Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 6, 2019; 7(7): 863-871
Published online Apr 6, 2019. doi: 10.12998/wjcc.v7.i7.863
Non-Invasive management of invasive cervical resorption associated with periodontal pocket: A case report
Abdullah Alqedairi
Abdullah Alqedairi, Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
Author contributions: Alqedairi A designed the treatment plan for patient, treated patient, collected material and clinical data and wrote the paper.
Informed consent statement: Consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The research has no conflict of interest and is not funded through any source.
CARE Checklist (2016) statement: The author has read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Abdullah Alqedairi, MSc, Assistant Professor, Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545, Saudi Arabia. aalqedairi@ksu.edu.sa
Telephone: +96-611-4677420 Fax: +96-611-4678548
Received: November 22, 2018
Peer-review started: November 22, 2018
First decision: January 19, 2019
Revised: January 29, 2019
Accepted: February 26, 2019
Article in press: February 26, 2019
Published online: April 6, 2019
Processing time: 135 Days and 0 Hours
Abstract
BACKGROUND

Invasive cervical resorption (ICR), a commonly misdiagnosed condition, is an aggressive form of external tooth resorption that contributes to periodontal tissue inflammation and deepening of the periodontal pockets. Herein we report the case of a patient, exhibiting ICR and elaborate the effects of a non-surgical approach in the amelioration of this condition.

CASE SUMMARY

A 21-year-old female reporting intermittent pain at the upper left side, multiple restorations, no trauma history, and having received orthodontic treatment was studied. Localized erythematous swelling was noted at the buccal interdental papilla between the left maxillary first molar and second premolar. The diseased pulp and tissue in resorption were removed and the root canal system including the defect were sealed using gutta percha/AH Plus and mineral trioxide aggregate (MTA). At the one-year recall, the tooth showed no symptoms and responded normally to percussion and palpation. The surrounding periodontium exhibited a normal color and the probing depth was normal. Radiographic examination showed a restoration of crestal alveolar bone and good adaption to MTA.

CONCLUSION

Non-surgical root canal treatment in conjunction with resorption defect orthograde repair with MTA was found to be an effective treatment option in the elimination of ICR. Early diagnoses are recommended in order to employ non-surgical approaches for management of ICR instead of surgical interventions.

Keywords: Invasive cervical resorption; Mineral trioxide aggregate; Non-surgical root canal; Periodontal; Case report

Core tip: Invasive cervical resorption (ICR) denotes a particularly aggressive form of external tooth resorption that progressively destroys the tooth structure within the dentition. The outcome of the present case demonstrates the significance of early diagnoses of ICR; so that non-surgical approaches may be utilized instead of surgical interventions. This case study has explored the efficacy of non-invasive non-surgical approaches to treat ICR.