IADR Abstract Archives
Idiopatic invasive cervical resorption: a case series report
Objective: The invasive cervical resorption lesion (ICR) is a rare aggressive form of tooth destruction that usually begins immediately below the epithelial attachment. In this study the authors report three years follow up of seven cases of ICR.
Method: Seven male and two female patients were referred to the authors with a complaint of sensitivity. ICR was localized for five times in the maxilla and for two times in the mandible. Teeth involved were: two maxillary central incisive, one maxillary lateral incisive, two mandible central incisive, one mandible first molar. The patients reported in three cases previously orthodontic treatment in one occasion the patient referred dental trauma, for two times none of the possible predisposing factors was described by patients, for this reason it can be defined as “idiopathic” . The treatment option chosen for all the patients lesion, as suggested by Heithersay and Shwartz et Al., was: surgical exposure, debridement and composite restoration without endodontic therapy.
Result: At three year-follow up all of treated teeth were asymptomatic. The clinical evaluation showed a good healing of gingival tissues, normal probing depth, no gingival recession, and no loss of clinical attachment. The radiographic evaluation showed no signs of periradicular pathology.
Conclusion: The management of ICR lesions requires knowledge in periodontal surgery, endodontics and restorative dentistry, but the success of the treatment is strictly linked to the careful case selection and an accurate diagnosis. According to this statement the long term follow-up in the ICR second class shows a positive clinical and radiological outcome.