Conservative Treatment of Invasive Cervical Resorption Using Mineral Trioxide Aggregate (MTA) and Fiber-Reinforced...

Area of Science:

• Dentistry
• Endodontics
• Oral Surgery

Background:

• Invasive cervical resorption (ICR) is an aggressive, rare dental condition often leading to tooth loss if not managed promptly.
• Early diagnosis and intervention are critical for successful management of ICR.

Observation:

• A 33-year-old male presented with a maxillary lateral incisor affected by ICR, diagnosed via clinical, radiographic, and CBCT evaluation.
• The resorption was classified as Heithersay class III with subcrestal involvement, indicating significant structural compromise.

Findings:

• Conservative treatment involved root canal therapy, surgical debridement, and restoration with mineral trioxide aggregate (MTA).
• Structural reinforcement was achieved using Ribbond fiber-reinforced composite, a minimally invasive technique.
• A six-month follow-up revealed no resorption recurrence, with the patient remaining asymptomatic.

Implications:

• This case underscores the importance of cone-beam computed tomography (CBCT) for accurate ICR diagnosis.
• The successful outcome highlights the efficacy of combining biocompatible materials like MTA with advanced reinforcement techniques.
• A multidisciplinary approach utilizing minimally invasive strategies is crucial for managing invasive cervical resorption effectively.