Reverse Sandwich Restoration for the Management of Invasive Cervical Resorption: A Case Report

Salvaging a tooth with extensive invasive cervical resorption

“…1 ICR is associated with inflammation of the periodontal tissues and does not have pulpal involvement until late in the process. 2 In the present case, the lesion had enveloped the root canal. Hence endodontic treatment was carried out.…”

“…2 In addition, a tactile sensation of hard mineralized tissue accompanied by a sharp, scraping sound will be felt on probing the lesion with an explorer. This feature and the appearance of knife-edge cavity borders are important in the differential diagnosis with root caries in which the lesions are soft due to proteolytic enzymatic degradation.…”

“…It is defined as a 'localized resorptive process that commences on the surface of the root below the epithelial attachment and the coronal aspect of the supporting alveolar process, namely the zone of connective tissue attachment'. 2 Early diagnosis, mechanical and/or chemical debridement of the lesion and its restorative management are the cornerstones of successful treatment of ICR. 3 Different clinical approaches and the use of variety of restorative materials have been suggested by several authors.…”

Management of External Inflammatory Cervical Root Resorption Using CBCT And MTA: A Case Report.

“…Patel S et al (6) compared the diagnostic accuracy of intra-oral peri-apical radiographs and CBCT in the diagnosis and management of teeth with root resorption and concluded CBCT to be superior. Thus, in the present case a CBCT was done to assess the extent of the resorptive lesion and to rule out any intra-canal communication by the resorptive process Traditional management strategies include surgical exposure of the resorptive defect, curettage of the granulation tissue and restoration of the defect using appropriate materials (7,8). Chemical cauterization of the granulation tissue using an aqueous solution of 90% trichloroacetic acid has been recommended (3).…”

Orthodontically induced inflammatory root resorption: apical and cervical complications

“…This therapeutic approach has four main objectives: to stop the process of resorption, to restore the lost structure, to prevent a recurrence and finally to preserve esthetics 30 . Vinothkumar et al 36 present a clinical case where a Heithersay level 2 resorption is treated surgically, and then restored using the reverse sandwich technique combining composite and modified glass ionomere cement.…”