Abstract
Aim: This article reports the different clinical approaches of three external cervical resorptions (ECR) cases, based on a three-dimensional (3D) classification. Summary: Treatment planning was based on a 3D diagnosis and the cone beam computed tomography (CBCT) was fundamental to do an accurate assessment of the extension of the lesions. The three cases presented different degrees of complexity, related to the extension of the resorption. In two cases, root canal treatment was performed and internal management of the resorptive lesion was accomplished. In a third case, with a more severe extension of ECR, surgical approach with flap elevation was done to access the resorptive defect. Minimum period of 6-months radiographic and clinical follow-up showed periapical and periodontal healing. This case report presents the importance of a correct 3D diagnosis and treatment planning in maintaining teeth with ECR. Key learning points: ECR is a pathologic root resorptive process with an unclear aetiology. Beginning in a point of entry in the cervical area of the root, in later stages, the resorptive process can reach the pulpal space. Management of ECR lesions should be based on a 3D diagnosis, considering height, circumferential spread and proximity/involvement of the root canal. The use of CBCT enables the clinician to establish a proper diagnosis and evaluate the restorability of the tooth in question.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.