Conservative Mucogingival Management of External Cervical Root Resorption Using Bioceramic Repair Materials: A Case...

Area of Science:

• Dentistry
• Periodontology
• Regenerative Dentistry

Background:

• External cervical root resorption (ECRR) presents a significant clinical challenge.
• Management often requires a multidisciplinary approach to preserve tooth function and esthetics.

Purpose of the Study:

• To evaluate a conservative surgical protocol for ECRR management.
• Emphasis on soft-tissue stability, esthetics, and pulp vitality preservation.

Main Methods:

• A cohort of ten patients with ECRR, diagnosed via cone-beam computed tomography, were treated.
• The protocol included a coronally advanced flap, debridement, bioceramic repair material, and a connective tissue graft.
• Clinical and radiographic outcomes were assessed over a three-year follow-up.

Main Results:

• All treated teeth remained functional and asymptomatic at three years.
• The protocol demonstrated excellent soft-tissue esthetics with minimal gingival recession.
• Pulp vitality was preserved in eight out of ten cases, potentially due to the bioceramic material's biocompatibility.

Conclusions:

• The combined surgical protocol appears to yield favorable outcomes for ECRR.
• This approach supports tooth vitality, soft-tissue stability, and esthetics.
• Further controlled studies are needed to validate these preliminary findings.