Treatment of Invasive Cervical Resorption in a Central Incisor by Intentional Replantation: A Case Report.

Q3 Dentistry

Iranian Endodontic Journal Pub Date : 2024-01-01 DOI:10.22037/iej.v19i4.45212

Luiz Ricardo Gomes de Caldas Nogueira Filho, Pedro Henrique de Freitas Fernandes, Luiz Ricardo Gomes de Caldas Nogueira, Christianne Tavares Velozo Telles, Rosana Maria Coelho Travassos, Diana Santana de Albuquerque

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引用次数: 0

Abstract

Invasive cervical resorption (ICR) is an aggressive pathological condition that can affect any permanent tooth. This process is characterized by replacement of the tooth structure with granulomatous fibrovascular or fibro-osseous tissue. Despite its asymptomatic nature, ICR can lead to tooth loss. This study reports a case of ICR in a 15-year-old boy with a history of dental trauma. The patient had a diagnosis of ICR in tooth #21. After considering the risks of an external surgical approach and exclusive endodontic treatment, intentional re-implantation combined with extraoral composite resin restoration and endodontic treatment was proposed. The procedure consisted of atraumatic tooth extraction, removal of granulomatous tissue, restoration of the cavity with composite resin, re-implantation of the tooth in the alveolus, and endodontic treatment. This approach resulted in satisfactory repair of the resorptive lesion observed in over 3 years of follow-up. This case highlights intentional re-implantation combined with appropriate endodontic treatment as a viable treatment option for ICR.

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通过有意再植治疗中切牙的侵袭性牙颈部吸收：病例报告。

侵袭性牙颈部吸收（ICR）是一种侵袭性病理状态，可影响任何恒牙。这一过程的特点是肉芽肿性纤维血管组织或纤维骨组织取代牙齿结构。尽管无症状，但 ICR 可导致牙齿脱落。本研究报告了一例有牙齿外伤史的 15 岁男孩的 ICR 病例。患者被诊断为 21 号牙齿的 ICR。在考虑了外部手术方法和专门的牙髓治疗的风险后，我们提出了意向性再植结合口外复合树脂修复和牙髓治疗的方案。手术包括无创伤拔牙、清除肉芽肿组织、用复合树脂修复牙洞、在牙槽内重新种植牙齿以及牙髓治疗。经过 3 年多的随访观察，这种方法令人满意地修复了吸收性病变。本病例强调了有意再植结合适当的牙髓治疗是治疗 ICR 的可行方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Iranian Endodontic Journal Dentistry-Dentistry (all)

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Iranian Endodontic Journal (IEJ) is an international peer-reviewed biomedical publication, the aim of which is to provide a scientific medium of communication for researchers throughout the globe. IEJ aims to publish the highest quality articles, both clinical and scientific, on all aspects of Endodontics. The journal is an official Journal of the Iranian Center for Endodontic Research (ICER) and the Iranian Association of Endodontists (IAE). The Journal welcomes articles related to the scientific or applied aspects of endodontics e.g. original researches, systematic reviews, meta-analyses, review articles, clinical trials, case series/reports, hypotheses, letters to the editor, etc. From the beginning (i.e. since 2006), the IEJ was the first open access endodontic journal in the world, which gave readers free and instant access to published articles and enabling them faster discovery of the latest endodontic research.