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VOLUME 13 , ISSUE 5 ( September-October, 2012 ) > List of Articles

CASE REPORT

Invasive Cervical Resorption: Etiology, Diagnosis, Classification and Treatment

José Augusto César Discacciati, Eduardo Lemos de Souza, Sérgio Carvalho Costa, Herbert Haueisen Sander, Vinícius de Magalhães Barros, Walison Arthuso Vasconcellos

Citation Information : Discacciati JA, de Souza EL, Costa SC, Sander HH, de Magalhães Barros V, Vasconcellos WA. Invasive Cervical Resorption: Etiology, Diagnosis, Classification and Treatment. J Contemp Dent Pract 2012; 13 (5):723-728.

DOI: 10.5005/jp-journals-10024-1217

Published Online: 01-10-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Invasive cervical resorption (ICR) is not well understood by the professional, being misdiagnosed, leading to inappropriate treatment and unnecessary loss of tooth.

Introduction

ICR is defined as a localized process of resorption, which begins in the cervical area of the tooth, just below the epithelial junction and above the ridge crest in the area of the connective tissue insertion. Possible predisposing factors include external trauma, orthodontic movement, surgical procedures, periodontal disease and its treatments, endogenous bleaching, pressure generated by wind instruments and herpes virus infection. Different approaches have been suggested for the treatment of ICR, depending on the extent of the lesion and its location. However, in some cases due to the severity of the injury, there is no alternative but to tooth extraction, followed by restoration of the edentulous area.

Aim and objective

Discuss etiology, diagnosis and classification of the ICR, as well as different treatment options. Also is presented a case in which extraction was carried out, installation of the implant and ceramic crown, subsequent to a treatment approach that resulted in failure in the short-term period.

Conclusion

Early diagnosis of the ICR is critical to proper treatment and favorable prognosis. Interdisciplinary treatment should be instituted as soon as possible, avoiding the loss of the affected tooth. In advanced cases, treatment involving the installation of osseointegrated implants should be considered the first choice of treatment.

Clinical significance

Early diagnosis of the ICR is critical do prevent unnecessary tooth loss, once the prognosis for advanced cases is doubtful.

How to cite this article

Discacciati JAC, de Souza EL, Costa SC, Sander HH, Barros VM, Vasconcellos WA. Invasive Cervical Resorption: Etiology, Diagnosis, Classification and Treatment. J Contemp Dent Pract 2012;13(5):723-728.


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