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

To document the clinical and radiographic outcomes of a conservative mucogingival surgical protocol-combining coronally advanced flap, defect debridement, bioceramic repair material, and connective tissue graft-in the management of external cervical root resorption, with emphasis on soft-tissue stability, esthetics, and pulp vitality preservation.

Ten patients with external cervical root resorption diagnosed by cone-beam computed tomography were classified according to Patel's three-dimensional system. Treatment involved a coronally advanced flap, defect debridement, application of bioceramic material to repair the defect, and a connective tissue graft. Clinical and radiographic outcomes were monitored over a three-year follow-up period.

All treated teeth remained functional and asymptomatic after three years. The protocol preserved soft-tissue esthetics with minimal gingival recession. Pulp vitality was maintained in eight cases, likely related to the biocompatibility of the bioceramic material.

Within the limitations of this case series, the combined surgical approach appeared to be associated with favorable clinical outcomes, including maintenance of tooth vitality, soft-tissue stability, and satisfactory esthetics. These preliminary findings should be interpreted cautiously and confirmed in controlled clinical studies.