Alqedairi Abdullah
Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.
World J Clin Cases. 2019 Apr 6;7(7):863-871. doi: 10.12998/wjcc.v7.i7.863.
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.
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.
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.
侵袭性颈部吸收（ICR）是一种常被误诊的疾病，是一种侵袭性的外源性牙齿吸收形式，可导致牙周组织炎症和牙周袋加深。在此，我们报告一例表现为ICR的患者病例，并阐述非手术方法对改善这种情况的效果。
研究了一名21岁女性，她自述左上侧间歇性疼痛，有多次修复史，无外伤史，且接受过正畸治疗。在左上颌第一磨牙和第二前磨牙之间的颊侧牙间乳头处可见局限性红斑肿胀。去除病变牙髓和吸收部位的组织，并用牙胶/AH Plus和三氧化矿物凝聚体（MTA）封闭包括缺损处在内的根管系统。在一年的复查中，该牙齿无症状，叩诊和触诊反应正常。周围牙周组织颜色正常，探诊深度正常。影像学检查显示牙槽嵴顶骨修复，且与MTA贴合良好。
非手术根管治疗联合MTA对吸收缺损进行顺行修复被发现是消除ICR的一种有效治疗选择。建议早期诊断，以便采用非手术方法治疗ICR，而非手术干预。
