Integrated clinical treatment of external cervical resorption: Case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i5.15340

Keywords:

Root resorption; Orthodontic extrusion; Endodontics.

Abstract

External cervical resorption (ECR) has an inflammatory nature and the proximity to the gingival sulcus favors contamination and progression of the lesion. Change in crown color, inflammation of the marginal gingiva or even the presence of secretion in the gingival sulcus are the main clinical signs. Being an asymptomatic lesion, it can be neglected and its progression can jeopardize the tooth involved. This report describes the treatment of a patient who presented two teeth with ECR. On clinical examination, the crown of tooth 17 showed a pinkish translucency on the occlusal surface. On tooth 12, this spot was dark and located in the cervical third of the labial surface of the crown. Both the teeth were asymptomatic, and the radiographic examination showed an image comparable with root resorption in the cervical third of the crown.  On tooth 17, the middle and cervical third of the crown was compromised and the pulp vitality test was negative. The treatment for the case was extraction. A tomographic examination of tooth 12 demonstrated pulpal involvement and biologic width violation. The vitality test was positive. After endodontic treatment, the tooth was extruded by 4 mm, the resorbed area was exposed and restored with composite resin. A 39-month clinical and radiographic control showed integrity of the root surface and the periodontium. It was found that early diagnosis influences the prognosis of treatment considering the speed of progression of resorption. It emphasizes the importance of clinical and radiographic control of the clinical conditions that predispose to ECR.

References

Bergmans, L., Van Cleynenbreugel, J., Verbeken, E., Wevers, M., Van Meerbeek, B., & Lambrechts, P. (2002). Cervical external root resorption in vital teeth. Journal of clinical periodontology, 29(6), 580–585. https://doi.org/10.1034/j.1600-051x.2002.290615.x

Batenhorst, K. F., Bowers, G. M., & Williams Jr, J. E. (1974). Tissues changes resulting from facial tipping and extrusion of incisors in monkeys. Journal of periodontology, 45(9), 660–668. https://doi.org/10.1902/jop.1974.45.9.660

Consolaro, A., Cardoso, M. A., Almeida, C. D. C. M., Souza, I. A. O., & Capelloza Filho, L. (2014). The clinical meaning of external cervical resorption in maxillary canine: transoperative dental trauma. Dental Press Journal of Orthodontics, 19(6), 19-25. https://doi.org/10.1590/2176-9451.19.6.019-025.oin

Cvek, M. (1973). Treatment of non-vital permanent incisors with calcium hydroxide. II. Effect on external root resorption in luxated teeth compared with effect of root filling with guttapucha. A follow-up. Odontologisk revy, 24(4), 343–354.

Dudic, A., Giannopoulou, C., Meda, P., Montet, X., & Kiliaridis, S. (2017). Orthodontically induced cervical root resorption in humans is associated with the amount of tooth movement. European Journal of Orthodontics, Volume 39, Issue 5, Pages 534–540, https://doi.org/10.1093/ejo/cjw087.

Frank, A. L., & Bakland, L. K. (1987). Nonendodontic therapy for supraosseous extracanal invasive resorption. Journal of endodontics, 13(7), 348–355. https://doi.org/10.1016/S0099-2399(87)80117-6

Gartner, A. H., Mack, T., Somerlott, R. G., & Walsh, L. C. (1976). Differential diagnosis of internal and external root resorption. Journal of endodontics, 2(11), 329–334. https://doi.org/10.1016/S0099-2399(76)80071-4

Gonzales, J. R., & Rodekirchen, H. (2007). Endodontic and periodontal treatment of an external cervical resorption. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 104(1), e70–e77. https://doi.org/10.1016/j.tripleo.2007.01.023

Gulabivala, K., & Searson, L.J. (1995). Clinical diagnosis of internal resorption: an exception to the rule. International endodontic journal, 28(5), 255–260. https://doi.org/10.1111/j.1365-2591.1995.tb00310.x

Heithersay, G. S. (1999). Clinical, radiologic, and histopathologic features of invasive cervical resorption. Quintessence international (Berlin, Germany: 1985), 30(1), 27–37.

Heithersay, G. S. (1973). Combined endodontic-orthdontic treatment of transverse root fractures in the region of the alveolar crest. Oral surgery, oral medicine, and oral pathology, 36(3), 404–415. https://doi.org/10.1016/0030-4220(73)90220-x

Heithersay, G. S. (1999). Invasive cervical resorption following trauma. Australian endodontic journal: the journal of the Australian Society of Endodontology Inc, 25(2), 79–85. https://doi.org/10.1111/j.1747-4477.1999.tb00094.x

Krishnan, V. (2005). Critical issues concerning root resorption: a contemporary review. World journal of orthodontics, 6(1), 30–40.

Krug, R., Soliman, S., & Krastl, G. (2019). Intentional replantation with an atraumatic extraction system in teeth with extensive cervical resorption. Journal of endodontics, 45(11), 1390–1396. https://doi.org/10.1016/j.joen.2019.07.012

Lo Giudice, G., Matarese, G., Lizio, A., Giudice, R. L., Tumedei, M., Zizzari, V. L., & Tetè, S. (2016). Invasive cervical resorption: a case series with 3-year follow-up. The International journal of periodontics & restorative dentistry, 36(1), 103–109. https://doi.org/10.11607/prd.2066

Makkes, P. C., & Thoden van Velzen, S. K. (1975). Cervical external root resorption. Journal of dentistry, 3(5), 217–222. https://doi.org/10.1016/0300-5712(75)90126-8

Mavridou, A. M., Bergmans, L., Barendregt, D., & Lambrechts, P. (2017). Descriptive analysis of factors associated with external cervical resorption. Journal of endodontics, 43(10), 1602–1610. https://doi.org/10.1016/j.joen.2017.05.026

Patel, S., Dawood, A., Wilson, R., Horner, K., & Mannocci, F. (2009). The detection and management of root resorption lesions using intraoral radiography and cone beam computed tomography - an in vivo investigation. International endodontic journal, 42(9), 831–838. https://doi.org/10.1111/j.1365-2591.2009.01592.x

Patel, S., Foschi, F., Condon, R., Pimentel, T., & Bhuva, B. (2018). External cervical resorption: part 2 - management. International Endodontic Journal Nov;51(11):1224-38.

Patel, S., Foschi, F., Mannocci, F., & Patel, K. (2018). External cervical resorption: a three-dimensional classification. International endodontic journal, 51(11), 1224–1238. https://doi.org/10.1111/iej.12946

Patel, S., Kanagasingam, S., & Pitt Ford, T. (2009). External cervical resorption: a review. Journal of endodontics, 35(5), 616–625. https://doi.org/10.1016/j.joen.2009.01.015

Patel, S., Mavridou, A. M., Lambrechts, P., & Saberi, N. (2018). External cervical resorption-part 1: histopathology, distribution and presentation. International endodontic journal, 51(11), 1205–1223. https://doi.org/10.1111/iej.12942

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica [recurso eletrônico] 1. ed. – Santa Maria, RS: UFSM, NTE. 1 e-book.

Perlea, P., Imre, M., Nistor, C. C., Iliescu, M. G., Gheorghiu, I. M., Abramovitz, I., & Iliescu, A. A. (2017). Occurrence of invasive cervical resorption after the completion of orthodontic treatment. Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie, 58(4), 1561–1567.

Safavi, K. E., & Nichols, F. C. (1993). Effect of calcium hydroxide on bacterial lipopolysaccharide. Journal of endodontics, 19(2), 76–78. https://doi.org/10.1016/S0099-2399(06)81199-4

Schriber, M., Rivola, M., Leung, Y. Y., Bornstein, M. M., & Suter, V. (2020). Risk factors for external root resorption of maxillary second molars due to impacted third molars as evaluated using cone beam computed tomography. International journal of oral and maxillofacial surgery, 49(5), 666–672. https://doi.org/10.1016/j.ijom.2019.09.016

Trope, M. (1998). Root resorption of dental and traumatic origin: classification based on etiology. Practical periodontics and aesthetic dentistry : PPAD, 10(4), 515–522.

Trope, M., Moshonov, J., Nissan, R., Buxt, P., & Yesilsoy, C. (1995). Short vs. long-term calcium hydroxide treatment of estabilished inflammatory root resorption in replanted dog teeth. Endodontics & dental traumatology, 11(3), 124–128. https://doi.org/10.1111/j.1600-9657.1995.tb00473.x

Downloads

Published

16/05/2021

How to Cite

FIGUEIREDO, C. M. B. F. .; FIGUEIREDO, L. R.; COSTA, L. de A.; SONODA, P. K. H.; FREIRE, J. C. P.; DIAS-RIBEIRO, E.; SONODA, C. K. Integrated clinical treatment of external cervical resorption: Case report. Research, Society and Development, [S. l.], v. 10, n. 5, p. e54410515340, 2021. DOI: 10.33448/rsd-v10i5.15340. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/15340. Acesso em: 3 feb. 2023.

Issue

Section

Health Sciences