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External Cervical Resorption: a case report.

A Libonati1, D Montella2, E Montemurro2

  • 1Department of Surgical Sciences, Catholic University of Our Lady of Good Counsel of Tirane, Albania.

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Summary
This summary is machine-generated.

External cervical resorption (ECR) is a rare dental condition. Histological analysis of an extracted molar confirmed vascular connective tissue invasion and pulp perforation, highlighting the aggressive nature of ECR.

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Area of Science:

  • Endodontics
  • Oral Pathology
  • Dental Histology

Background:

  • External cervical resorption (ECR) is a progressive dental condition originating at the tooth's cervical region.
  • ECR often presents asymptomatically and is typically discovered during radiographic examinations.
  • Various etiological factors contribute to the development of ECR.

Observation:

  • A case study involving a 17-year-old patient with ECR in a mandibular right first molar is presented.
  • Radiographic examination revealed progressive resorption and pulp involvement, necessitating tooth extraction.
  • The extracted tooth underwent detailed histological analysis.

Findings:

  • Histological examination confirmed vascular connective tissue within resorptive lacunae, indicative of active resorption.
  • The resorptive process was observed to invade dentin from the external root surface.
  • Perforations from the resorptive defect into the pulp chamber and the presence of bone-like tissue were noted.

Implications:

  • This case highlights the invasive potential of ECR, characterized by dentin invasion and pulp involvement.
  • Histological findings underscore the complex nature of ECR, involving connective tissue and bone-like formations.
  • Understanding the histological features of ECR is crucial for accurate diagnosis and treatment planning.