Management of invasive cervical root resorption in a maxillary central incisor using Biodentine: A case report

Abstract

show pinkish discoloration of tooth crown due to resorption of coronal dentin and enamel as highly vascular resorptive tissue becomes visible through this residual structure. [7] ICRs are usually asymptomatic and are usually diagnosed during routine radiographic or clinical examination. [6,8] Radiographic features of lesions vary from well-delin-eated to irregularly bordered mottled radiolucencies, and these can be confused with dental caries. [4] A characteristic radiopaque line generally separates the image of the lesion Invasive cervical resorption (ICR) is a relatively uncommon form of external root resorption. The lesion is mainly detected on radiographs and exhibits no external signs. The radiographic appearance of ICR is an asymmetric radiolucent lesion with irregular margins and an unchanged root canal. Clinically, it usually begins on the cervical region of the root surface and may appear as asymptomatic pink discoloration of the tooth called “pink spot”. The most commonly reported predisposing factors include traumatic dental injuries, orthodontic treatment, orthognathic surgery, periodontal diseases and treatments, and intracoronal bleaching. This paper reports the management of maxillary right central incisor diagnosed with external ICR using Biodentine with a multidisciplinary approach.