Invasive cervical resorption: etiology, diagnosis, classification and treatment.

作者: José Augusto César Discacciati , Eduardo Lemos de Souza , Sérgio Carvalho Costa , Herbert Haueisen Sander , Vinícius de Magalhães Barros

DOI: 10.5005/JP-JOURNALS-10024-1217

关键词: ResorptionLesionInvasive cervical resorptionEtiologyImplantClinical significanceDiagnosis ClassificationSurgeryTooth lossMedicineDentistry

摘要: 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 defined as a localized process resorption, which begins in area tooth, just below epithelial junction above ridge crest connective tissue insertion. Possible predisposing factors include external trauma, orthodontic movement, surgical procedures, periodontal disease its treatments, endogenous bleaching, pressure generated wind instruments herpes virus infection. Different approaches have been suggested for ICR, depending on extent lesion location. However, some cases due severity injury, there no alternative but tooth extraction, followed restoration edentulous area. Aim objective: Discuss etiology, diagnosis classification different options. Also presented case extraction was carried out, installation implant ceramic crown, subsequent approach that resulted failure short-term period. Conclusion: Early critical proper favorable prognosis. Interdisciplinary should be instituted soon possible, avoiding affected In advanced cases, involving osseointegrated implants considered first choice treatment. Clinical significance: do prevent loss, once prognosis doubtful.

参考文章(25)
G S Heithersay, Clinical, radiologic, and histopathologic features of invasive cervical resorption. Quintessence International. ,vol. 30, pp. 27- 37 ,(1999)
Shanon Patel, Thomas Pitt Ford, Is the resorption external or internal Dental update. ,vol. 34, pp. 218- 229 ,(2007) , 10.12968/DENU.2007.34.4.218
Thilla Sekar Vinothkumar, Ramachandran Tamilselvi, Deivanayagam Kandaswamy, None, Reverse Sandwich Restoration for the Management of Invasive Cervical Resorption: A Case Report Journal of Endodontics. ,vol. 37, pp. 706- 710 ,(2011) , 10.1016/J.JOEN.2011.02.005
Naphtali Brezniak, Atalia Wasserstein, Root resorption after orthodontic treatment: Part 2. Literature review American Journal of Orthodontics and Dentofacial Orthopedics. ,vol. 103, pp. 138- 146 ,(1993) , 10.1016/S0889-5406(05)81763-9
R. Pace, V. Giuliani, G. Pagavino, Mineral trioxide aggregate in the treatment of external invasive resorption: a case report. International Endodontic Journal. ,vol. 41, pp. 258- 266 ,(2008) , 10.1111/J.1365-2591.2007.01338.X
Ami Smidt, Eyal Nuni, David Keinan, Invasive Cervical Root Resorption: Treatment Rationale with an Interdisciplinary Approach Journal of Endodontics. ,vol. 33, pp. 1383- 1387 ,(2007) , 10.1016/J.JOEN.2007.07.036
Geoffrey S. Heithersay, Stephen W. Dahlstrom, Paul D. Marin, Incidence of invasive cervical resorption in bleached root-filled teeth. Australian Dental Journal. ,vol. 39, pp. 82- 87 ,(1994) , 10.1111/J.1834-7819.1994.TB01378.X
V. Gunst, B. Huybrechts, A. De Almeida Neves, L. Bergmans, B. Van Meerbeek, P. Lambrechts, Playing wind instruments as a potential aetiologic cofactor in external cervical resorption: two case reports. International Endodontic Journal. ,vol. 44, pp. 268- 282 ,(2011) , 10.1111/J.1365-2591.2010.01822.X
Gerald W. Harrington, Eugene Natkin, External resorption associated with bleaching of pulpless teeth Journal of Endodontics. ,vol. 5, pp. 344- 348 ,(1979) , 10.1016/S0099-2399(79)80091-6