References

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Bergmans L, Van Cleynenbreugel J, Verbeken E Cervical external root resorption in vital teeth. J Clin Periodont. 2002; 29:(6)580-585
Heithersay GS. Clinical, radiologic, and histopathologic features of invasive cervical resorption. Quintessence Int. 1999; 30:(1)27-37
Heithersay GS. Invasive cervical resorption. Endodont Topics. 2004; 7:(1)73-92
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Heithersay GS. Management of tooth resorption. Aust Dent J. 2007; 52:S105-S121
Lyroudia KM, Dourou VI, Pantelidou OC Internal root resorption studied by radiography, stereomicroscope, scanning electron microscope and computerized 3D reconstructive method. Dental Traumatol. 2002; 18:(3)148-152
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Liedke GS, da Silveira HE, da Silveira HL Influence of voxel size in the diagnostic ability of cone beam tomography to evaluate simulated external root resorption. J Endodont. 2009; 35:(2)233-235
Durak C, Patel S, Davies J Diagnostic accuracy of small volume cone beam computed tomography and intraoral periapical radiography for the detection of simulated external inflammatory root resorption. Int Endodont J. 2011; 44:(2)136-147
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The diagnosis and management of invasive cervical resorption

From Volume 40, Issue 5, June 2013 | Pages 412-418

Authors

Al-Salehi SK

BDS, MFDS(Glasg), FDS(Rest Dent) RCPS, PhD, FHEA

Associate Professor/Consultant Restorative Dentistry, European University College, Dubai Health Care City, Ibn Sina Building No 27, Block D, 3rd Floor, Office 302, Dubai, UAE

Articles by Al-Salehi SK

Omar O

BDS, MSc

School of Dentistry, The University of Manchester, Coupland 3 Building, Coupland Street, Manchester M13 5PL, UK

Articles by Omar O

Abstract

Abstract: A 23-year-old female patient presented complaining of sensitivity relating to LR4. She had good oral health and no history of trauma. Cone beam computed tomography, however, revealed advanced invasive cervical resorption (ICR) in LR4, as well as an incidental finding of ICR in LR6.

Clinical Relevance: CBCT proved essential in the diagnosis and treatment planning of this unusual case. Owing to the destructive nature of ICR, it is imperative to remove the entire lesion to avoid any chance of recurrence.

Article

Invasive cervical resorption (ICR) is insidious in nature and generally represents a complex therapeutic challenge. ICR is often seen at the cervical level of the tooth.1,2 It is mainly initiated apical to the epithelial attachment.3-7 There is no clear and definitive explanation of whether ICR is purely inflammatory in nature or activated by sulcular micro-organisms.8 Alternatively, it could be a type of benign proliferative fibrovascular disorder in which the micro-organisms have no pathogenic role, but may become secondary invaders.4

The aetiology of such lesions could be associated with orthodontic tooth movement, trauma, periodontal disease or internal bleaching procedures.9 Clinically, the lesion may appear as a ‘pink spot’ on the crown of the tooth.10

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