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External cervical resorption associated with localized gingival overgrowth.
K Patel1, U R Darbar, K Gulabivala
1Division of Restorative Dental Sciences, Eastman Dental Institute and Hospital for Oral Health Care Sciences, London, UK. K.Patel@eastman.ucl.ac.uk
International Endodontic Journal
|June 13, 2002
Summary
This study details an unusual case of external cervical resorption on a maxillary incisor, presenting with localized gingival overgrowth. Management strategies and potential causes for this rare dental lesion are discussed.
Area of Science:
- Dentistry
- Oral Pathology
- Endodontics
Background:
- External cervical resorption (ECR) is a complex pathological process affecting tooth structure.
- Understanding the diverse presentations of ECR is crucial for accurate diagnosis and treatment planning.
Observation:
- A rare case of ECR is presented, characterized by significant labial crown involvement of a maxillary incisor.
- The lesion was associated with localized gingival overgrowth, obscuring the full extent of the resorption.
- Extensive enamel loss was evident, highlighting the destructive potential of this condition.
Findings:
- ECR can manifest with unusual features, including localized gingival overgrowth.
- The resorptive process in this case primarily affected the labial aspect of the crown.
- ECR does not invariably signify pulp canal infection or necessitate root canal therapy.
Implications:
- This case expands the understanding of ECR's varied clinical presentations.
- It underscores the importance of thorough clinical examination to diagnose ECR, even with overlying soft tissue changes.
- The findings suggest a need for conservative management approaches in select ECR cases, avoiding unnecessary endodontic intervention.