External Cervical Resorption: A Case Report and Brief Review of the Literature, and Treatment Algorithms

Howait, Mohammed; Shaker, Mohamed; Aljuhani, Haila; AlMohnna, Manar

doi:10.5005/jp-journals-10024-3013

Cited by 5 publications

(3 citation statements)

References 29 publications

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“…In the reports, the H classification system was used more frequently to describe the lesions, probably as a consequence of the initial lack of CBCT technology. When the P classification was used, it was, in the majority of the cases, described in conjunction with the H system [39][40][41]; only in two cases was the P classification used alone [42,43]. It is important to emphasise that 20 out of the 66 reports included did not describe the classification but, interestingly, in 23 cases/teeth the reviewers were able to assign one (H), based on the information available (Table 1).…”

Section: Discussionmentioning

confidence: 99%

Clinical management of external cervical resorption: A systematic review

Bardini,

Orrù,

Ideo

et al. 2023

Aust Endodontic J

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This review investigated whether any therapeutic options influenced the outcome of treatment for teeth with external cervical resorption. Out of 870 articles identified by an electronic search, 60 clinical case reports and six case series were included. No randomised clinical trials were found. Risk of bias was assessed using Joanna Briggs Institute's tools. External surgical intervention was the preferred method of accessing the lesions. Removal of resorptive tissue was most often achieved mechanically. Bioactive endodontic cements were the preferred materials for restoring teeth. The outcome measures were based on clinical and radiographic parameters. Of the cases included in the review, no specific treatment approach had a superior outcome in relation to Heithersay's classification. Furthermore, due to the absence of randomised clinical trials, and the low level of evidence associated with case reports/case series, it was not possible to define the optimum clinical treatment for external cervical resorption.

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Section: Discussionmentioning

confidence: 99%

Clinical management of external cervical resorption: A systematic review

Bardini,

Orrù,

Ideo

et al. 2023

Aust Endodontic J

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“…More recently, new formulations of tricalcium silicate-based materials have been introduced as an alternative to MTA. These materials, such as Biodentin, presents better physical, chemical, and biological properties, and do not cause tooth discoloration, have no long setting time and have better handling properties than MTA (Algedairi, 2019;Hung et al, 2014;Kaup et al, 2015) and can be an alternative in cases of ECR (Rotondi et al, 2020;Howait et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Management of external cervical resorption with internal approach: 18 months of follow-up

Fonsêca,

Romano,

Xavier

et al. 2023

RSD

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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.

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“…Moreover, Biodentine and CEM used in the treatment of tooth absorption have shown good results in case reports [ 283 , 284 , 285 , 286 , 287 , 288 , 289 ]. Nonsurgical repair using bioceramic putty is an effective treatment option for external cervical resorption [ 290 ]. Bioceramic sealers (MTA Fillapex and BC Sealer) show high PH values, calcium release, and good root strengthening potential, and have the potential to repair root absorption defects with satisfactory results [ 270 , 291 ].…”

Section: Clinical Applications In Endodonticsmentioning

confidence: 99%

Bioceramics in Endodontics: Updates and Future Perspectives

Dong

2023

Bioengineering

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Bioceramics, with excellent bioactivity and biocompatibility, have been widely used in dentistry, particularly in endodontics. Mineral trioxide aggregate (MTA) is the most widely used bioceramic in endodontics. Recently, many new bioceramics have been developed, showing good potential for the treatment of endodontic diseases. This paper reviews the characteristics of bioceramics and their applications in various clinical endodontic situations, including root-end filling, root canal therapy, vital pulp therapy, apexification/regenerative endodontic treatment, perforation repair, and root defect repair. Relevant literature published from 1993 to 2023 was searched by keywords in PubMed and Web of Science. Current evidence supports the predictable outcome of MTA in the treatment of endodontic diseases. Although novel bioceramics such as Biodentine, EndoSequence, and calcium-enriched mixtures have shown promising clinical outcomes, more well-controlled clinical trials are still needed to provide high-level evidence for their application in endodontics. In addition, to better tackle the clinical challenges in endodontics, efforts are needed to improve the bioactivity of bioceramics, particularly to enhance their antimicrobial activity and mechanical properties and reduce their setting time and solubility.

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External Cervical Resorption: A Case Report and Brief Review of the Literature, and Treatment Algorithms

Cited by 5 publications

References 29 publications

Clinical management of external cervical resorption: A systematic review

Clinical management of external cervical resorption: A systematic review

Management of external cervical resorption with internal approach: 18 months of follow-up

Bioceramics in Endodontics: Updates and Future Perspectives

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