Invasive Cervical Resorption of a Mandibular Molar Managed with Vital Pulp Therapy: Exemplar Case Study

Abstract

This exemplar case highlights the importance of conservative treatment to protect the pulpal health of an invasive cervical resorption of a mandibular molar tooth with pulpal exposure. The resorptive site was explored and trichloroacetic acid (TCA) was placed on the localized defect. Following curettage of the resorptive tissue, a small pulp exposure occurred. Direct pulp capping with Dycal, a calcium hydroxide-based material, was used, and the molar was restored with glass ionomer cement. At the 18-month review, the molar tooth demonstrated both clinical (positive pulpal response) and radiographic (absence of any periapical radiolucency) success. Clinical relevance Direct pulp capping with calcium hydroxide cement is an inexpensive, conservative, and easy treatment option for pulpal exposure during the management of a Class 2 invasive cervical resorption case. Objective To demonstrate the importance of preserving the pulp in the management of a Class 2 invasive cervical resorption lesion.