Multidisciplinary management of an external cervical resorption and cemental tear
Author
Nathani, Tousif Iqbal
Carreño Hernández, Miguel Angel
CABEZAS MORENTE, MANUEL
Nart Molina, José
Durán-Sindreu Terol, Fernando Salvador
Abella Sans, Fransesc
Publication date
2021ISSN
1121-4171
Abstract
A 53-year-old man was referred to the University Dental Clinic complaining of a pink spot that he noticed on his right maxillary central incisor. After thorough clinical and radiographic examination, including (FOV) cone-beam computed tomography (CBCT), revealed an external cervical resorption (ECR) classified as class 3Bp in tooth 11 and a probable cemental tear on tooth 21. A root canal treatment was performed on tooth 21 using a single master gutta-percha cone and a bioceramic sealer (Bioroot™ RCS). Subsequently, due to the extent of the ECR lesion, a combined internal and external approach was planned for tooth 11. The treatment consisted of raising a modified papilla preservation technique over the ECR lesion of tooth 11, followed by a complete rubber dam isolation, using trichloroacetic acid 90%, and blocking the canal with a single gutta-percha cone. The defect was then restored with a resin modified glass ionomer cement (Geristore®). A simplified papilla preservation technique was then extended to treat the cemental tear on tooth 21, within the same intervention, after which the root canal treatment for tooth 11 was completed. A 10-months follow-up examination showed a successful outcome of the apical radiolucency of tooth 21 with clinically stable gingival margins and no further evidence of ECR recurrence.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
616.3 - Pathology of the digestive system. Complaints of the alimentary canal
Keywords
Llàgrima cimentària
Reabsorció cervical externa
Reabsorció cervical invasiva
Traumatisme oclusal
Desgarro cemental
Reabsorción cervical externa
Reabsorción cervical invasiva
Trauma oclusal
Cemental tear
External cervical resorption
Invasive cervical resorption
Occlusal trauma
Pages
6
Publisher
ARIESDUE
Collection
35;
Is part of
Giornale Italiano Di Endodonzia
Citation
Iqbal Nathani, Tousif; Carreño, Miguel Ángel; Cabezas Morente, Manuel [et al.]. Multidisciplinary management of an external cervical resorption and cemental tear. Giornale Italiano Di Endodonzia, 2021, 35(1), p. 10-15. Disponible en: <http://www.giornaleitalianoendodonzia.it/index.php/gie/article/view/193>. Fecha de acceso: 7 jul. 2021. DOI: 10.32067/GIE.2021.35.01.14
This item appears in the following Collection(s)
- Odontologia [245]
Rights
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Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc/4.0/