Asgary Saeed
Iranian Center for Endodontic Research, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran Endod J. 2023;18(2):110-112. doi: 10.22037/iej.v18i2.41772.
A 30-year-old male patient with the chief complaint of pink spot discoloration of the tooth crown in his upper left central incisor was referred for endodontic and esthetic management. After thorough clinical and radiographic examinations, the final diagnosis was class IV invasive cervical resorption (ICR) which was conservatively treated with an orthograde approach; . vital pulp therapy with calcium-enriched mixture cement (VPT/CEM). The use of VPT/CEM was successful to restore esthetics and stop the ICR; confirmed clinically, radiographically, and tomographically at one-year recall. The above-mentioned minimally invasive approach reported in the current case study may be considered a practical treatment modality for ICR, specifically in anterior teeth.
一名30岁男性患者,因左上中切牙牙冠出现粉红色斑点变色为主诉前来接受牙髓病和美学治疗。经过全面的临床和影像学检查,最终诊断为IV类侵袭性颈部吸收(ICR),采用了保守的根管治疗方法,即使用富含钙的混合物粘固剂进行活髓治疗(VPT/CEM)。使用VPT/CEM成功恢复了美观并阻止了ICR的进展,在一年的随访中通过临床、影像学和断层扫描得到了证实。本病例研究中报道的上述微创方法可被视为ICR的一种实用治疗方式,尤其是在前牙。