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Multiple teeth showing invasive cervical resorption--an entity with little known histologic features
1Department of Oral Surgery, Oral Pathology and Oral Medicine, School of Dental Science, Trinity College, Dublin, Ireland.
Summary
Invasive cervical resorption, a rare dental condition, can affect multiple teeth, posing diagnostic challenges. This case highlights the importance of accurate identification to prevent misdiagnosis as other fibro-osseous lesions.
Area of Science:
- Dentistry
- Oral Pathology
- Endodontics
Background:
- Invasive cervical resorption (ICR) is an uncommon external root resorption.
- It involves cementum and dentine loss, replaced by fibrovascular tissue.
- Typically, ICR affects a single tooth.
Observation:
- This report details a rare case of ICR affecting multiple teeth across two quadrants.
- The lesion presented diagnostic challenges.
- Pathologic features mimicked fibro-osseous lesions or low-grade sarcomas.
Findings:
- The case demonstrates that invasive cervical resorption can be multifocal.
- Accurate diagnosis is crucial due to the potential for misinterpretation.
- Histopathologic features require careful evaluation.
Implications:
- Clinicians must consider multifocal ICR in differential diagnoses.
- Early and accurate diagnosis of invasive cervical resorption is vital for appropriate management.
- This case underscores the need for vigilance in identifying uncommon dental pathologies.
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