A multidisciplinary approach for external cervical resorption: A case report with 5-year follow-up
DOI:
https://doi.org/10.33448/rsd-v10i9.18029Keywords:
Case Reports; Oral Diagnosis; Periodontal Ligament; Root Canal Obturation; Tooth resorption.Abstract
Introduction: External cervical resorption (ECR) is a physiological or pathological event usually detected on radiographic examination, since there are no symptoms in its initial and intermediate phases. Objectives: This case is an important finding because the early detection of this lesion allowed an effective multidisciplinary approach to be carried out. Case Report: Radiography was taken in a 55-year-old male and revealed a radiolucent area on the distal surface of the permanent mandibular left first molar, suggesting ECR with impaired pulpal vitality. Based on the clinical and radiographic examinations, a multidisciplinary approach was established involving endodontic treatment, periodontal surgery and indirect restoration that provided an option for preserve the affected tooth. The early diagnosis of ECR was essential for the successful treatment in order to maintain the satisfactory function for five-year follow-up. Conclusion: Despite the procedures performed, the idiopathic etiology of the lesion contributed to the appearance of recurrences; however, monitoring and maintenance of the affected tooth proved to be important for the longevity of the treatment.
References
Ahmed N., Gopalakrishnan M. B. & Parthasarthy H. (2014). External cervical resorption case report and a brief review of literature. Journal of Natural Science, Biology and Medicine, 5(1), 210-214. 10.4103/0976-9668.127336.
Aidos H., Diogo P. & Santos J. M. (2018). Root resorption classifications: a narrative review and a clinical aid proposal for routine assessment. European Endodontic Journal, 3(3), 134-145. 10.14744/eej.2018.33043
Aljarbou F. A. (2019). Five-year recall after treatment of external cervical resorption. Case Reports in Dentistry, 19, 4957408. 10.1155/2019/4957408.
Chen Y., Huang Y. & Deng X. (2021a). A review of external cervical resorption. Journal of Endodontics, 47(6), 883-894. 10.1016/j.joen.2021.03.004
Chen Y., Huang Y. & Deng X. (2021b). External cervical resorption-a review of pathogenesis and potential predisposing factors. International Journal of Oral Science, 13(1), 19. 10.1038/s41368-021-00121-9
Consolaro A. (2016). External cervical resorption: diagnostic and treatment tips. Dental Press Journal of Orthodontics, 21(5), 19-25. 10.1590/2177-6709.21.5.019-025.oin.
Ehlinger C., Ginies E., Bornert F., Bahi-Gross S., Schmittbuhl M. & Minoux M. (2019). Decision criteria influencing the therapeutic approach to invasive cervical resorption: a case series. Quintessence International, 50(6), 494-502. 10.3290/j.qi.a42479
Gijón V. R., Martín C. L., Encinas R. M. P. & Navajas J. M. (2016). Aetiological, histopathological, clinical, diagnostic and therapeutical features of idiopathic cervical resorption. Dental Update, 43(10), 964-970. 10.12968/denu.2016.43.10.964
Howait M., Shaker M., Aljuhani H. & AlMohnna M. (2021). External cervical resorption: a case report and brief review of the literature, and treatment algorithms. Journal of Contemporary Dental Practice, 22(3), 298-303. Retrieved from https://pubmed.ncbi.nlm.nih.gov/34210932/
Kamat M., Puranik R., Vanaki S. & Kamat S. (2013). An insight into the regulatory mechanisms of cells involved in resorption of dental hard tissues. Journal of Oral and Maxillofacial Pathology, 17(2), 228-233. 10.4103/0973-029X.119736.
Libonati A., Montella D., Montemurro E. & Campanella V. (2017). External cervical resorption: a case report. European Journal of Paediatric Dentistry, 18(4), 296-298. 10.23804/ejpd.2017.18.04.06
Marinescu I. R., Bănică A. C., Mercuţ V., Gheorghe A. G., Drăghici E. C., Cojocaru M. O., Scrieciu M. & Popescu S. M. (2019). Root resorption diagnostic: role of digital panoramic radiography. Current Health Sciences Journal, 45(2), 156-166. 10.12865/CHSJ.45.02.05
Mavridou A. M., Bergmans L., Barendregt D. & Lambrechts P. (2017) Descriptive Analysis of Factors Associated with External Cervical Resorption. Journal of Endodontics; 43(10):1602-1610.
Mavridou A. M., Hauben E., Wevers M., Schepers E., Bergmans L. & Lambrechts P. (2016). Understanding external cervical resorption in vital teeth. Journal of Endodontics, 42(12), 1737-1751. 10.1016/j.joen.2016.06.007.
Patel J. & Beddis H. P. (2019). How to assess and manage external cervical resorption. Brazilian Dental Journal, 227(8), 695-701. 10.1038/s41415-019-0781-x
Patel S., Foschi F., Condon R., Pimentel T. & Bhuva B. (2018a). External cervical resorption: part 2 – management. International Endodontic Journal, 51(11), 1224-1238. 10.1111/iej.12946.
Patel S., Lambrechts P., Shemesh H. & Mavridou, A. (2018b). European society of endodontology position statement: external cervical resorption. International Endodontic Journal, 51(12), 1323-1326. 10.1111/iej.13008
Patel S., Mavridou A. M., Lambrechts P. & Saberi, N. (2018c). External cervical resorption-part 1: histopathology, distribution and presentation. International Endodontic Journal, 51(11), 1205-1223. 10.1111/iej.12942
Sarmento E. B., Tavares S. J., Thuller K. A., Falcao N. P., de Paula K. M., Antunes L. A., Gomes C. C. (2020). Minimally invasive intervention in external cervical resorption: a case report with six-year follow-up. International Journal of Burns and Trauma, 15(6), 324-330. https://pubmed.ncbi.nlm.nih.gov/33500844/
Sharma S., Kumar P., Jain V. & Logani A. (2019). Multiple idiopathic cervical root resorption: diagnosis, clinical/radiographical/histological presentation, and rehabilitation - a 7-year follow-up case report. Journal of Conservative Dentistry, 22(3), 313-317. 10.4103/JCD.JCD_445_18
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Laryssa de Castro Oliveira; Diego Felipe Mardegan Gonçalves; Fernanda de Souza e Silva Ramos; Gabriel Valagna Mauro; Silvio José Mauro; Sandra Rahal Mestrener; Ticiane Cestari Fagundes
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.