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External and Internal Resorption
Nadia Mayorova, D.D.S., M.D.S.
International resident
University of the Pacific Arthur A. Dugoni School of Dentistry
Neuilly sur Seine, Ile-de-France, France
Camille Lufeaux, D.D.S.
Assitant Professor
University of Caen, Normandy
Paris, Ile-de-France, France
Damien Savouré, D.D.S.
Visiting Assistant Professor
University of Caen, Normandy
Caen, Basse-Normandie, France
The management of external invasive cervical resorption (EICR) usually includes surgical approach to seal portals of entry or internal management when surgical access is not feasible. Continuation of resorption following intervention may suggest poor prognosis and can often lead to tooth extraction.
In this table clinic, we are presenting a novel approach to manage a non-successful cervical root resorption by the means of intentional replantation. The treatment protocol consisted of atraumatic extraction,cleaning the resorptive defect and placement of a composite resin, followed by reinsertion and splinting. At the follow up, clinical and radiographic examinations demonstrated complete healing of the periapical area, remodelling of the crestal bone and no evidence of further root resorption or ankylosis. This table clinic demonstrates that intentional replantation is a viable treatment option for inaccessible EICR.
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