are useful in the diagnosis and management of ICR as the true extent of the defect cannot always be estimated using conventional radiographs. Aim: The aim of this article is to report on the successful treatment of ICR in mandibular first molar by nonsurgical approach and follow-up by means of CBCT. Case report: An 18-year-old patient was referred with a complaint of unusual radiolucency in the mesial cervical area of tooth #19 with unknown etiology. Cone beam computed tomography was performed to assess the extent of the lesion in three spatial levels and diagnosis of Heithersay class III ICR was made. This case presented with ICR (Heithersay class III) on tooth #19. Nonsurgical root canal treatment and removal of the lesion from the coronal access was performed; the resorptive defect was filled with dual-cure, self-adhesive, resin-modified glass ionomer cement (RMGIC); 6-month follow-up X-ray film showed no changes at the lesion site and tooth was asymptomatic; 1-year follow-up X-ray film showed slight mesial bone loss

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“…The basic aim of treating ICR is the complete removal of resorptive tissue and the restoration of the defect area. [ 14 17 ] The present case describes an invasive cervical resorptive defect in which the tooth shows a sign of pulpal and periapical infection and requires root canal treatment followed by sealing the resorptive area with Biodentine using surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

“…The communication between the resorption defect and the root canal system was large in size, and the defect was treated surgically. Surgical treatment of varying degrees of ICR generally involves periodontal flap reflection, curettage, granulation tissue removal, and restoration of the defect with suitable material, such as MTA,[ 14 ] resin-modified GIC,[ 17 ] CEM,[ 10 ] Biodentine, and repositioning the flap to its original position. The root canal treatment and management of the resorptive defect for this case were performed at the same appointment in order to avoid secondary infection.…”

Section: Discussionmentioning

confidence: 99%

Management of external invasive cervical resorption of tooth with Biodentine: A case report

Baranwal

2016

J Conserv Dent

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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 decade, i.e. the operating microscope used for surgical endodontics, helps the surgeon to assess pathological changes more precisely and to remove pathological lesions with far greater precision, thus minimizing tissue damage. The aim of this article was to show the management of maxillary left central incisor diagnosed with external ICR using Biodentine under dental operatory microscope (DOM).

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Management of Perforating Invasive Cervical Resorption: Two Case Reports

Cited by 4 publications

References 20 publications

Recurrence of Invasive Cervical Resorption after six years of Nonsurgical and Surgical management by Bioceramic-Material

Recurrence of Invasive Cervical Resorption after six years of Nonsurgical and Surgical management by Bioceramic-Material

Nonsurgical Management and 2-year Follow-up by means of Cone Beam Computed Tomography of an Invasive Cervical Resorption in a Molar

Management of external invasive cervical resorption of tooth with Biodentine: A case report

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