The Disease Process, Diagnosis and Treatment of Invasive Cervical Resorption: A Review

Rotondi, Olivia; Waldon, PhiAnh; Kim, Sahng G.

doi:10.3390/dj8030064

Cited by 21 publications

(26 citation statements)

References 78 publications

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“…Loss of protective unmineralized tissue (pre-cementum) with simultaneous inflammation produced by microorganisms in the periodontal pocket originates the resorptive development at the cervical area of the ECR tooth. Bacteria in the lesion participate in the perpetuation of this resorptive process ( 7 , 8 , 15 , 16 ).…”

Section: Pathogenesis and Etiologymentioning

confidence: 99%

“…Recent histological findings seem to indicate that bacteria are not essential for the initiation of the defect. It appears that microorganisms colonize the resorptive process in later stages of the resorption, based on the observation that microorganisms are identified only at the outer layers of the defects ( 7 , 15 , 16 ).…”

Section: Pathogenesis and Etiologymentioning

confidence: 99%

“…Depending on the extent of the damage, the location of the lesion and its nature, two main therapeutic strategies can be proposed: Internal repair or/and external repair. In some of the cases, when the lesion has perforated the root canal walls or this may happen during the excavation of the resorptive process, endodontic treatment might be required as well ( 16 , 46 , 47 ).…”

Section: Treatmentmentioning

confidence: 99%

“…External approach can be combined with surgical treatment, such as flap surgery, when the lesions are extended far apically than the gingival margin. In cases where the resorptive lesions are located above/at the gingival margin level and are accessible to excavation, non-surgical repair and treatment can be the optimal solutions ( 16 ).…”

Section: Treatmentmentioning

confidence: 99%

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External cervical resorption: Radiological diagnosis and literature (Review)

et al. 2021

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External cervical resorption (ECR) is a relatively unknown and insidious pathology characterized by the loss of hard dental tissues such as: Enamel, cementum and dentine due to clastic function. It begins as a localized resorptive process that initiates on the area of the root beneath the epithelial attachment and the coronal part of the alveolar process, involving vital and non-vital tissues. Despite the fact that there are several potential predisposing factors related to ECR, its aetiology still remains poorly understood and more research is needed to establish the cause-and-effect relationship of all the etiological factors. Improved radiographic detection using cone-beam computed tomography (CBCT) is required in order to correctly classify and assess this entity. This provides a three-dimensional insight into the lesion, regarding the location, the size, the depth and the circumferential spread of the ECR defect. It also allows establishment of the most efficacious treatment plan and management. The purpose of this literature review is to cover the relevant literature concerning the etiology, pathogenesis, clinical and radiological presentation and management of ECRs (based on the CBCT findings).

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Section: Pathogenesis and Etiologymentioning

confidence: 99%

Section: Pathogenesis and Etiologymentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

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External cervical resorption: Radiological diagnosis and literature (Review)

et al. 2021

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“…Penyebab kondisi ini masih tidak jelas, Heithersay dalam analisis faktor predisposisi dari 222 pasien dengan 257 gigi resorpsi servikal invasif, melaporkan bahwa perawatan ortodontik (24,1%) adalah faktor yang paling umum, dan trauma (15,1%) adalah paling umum kedua. 5 Gambaran klinis dari resorpsi internal maupun eksternal hampir sama dan perbedaan tampak hanya terkait dengan tempat resorpsi. Diagnosis resorpsi yang akurat dan dini sangat penting untuk keberhasilan perawatan dengan memiliki pengetahuan terhadap berbagai jenis resorpsi sehingga dapat mendiagnosis dengan benar dan dapat memberikan perawatan yang tepat.…”

Section: Pendahuluanunclassified

Perawatan Endodontik Pada Kasus Kombinasi Resorpsi Internal Dan Resorpsi Servikal Gigi Insisivus Sentral Rahang Atas

Wijaya

Prisinda²

2021

sod

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Pendahuluan: Resorpsi merupakan kondisi terkait proses fisiologis atau patologis yang mengakibatkan hilangnya dentin, sementum, atau tulang karena interaksi terstruktur antara sel inflamasi dan sel resorpsi, dapat terjadi baik internal maupun eksternal, secara bersamaan pada gigi yang sama, muncul sebagai defek yang terpisah atau bergabung. Proses resorpsi dimulai oleh berbagai rangsangan seperti trauma, peradangan kronis pada pulpa terus menerus yang disebabkan oleh faktor bakteri dan perawatan ortodontik. Laporan Kasus: Pasien laki-laki usia 27 tahun datang dengan keluhan gigi atas depan kanan berubah warna sedikit lebih gelap dibandingkan gigi sebelahnya. Gigi tersebut pernah sakit tiba-tiba dan pernah muncul jerawat di sekitar gusinya. Pasien pernah mengalami kecelakaan motor dan gigi depannya terbentur 10 tahun yang lalu, pernah dirawat ortodonti cekat selama 4 tahun. Pemeriksaan radiografis gigi 11 menunjukkan mahkota normal, jumlah akar 1, terdapat radiolusen pada 1/3 hingga 2/3 tengah dinding saluran akar mesial, lamina dura menghilang di periapikal dan pada 2/3 tengah akar dinding mesial, dan terdapat radiolusen berbatas jelas dengan diameter 2mm. Gigi 11 dilakukan pembukaan akses kavitas, finishing menggunakan nikel titanium rotary ProTaper Gold (Dentsply), irigasi dengan EDTA 17% dan NaOCl 5,25% serta aktivasi menggunakan ultrasonik (Ultra X, Eighteeth), pemberian medikamen antar kunjungan kalsium hidroksida, selanjutnya pengisian saluran akar dengan teknik warm vertical condensation. Restorasi pasca endodontik yaitu resin komposit direk dengan resin fiber construct (Kerr). Simpulan: Perawatan endodontik kombinasi resorpsi internal dan resorpsi servikal gigi insisivus sentral rahang atas pada kasus ini memperlihatkan keberhasilan yang baik.

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