Characteristics and treatment of invasive cervical resorption in vital teeth. A narrative review and a report of two cases

Tsaousoglou, Phoebus; Markou, Eleni; Efthimiades, N.; Vouros, Ioannis

doi:10.1038/sj.bdj.2017.263

Cited by 8 publications

(10 citation statements)

References 49 publications

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“…Additionally, a necessary surgical intervention was carried out, which allowed the access and the removal of the resorptive tissue and adequate defect filling, reducing the chances of recurrence [10,11]. During the surgery, Emdogain (Straumann, Fontenay sous Bois, França) was used, which is made up of proteins derived from the enamel matrix, which, in addition to having antimicrobial properties, helps in periodontal regeneration [13,14].…”

Section: Routine Radiographsmentioning

confidence: 99%

Maxillary anterior teeth with extensive root resorption treated with multidisciplinary approach: A case report

Coutinho

Campello²,

Abdelnur

et al. 2023

Int J Case Rep Images

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Invasive cervical resorption is a type of external resorption, which is generally located in the cervical region of the tooth. The resorptive process can be caused by physiological, pathological, hormonal, and trauma factors. The present study aimed to report a case of invasive cervical resorption in tooth 12 identified as an incidental finding, in which all available clinical resources were used, as well as a combined multidisciplinary treatment of endodontics, orthodontics, surgery, and prosthesis. At the initial consultation, the tooth presented with Heithersay’s class II resorption, undergoing endodontic treatment and traction for subsequent cavity sealing. After completion of orthodontics, an increase in the resorptive pocket was observed (Class III of Heithersay), which led to endodontic retreatment and subsequent surgical intervention to remove the granulation tissue and fill it with bioceramic material. The preparation of the coronal remnant and fabrication of a prosthetic restoration were performed, with the aim of shielding the endodontic cavity and functionally restoring the tooth. With the case presented, it was possible to conclude that incidental findings are part of the endodontist’s daily life, requiring a constant search both for early diagnosis and effective multidisciplinary treatment, which contributes to the restoration of aesthetics and function, contributing to the tooth longevity.

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Section: Routine Radiographsmentioning

confidence: 99%

Maxillary anterior teeth with extensive root resorption treated with multidisciplinary approach: A case report

Coutinho

Campello²,

Abdelnur

et al. 2023

Int J Case Rep Images

View full text Add to dashboard Cite

show abstract

“…The surgical external approaches have been more commonly reported than nonsurgical external approaches perhaps due to the extensive size of the lesions at the time of detection. The surgical techniques reported in studies include removal of the resorptive lesions using TCA and/or mechanical debridement and restoration with hydraulic calcium silicate-based materials or glass ionomer cement [ 51 , 52 , 53 ].…”

Section: Strategies To Manage Icr Lesionsmentioning

confidence: 99%

“…If the resorptive defect is subgingival or subcrestal and accompanies periodontal tissue destruction, it is preferable to use hydraulic calcium silicate-based materials. Several case reports have been published to support the use of hydraulic calcium silicate-based materials for the restoration of ICR defects [ 52 , 53 , 61 , 62 , 63 , 64 , 65 ].…”

Section: Strategies To Manage Icr Lesionsmentioning

confidence: 99%

“…There is limited information regarding the outcomes of treatment for ICR lesions due to the scarcity of clinical outcome studies. A majority of studies are case reports and case series [ 8 , 20 , 21 , 52 , 53 , 55 , 62 , 63 , 64 , 65 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 ], and it may be difficult to predict the prognosis of treated teeth based on those studies because only successful cases tend to be reported. Furthermore, due to the disease rarity, clinical studies may seem difficult to perform.…”

Section: Prognosismentioning

confidence: 99%

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The Disease Process, Diagnosis and Treatment of Invasive Cervical Resorption: A Review

2020

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Invasive cervical resorption (ICR) is a localized, subepithelial, supra-osseous resorptive process of the tooth. Although there are several predisposing factors associated with ICR, its etiology and pathogenesis are poorly understood. The damage to the protective layer on the external root surface appears to allow for the attachment of clastic cells and initiate the resorptive process, which is confined by the inner protective pericanalar resorption-resistant sheet surrounding the root canal space. The use of cone-beam computed tomography (CBCT) is recommended for the diagnosis and assessment of a resorptive lesion. Based on the thorough evaluation of the size and location of the ICR lesion using CBCT, surgical or nonsurgical treatment can be chosen to address the source of the resorption. This review discusses the current status of knowledge regarding the biology of ICR lesions as well as their external or internal treatment using hydraulic calcium silicate-based materials. Future clinical outcome studies are necessary to evaluate the impact of hydraulic calcium silicate-based materials on the healing of ICR lesions.

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“…The patient can be asymptomatic or have difficulties in breastfeeding, speech articulation, and mechanical tasks such as licking the lips, kissing, and oral cavity cleaning. [1–5] It is also reported that ankyloglossia can affect maxillofacial development. [6]…”

Section: Introductionmentioning

confidence: 99%

Evaluation of tongue mobility following release operation of ankyloglossia with genioglossus myotomy

et al. 2022

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Ankyloglossia is a congenital anomaly characterized by a short lingual frenulum and severe form needs release surgery. Our goal in this study was to confirm the long-term safety and efficacy of Z-plasty with genioglossus myotomy compared with traditional Z-plasty alone and to develop a proper measurement tool to validate the postoperative results of release operations for ankyloglossia. Patients were divided in 2 groups, release with Z-plasty only group (group 1) and Z-plasty combined with genioglossus myotomy group (group 2) In group 2, the release of central longitudinal fiber of genioglossus muscle was added in the conventional Z-plasty operative procedure. To analyze the results of the surgery, we developed an objective assessment tool which is the direct length from the innermost point of the floor of mouth to the tip of the tongue, preoperatively and postoperatively, which is called “functional tongue length.” A total of 101 patients with ankyloglossia ranging in age from 36 months to 8 years underwent release operation. Although there was no significant difference in terms of postoperative measurements between groups in Kotlow class II, group 2 patients in Class III and IV showed greater postoperative functional tongue length. Also, there was no significant complication requiring secondary surgery. Our study demonstrated that adding genioglossus myotomy to a simple Z-plasty is a safe and effective method for improving the tongue mobility required to make lingual sounds, especially in moderate to severe form of ankyloglossia, along with suggestion of a new measurement tool, which can objectively assess tongue mobility with possibility for universal utilization in ankyloglossia release operation.

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Characteristics and treatment of invasive cervical resorption in vital teeth. A narrative review and a report of two cases

Cited by 8 publications

References 49 publications

Maxillary anterior teeth with extensive root resorption treated with multidisciplinary approach: A case report

Maxillary anterior teeth with extensive root resorption treated with multidisciplinary approach: A case report

The Disease Process, Diagnosis and Treatment of Invasive Cervical Resorption: A Review

Evaluation of tongue mobility following release operation of ankyloglossia with genioglossus myotomy

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