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Invasive cervical resorption: treatment challenges.

Yookyung Kim¹, Chan-Young Lee, Euiseong Kim

¹Department of Conservative Dentistry, Yonsei University College of Dentistry, Seoul, Korea.

Restorative Dentistry & Endodontics

|February 23, 2013

Summary

This summary is machine-generated.

Invasive cervical resorption, a rare external root resorption, occurs when fibrovascular tissue invades the root's cervical area. Early detection and prevention are crucial for managing this challenging dental condition.

Keywords:

Dental trauma External cervical resorption Intracoronal bleaching Invasive cervical resorption Root resorption

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Area of Science:

Dentistry
Endodontics
Oral Pathology

Background:

Invasive cervical resorption (ICR) is an uncommon external root resorption originating from the periodontal ligament.
It involves fibrovascular tissue invasion into the root's cervical region.
Predisposing factors include trauma and dental procedures.

Observation:

A case of ICR in a maxillary lateral incisor is presented.
The resorption followed avulsion injury and intracoronal bleaching, causing cervical cementum damage.
Initial treatment involved flap reflection, debridement, and glass ionomer cement restoration.

Findings:

Despite treatment, resorption progressed apically after two months.
The tooth was ultimately extracted due to instability and recurrence risk.
Advanced ICR poses significant clinical challenges.

Implications:

This case highlights the difficulty in managing advanced invasive cervical resorption.
Emphasizes the importance of prevention and early detection in patients with risk factors.
Clinicians must be vigilant for ICR following dental trauma or procedures.