The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

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: 01-02-2013

Copyright Statement:  Copyright © 2012; The Author(s).


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.


PDF Share
  1. Root resorption: Etiology, terminology and clinical manifestations. Endod Dent Traumatol 1988;4:241-52.
  2. Clinical, radiologic and histopathologic features of invasive cervical resorption. Quintessence Int 1999;30:27-37.
  3. Multiple teeth showing invasive cervical: An entity with little known histologic features. J Oral Pathol Med 2006;35:55-57.
  4. Management of invasive cervical resorption: Observations from three private practices and a report of three cases. J Endod 2010;36:1721-30.
  5. Invasive cervical resorption class III in a maxillary central incisor: Diagnosis and follow-up by means of cone-beam computed tomography. J Endod 2010;36:2012-14.
  6. Reverse sandwich restoration for the management of invasive cervical resorption: A case report. J Endod 2011;37:706-10.
  7. Root resorption after orthodontic treatment: part 1—literature review. Am J Orthod Dentofacial Orthop 1993;103:62-66.
  8. Invasive cervical resorption. Endodontic Topics 2004;7:73-92.
  9. Invasive cervical resorption: A case report. J Endod 2007;33:999-1003.
  10. External resorption associated with bleaching of pulpless teeth. J Endod 1979;5:344-48.
  11. External root resorption following bleaching of pulpless teeth with oxygen peroxide. Endod Dent Traumatol 1985;1:56-60.
  12. External cervical root resorption following bleaching. J Endod 1986;12:414-18.
  13. Incidence of external root resorption and eshthetic results in 58 bleached pulpless teeth. Endod Dent Traumatol 1988;4:23-26.
  14. Incidence of invasive cervical resorption in bleached root filled teeth. Aust Dent J 1994;39:82-87.
  15. Playing wind instruments as a potential aetiologic cofactor in external cervical resorption: Two case reports. Int Endod J 2011;44:268-82.
  16. Human and feline invasive cervical resorptions: The missing link? Presentation of four cases. J Endod 2009;35:904-13.
  17. Multiple idiopathic root resorption. A case report and discussion of pathogenesis. J Clin Periodontol 1991;18:577-80.
  18. Is the resorption external or internal? Dental Update 2007;34:218-29.
  19. Invasive cervical resorption: Report on two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:e64-69.
  20. Treatment of invasive cervical resorption: An analysis of results using topical application of trichloracetic acid, curettage, and restoration. Quintessence Int 1999;30:96-110.
  21. Invasive cervical root resorption: Treatment rationale with an interdisciplinary approach. J Endod 2007;33:1383-87.
  22. Mineral trioxide aggregate in the treatment of external invasive resorption: A case report. Int Endod J 2008;41:258-66.
  23. Use of mineral trioxide aggregate in the treatment of invasive cervical resorption: A case report. J Endod 2010;36:160-63.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.