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Invasive cervical resorption--a periodontist's perspective.

R I Evans

    Annals of the Royal Australasian College of Dental Surgeons
    |November 17, 2001
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    Invasive cervical resorption (ICR) is a rare tooth defect. Early detection is key, but treatment with trichloracetic acid and glass ionomer cement is successful for early-stage lesions.

    Area of Science:

    • Dentistry
    • Oral Pathology

    Background:

    • Invasive cervical resorption (ICR) is an uncommon, insidious resorptive lesion.
    • It originates subgingivally at the cervical root surface of a tooth.
    • The exact cause of ICR is unknown, but damage to the cervical periodontal attachment is likely a prerequisite.

    Purpose of the Study:

    • To describe the characteristics and treatment of invasive cervical resorption.
    • To highlight the importance of early detection for successful management.

    Main Methods:

    • Review of ICR cases and treatment outcomes.
    • Application of trichloracetic acid as a chemical escharotic agent.
    • Surgical access, curettage, and restoration with glass ionomer cement for defects.

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    Main Results:

    • ICR is often asymptomatic, making early detection challenging.
    • Treatment is generally successful when less than one-third of the root is affected.
    • The described treatment protocol effectively manages the resorptive tissue and restores the defect.

    Conclusions:

    • Invasive cervical resorption requires careful diagnosis and management.
    • Timely intervention with chemical and surgical methods, followed by restoration, leads to favorable outcomes for early-stage ICR.