Management of external cervical resorption with internal approach: 18 months of follow-up
DOI:
https://doi.org/10.33448/rsd-v12i6.42184Keywords:
Endodontics; Case reports; Tooth resorption; Root canal therapy.Abstract
Introduction: External cervical resorption (ECR) in advance stages may have a probable pulp involvement. In some of these cases, the accessibility of the resorptive process can be performed by an intraradicular approach. Aim: To report the management of an ECR, classified as Class 2cp according to Patel classification, with an internal approach. Case report: A 22-year-old male patient presented a complaint of dentin hypersensitivity related to left maxillary lateral incisor and reported a history of previous dental trauma. Based on the clinical, radiographic and tomographic findings, the left maxillary lateral incisor was diagnosed as symptomatic irreversible pulpitis with ECR class 2cp of Patel classification. The patient was scheduled for endodontic treatment, with an internal approach, and repair of the resorbed area. Intracanal dressing of calcium hydroxide paste was used in the root canal and resorption gaps. The root canal filling was performed in two steps: obturation of the apical and middle third with gutta-percha by lateral condensation technique and obturation of the cervical third and filling the resorbed area with MTA. After 18 months signs and symptoms compatible with success were observed, and the tomographic and radiographic images suggested a successful endodontic treatment and evolutionary process of repair of bone and mineralized dental tissues. Conclusion: Patel class 2cp ECR treatment through an internal approach, including conventional endodontic treatment and recovery of the reabsorbed area with calcium hydroxide and MTA is a viable treatment option, but may cause tooth discoloration.
References
AAE. (2020). Glossary of Endodontic Terms. American Association of Endodontists.
Aljarbou F. A. (2019). Five-Year Recall after Treatment of External Cervical Resorption. Case reports in dentistry, 2019, 4957408. https://doi.org/10.1155/2019/4957408.
Alqedairi A. (2019). Non-Invasive management of invasive cervical resorption associated with periodontal pocket: A case report. World journal of clinical cases, 7(7), 863–871. https://doi.org/10.12998/wjcc.v7.i7.863.
Alpi, K. M., & Evans, J. J. (2019). Distinguishing case study as a research method from case reports as a publication type. Journal of the Medical Library Association: JMLA, 107(1), 1–5. https://doi.org/10.5195/jmla.2019.615
Consolaro A. (2016). External cervical resorption: diagnostic and treatment tips. Dental Press Journal of Orthodontics, 2016; 21 (5): 19-25. https://doi.org/10.1590/2177-6709.21.5.019-025.oin
European Society of Endodontology (ESE) developed by, Patel, S., Lambrechts, P., Shemesh, H., & Mavridou, A. (2018a). European Society of Endodontology position statement: External Cervical Resorption. International endodontic journal, 51(12), 1323–1326. https://doi.org/10.1111/iej.13008.
Farhad, A., & Mohammadi, Z. (2005). Calcium hydroxide: a review. International dental journal, 55(5), 293–301. https://doi.org/10.1111/j.1875-595x.2005.tb00326.x.
Heithersay G. S. (1999). Invasive cervical resorption: an analysis of potential predisposing factors. Quintessence international, 30(2), 83–95.
Heithersay GS. (2004). Invasive cervical resorption. Endodontic Topics; 7 (1): 73–92. https://doi.org/10.1111/j.1601-1546.2004.00060.x
Howait, M., Shaker, M., Aljuhani, H., & AlMohnna, M. (2021). External Cervical Resorption: A Case Report and Brief Review of the Literature, and Treatment Algorithms. The journal of contemporary dental practice, 22(3), 298–303.
Hung C. J, Kao C. T, Shie M. Y, Huang T. H. (2014). Comparison of host inflammatory responses between calcium-silicate base material and IRM. Journal of Dental Sciences; 9: 158–164. https://doi.org/10.1016/j.jds.2013.08.002
Irinakis, E., Aleksejuniene, J., Shen, Y., & Haapasalo, M. (2020). External Cervical Resorption: A Retrospective Case-Control Study. Journal of endodontics, 46(10), 1420–1427. https://doi.org/10.1016/j.joen.2020.05.021.
Kaup, M., Schäfer, E., & Dammaschke, T. (2015). An in vitro study of different material properties of Biodentine compared to ProRoot MTA. Head & face medicine, 11, 16. https://doi.org/10.1186/s13005-015-0074-9
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. https://doi.org/10.1016/j.joen.2017.05.026.
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. https://doi.org/10.1016/j.joen.2016.06.007.
Pace, R., Giuliani, V., & Pagavino, G. (2008). Mineral trioxide aggregate in the treatment of external invasive resorption: a case report. International endodontic journal, 41(3), 258–266. https://doi.org/10.1111/j.1365-2591.2007.01338.x.
Patel, J., & Beddis, H. P. (2019). How to assess and manage external cervical resorption. British dental journal, 227(8), 695–701. https://doi.org/10.1038/s41415-019-0781-x
Patel, S., Kanagasingam, S., & Pitt Ford, T. (2009). External cervical resorption: a review. Journal of endodontics, 35(5), 616–625. https://doi.org/10.1016/j.joen.2009.01.015.
Patel, S., Mavridou, A. M., Lambrechts, P., & Saberi, N. (2018b). External cervical resorption-part 1: histopathology, distribution and presentation. International endodontic journal, 51(11), 1205–1223. https://doi.org/10.1111/iej.12942.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologida pesquisa científica. UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf
Rodríguez Mazón, M., Garcia-Font, M., Doria, G., Durán-Sindreu, F., & Abella, F. (2022). Influence of Cone-beam Computed Tomography in Clinical Decision-making among Different Specialists in External Cervical Resorption Lesions: A Before-After Study. Journal of endodontics, 48(9), 1121–1128. https://doi.org/10.1016/j.joen.2022.05.010.
Rotondi, O., Waldon, P., & Kim, S. G. (2020). The Disease Process, Diagnosis and Treatment of Invasive Cervical Resorption: A Review. Dentistry journal, 8(3), 64. https://doi.org/10.3390/dj8030064
Yilmaz, H. G., Kalender, A., & Cengiz, E. (2010). Use of mineral trioxide aggregate in the treatment of invasive cervical resorption: a case report. Journal of endodontics, 36(1), 160–163. https://doi.org/10.1016/j.joen.2009.07.002.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Keren Scheidegger de Aguiar da Fonsêca; Claudia Mendonça Reis Romano; Juliana Machado Barroso Xavier; Iandara de Lima Scardini; Francisco Carlos Ribeiro
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.
