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External cervical resorption: part 2 - management.

S Patel1,2, F Foschi1, R Condon1

  • 1Department of Endodontology, King's College London Dental Institute, London, UK.

International Endodontic Journal
|May 9, 2018
PubMed
Summary
This summary is machine-generated.

Effective management of external cervical resorption (ECR) relies on accurate assessment and tailored strategies. Treatment options range from surgical repair and vital pulp therapy to root canal treatment, intentional reimplantation, or extraction for untreatable cases.

Keywords:
external cervical resorptionintentional replantationmanagement

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Area of Science:

  • Dentistry
  • Endodontics
  • Oral Surgery

Background:

  • External cervical resorption (ECR) presents complex management challenges.
  • Accurate assessment of ECR's nature and accessibility is crucial for effective treatment planning.

Purpose of the Study:

  • To review existing literature on the management of external cervical resorption.
  • To describe evidence-based strategies for managing ECR based on lesion characteristics.

Main Methods:

  • Literature review of external cervical resorption management.
  • Analysis of different treatment strategies based on ECR presentation (supracrestal, subcrestal, extent).

Main Results:

  • Supracrestal, superficial ECR with limited spread favors surgical repair without root canal treatment.
  • Extensive ECR may require vital pulp therapy or root canal treatment.
  • Internal repair is an option for inaccessible subcrestal ECR, necessitating root canal treatment.

Conclusions:

  • Treatment selection for ECR depends on lesion characteristics, accessibility, and extent.
  • Options include surgical repair, vital pulp therapy, root canal treatment, intentional reimplantation, and extraction.
  • Atraumatic extraction and splinting are key for intentional reimplantation; periodic reviews or extraction may be necessary for untreatable cases.