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Invasive cervical root resorption: treatment rationale with an interdisciplinary approach
Ami Smidt1, Eyal Nuni, David Keinan
1Center for Graduate Studies in Prosthodontics, Department of Prosthodontics, Faculty of Dental Medicine, Hebrew University-Hadassah, Jerusalem, Israel.
Journal of Endodontics
|October 30, 2007
Summary
Invasive cervical resorption (ICR) is a challenging dental condition. This case study demonstrates successful treatment using a combined interdisciplinary approach involving orthodontics, endodontics, periodontics, and prosthetics.
Area of Science:
- Dentistry
- Endodontics
- Orthodontics
- Periodontics
- Prosthodontics
Background:
- Invasive cervical resorption (ICR) presents a significant clinical challenge due to its aggressive nature and potential for tooth loss.
- Managing cervical lesions requires specialized approaches to preserve tooth structure and function.
Observation:
- A case of invasive cervical resorption (ICR) was successfully managed using a multidisciplinary treatment strategy.
- The lesion was located in the cervical area, posing a complex restorative challenge.
Findings:
- A novel interdisciplinary technique combining endodontics, orthodontics, periodontics, and prosthetics achieved successful treatment.
- Forced eruption with fiberotomy was employed to rapidly extrude the root, exposing healthy tooth structure for restoration.
Implications:
- This interdisciplinary approach offers a viable solution for severe cases of invasive cervical resorption (ICR).
- The technique facilitates crown preparation by exposing sound tooth material beyond the resorptive defect.
- Clinicians can consider this combined method for managing destructive ICR lesions.