The role of the CBCT in diagnosis and treatment of Invasive Cervical Root Resorption (ICRR)
Objectives: Invasive cervical root resorption (ICRR) is an asymptomatic aggressive pathology that tends to be miss diagnosed A CBCT is an essential diagnostic tool for the assessment of replacement resorption leading to ICRR. CBCT can accurately demonstrate the size dimensions, and the specific stage of the invasive lesion. The dictation of surgical treatment planning and tooth prognosis may indicate the endodontic treatment, the faivorite type of technique and the success rate estimation. This study aimed to present the major role of CBCT in the multidisciplinary approach towards "ankylotic teeth" involved endodontic ,surgical and orthodontic procedures. Methods: PubMed literature search was performed to present the variety of clinical treatment options addressing ICRR. 15 cases with ICRR teeth were included . All cases were clinically and radiographically (periapical X-ray) primarily diagnosed. Second phase of advanced diagnosis was performed CBCT. Scans were sophistically analyzed by ICRR specific CBCT analyses Multidisciplinary approach was than conducted and included endodontic treatment under surgical microscope using MTA (mineral Trioxide Aggregate), surgical application of TCA (Tricoloro Ammonic Acid), tissue regeneration proceeding with the orthodontic treatment course if needed, Results: All ICRR cases were treated by the multidisciplinary approach and reviled cession of the invasive process. In the majority of the cases, CBCT was essential to define the size and stage of the lesion dimensions. In these cases accurate treatment planning, performance and follow-up could not achieved without CBCT specific ICRR anlyses Conclusions: Teeth with ICRR can be successfully treated ensuring long term positive prognosis. The CBCT is an essential imaging tool in dictating the accurate ICRR lesion extension, dictating treatment planning and estimating tooth prognosis Proper clinical and radiographic examination, correct diagnosis and multidisciplinary treatment plan are key features for successful treatment.
Steinbock, Nelly
( Rambam medical care campus
, Haifa
, Israel
)
Leitner, Amnon
( Panorama
, Nahariya
, Israel
)
Aizenbud, Dror
( School of Graduate Dentistry, Ramban Health Care Campus, Faculty Of Medicine - Technion, Israel Institiue of Technology, Haifa, Israel
, Haifa
, Israel
)