Minimally Invasive Treatment of Class 4 Invasive Cervical Resorption with Internal Approach: A Case Series

Shemesh, Avi; Itzhak, Joe Ben; Solomonov, Michael

doi:10.1016/j.joen.2017.04.026

Cited by 20 publications

(23 citation statements)

References 28 publications

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“…This inflammatory tissue can be eliminated with mechanical debridement or chemical removal with the use of trichloroacetic acid after flap reflection, orthodontic extrusion of the tooth to gain access to an apically positioned resorption cavity, or extensive canal preparation during endodontic treatment. [49][50][51][52][53][54][55] Treatment depends on the severity, location, pulpal involvement, and restorability of the tooth. Heithersay 12,50 reported success rates of 100% for the treatment of class I and II ICR cases, and 77.8% for class III cases.…”

Section: Discussionmentioning

confidence: 99%

An unusual case of invasive cervical resorption after piezosurgery-assisted en masse retraction

Tunçer

Köseoğlu-Seçgin

Arman-Özçırpıcı

2019

American Journal of Orthodontics and Dentofacial Orthopedics

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An unusual case of invasive cervical resorption after piezosurgery-assisted en masse retraction Nil€ ufer _ Irem Tunç er, a Cansu K€ oseo glu-Seç gin, b and Ayç a Arman-€ Ozç ırpıcı a Ankara, Turkey A 16-year-old patient sought orthodontic correction for profile improvement and labially inclined maxillary incisors. She had Class II malocclusion, protrusive maxillary and mandibular incisors, and increased overjet and overbite with an American Board of Orthodontics discrepancy index value of 25. She was treated with maxillary premolar extractions and miniscrew-supported en masse retraction assisted with piezoincisions. Extraction spaces (7.5 mm per side) were closed with maximum anchorage in 10 months. Total treatment time was 23 months. Twenty-seven months after debonding, a pink spot was noted at the buccocervial region of the left central incisor. Radiographic evaluation on cone-beam computed tomographic scans revealed a severe case of invasive cervical resorption on both central incisors, around which the piezosurgical cuts had been made. Treatment proceeded with a nonintervention approach and the affected teeth were reinforced with a lingual retainer.

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Section: Discussionmentioning

confidence: 99%

An unusual case of invasive cervical resorption after piezosurgery-assisted en masse retraction

Tunçer

Köseoğlu-Seçgin

Arman-Özçırpıcı

2019

American Journal of Orthodontics and Dentofacial Orthopedics

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“… 2017 found that most ECR cases were observed on maxillary central incisors followed by maxillary canines and mandibular molars. Other studies have described EIR in maxillary and mandibular molars, maxillary and mandibular premolars and maxillary incisors and canine .…”

Section: Discussionmentioning

confidence: 99%

External invasive resorption: Possible coexisting factors and demographic and clinical characteristics

et al. 2018

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The purpose of this retrospective study was to identify the coexisting factors for EIR and to characterise EIR clinically and demographically. All cases of EIR that were referred to the endodontic department between 2011 to 2016 and diagnosed by an endodontist were evaluated. Demographic and clinical characteristics were collected and evaluated. Thirty-eight cases of EIR diagnosed between 2011 and 2016 were included in the study. Seventy-one percent of EIR cases were misdiagnosed by general practitioners. The most affected teeth were the maxillary central incisors (29% of cases) and mandibular molars (26%). Sixty-eight percent of EIR cases were diagnosed in teeth with clinically normal pulp. Pulp necrosis was observed mainly in the advanced stages (class 3 and class 4) of EIR (75%) and in teeth with a history of trauma (63%). Histories of previous trauma and orthodontic treatment were reported in 29% and 23% of cases, respectively.

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“…Shemesh et al showed the most conservative method to address Heithersay Class 4 ICR lesions in four maxillary anterior teeth [ 82 ]. They used ultrasonically activated sodium hypochlorite irrigation and four-week calcium hydroxide medication to dissolve and necrotize the resorptive tissue without mechanically removing the lesions.…”

Section: Strategies To Manage Icr Lesionsmentioning

confidence: 99%

“…They used ultrasonically activated sodium hypochlorite irrigation and four-week calcium hydroxide medication to dissolve and necrotize the resorptive tissue without mechanically removing the lesions. The root canals and resorptive defects were filled with gutta percha and sealer only without calcium silicate-based materials [ 82 ]. The teeth survived without radiographic progression of resorption at a three-year or five-year follow-up [ 82 ].…”

Section: Strategies To Manage Icr Lesionsmentioning

confidence: 99%

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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Minimally Invasive Treatment of Class 4 Invasive Cervical Resorption with Internal Approach: A Case Series

Cited by 20 publications

References 28 publications

An unusual case of invasive cervical resorption after piezosurgery-assisted en masse retraction

An unusual case of invasive cervical resorption after piezosurgery-assisted en masse retraction

External invasive resorption: Possible coexisting factors and demographic and clinical characteristics

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

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