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Invasive cervical resorption--a periodontist's perspective.
Annals of the Royal Australasian College of Dental Surgeons
|November 17, 2001
Summary
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.
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.