Treatment Of External Cervical Resorption Research Articles

External Cervical Resorption Surgical and Non-Surgical Management: A Case Report

The loss of tooth hard tissue caused by odontoclast cell action is described as external cervical resorption (ECR). ECR is commonly initiated on the cervical third of the root’s surface. This study includes a summary of the etiology, risk factors, diagnosis, and treatment of ECR. Only when the exact type and precise position of the ECR defect are identified, can effective management and the proper course of treatment be taken. A 29-year-old male patient’s general dentist noticed ECR in the upper right first premolar during a routine radiography examination. Cone-beam computed tomography (CBCT) was done to assess the lesion’s extent. Glass ionomer cement was surgically applied to the defect to fill it. Nonsurgically, root canal treatment was carried out before and after the surgical intervention. Using CBCT, combining nonsurgical and surgical approaches to manage such cases is an effective way of treatment.

Conservative Restorative Management of External Cervical Tooth Resorption: A Case Report

Background: External cervical resorption (ECR) is one of the subclassifications of external root resorption. The etiology of ECR is still unclear. In most cases, it is not evident and asymptomatic before the involvement of the pulp. Case presentation: This paper reports a case of ECR in the mandibular right first molar of a 24-year-old patient who presented with an asymptomatic pink tooth. A two-dimensional radiograph and Cone beam computed tomography (CBCT) showed cervical resorption penetrating at the cementoenamel junction level from the mesio-lingual aspect. It approximates the pulp horn coronally within the lingual dentinal wall. Discussion: The treatment of the case involved debridement of the resorptive defect and Mineral Trioxide Aggregate (MTA) was applied as a direct pulp capping, glass ionomer as a base, and the tooth was restored using composite resin restoration. After 6-months of follow-up, the radiographic examination showed healthy bone and periodontal structures with no evidence of periapical pathology. Conclusion: ECR is an aggressive and invasive lesion that acts silently, requiring early diagnosis and treatment for a successful outcome. The lesion size, location, and accessibility are the main factors affecting the successful treatment of ECR.

Integrated clinical treatment of external cervical resorption: Case report

External cervical resorption (ECR) has an inflammatory nature and the proximity to the gingival sulcus favors contamination and progression of the lesion. Change in crown color, inflammation of the marginal gingiva or even the presence of secretion in the gingival sulcus are the main clinical signs. Being an asymptomatic lesion, it can be neglected and its progression can jeopardize the tooth involved. This report describes the treatment of a patient who presented two teeth with ECR. On clinical examination, the crown of tooth 17 showed a pinkish translucency on the occlusal surface. On tooth 12, this spot was dark and located in the cervical third of the labial surface of the crown. Both the teeth were asymptomatic, and the radiographic examination showed an image comparable with root resorption in the cervical third of the crown. On tooth 17, the middle and cervical third of the crown was compromised and the pulp vitality test was negative. The treatment for the case was extraction. A tomographic examination of tooth 12 demonstrated pulpal involvement and biologic width violation. The vitality test was positive. After endodontic treatment, the tooth was extruded by 4 mm, the resorbed area was exposed and restored with composite resin. A 39-month clinical and radiographic control showed integrity of the root surface and the periodontium. It was found that early diagnosis influences the prognosis of treatment considering the speed of progression of resorption. It emphasizes the importance of clinical and radiographic control of the clinical conditions that predispose to ECR.

Diagnosis and management of root resorption in traumatized teeth: Report of two cases

AbstractInternal resorption (IR) is a progressive process initiated within the pulp space with the loss of dentin. Although trauma and pulp inflammation/infection are the major contributory factors in the initiation of IR, all the etiologic factors and the pathogenesis have not yet been completely elucidated. Cervical external resorption is defined as a localized resorptive process that commences on the surface of the root below the epithelial attachment and the coronal aspect of the supporting alveolar process, namely, the zone of the connective tissue attachment. This report is presented two cases of root resorption (external cervical resorption and inflammatory IR) in traumatized teeth where cone beam computed tomography has been used as an important diagnostic tool. Treatment of external cervical resorption involved endodontics and periodontics. In case with inflammatory IR, only endodontic treatment was necessary. The postoperative course was uneventful and a stable clinical outcome was obtained.