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Extracanal invasive resorption: an update

A L Frank1

  • 1Endodontics Loma Linda University, California, USA.

Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|March 1, 1995
PubMed
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Extracanal invasive resorption (EIR) is often misunderstood, but diagnosis hinges on an intact pulp canal space. Treatment varies by type, with some cases not requiring endodontic intervention.

Area of Science:

  • Dentistry
  • Endodontics
  • Oral Pathology

Background:

  • Extracanal invasive resorption (EIR) has been recognized since 1920 but lacks consistent understanding.
  • Multiple terms (over 10) exist in dental literature, contributing to diagnostic and treatment confusion.
  • Accurate diagnosis and treatment are crucial for managing this dental condition.

Purpose of the Study:

  • To clarify the nomenclature, diagnostic criteria, and treatment approaches for extracanal invasive resorption (EIR).
  • To differentiate between types of EIR and their respective treatment needs.
  • To outline the essential steps for successful EIR management.

Main Methods:

  • Review of existing dental literature regarding extracanal invasive resorption (EIR).
  • Analysis of diagnostic indicators, focusing on pulp vitality testing.

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  • Categorization of EIR into intraosseous, crestal, and supraosseous types for treatment planning.
  • Main Results:

    • Diagnosis of EIR is confirmed when the pulp canal space remains uninvaded, indicated by positive pulp vitality responses.
    • Three distinct types of EIR (intraosseous, crestal, supraosseous) require different management strategies.
    • Supraosseous EIR may not necessitate endodontic treatment, unlike intraosseous and crestal forms.

    Conclusions:

    • Successful treatment of all EIR types necessitates debridement and obliteration of the external entry portal and resorptive defect.
    • Clear diagnostic criteria and differentiated treatment protocols are vital for effective EIR management.
    • Further standardization of terminology and treatment guidelines for EIR is warranted.