External cervical resorption: part 2 – management

S Patel, F Foschi, R Condon, T Pimentel, B Bhuva

Research output: Contribution to journalArticlepeer-review

Abstract

<jats:title>Abstract</jats:title><jats:p>Effective management of external cervical resorption (<jats:styled-content style="fixed-case">ECR</jats:styled-content>) depends on accurate assessment of the true nature and accessibility of <jats:styled-content style="fixed-case">ECR</jats:styled-content>; this has been discussed in part 1 of this 2 part article. This aim of this article was firstly, to review the literature in relation to the management of <jats:styled-content style="fixed-case">ECR</jats:styled-content> and secondly, based on the available evidence, describe different strategies for the management of <jats:styled-content style="fixed-case">ECR</jats:styled-content>. In cases where <jats:styled-content style="fixed-case">ECR</jats:styled-content> is supracrestal, superficial and with limited circumferential spread, a surgical repair without root canal treatment is the preferred approach. With more extensive <jats:styled-content style="fixed-case">ECR</jats:styled-content> lesions, vital pulp therapy or root canal treatment may also be indicated. Internal repair is indicated where there is limited resorptive damage to the external aspect of the tooth and/or where an external (surgical) approach is not possible due to the inaccessible nature of subcrestal <jats:styled-content style="fixed-case">ECR</jats:styled-content>. In these cases, root canal treatment will also need to be carried out. Intentional reimplantation is indicated in cases where a surgical or internal approach is not practical. An atraumatic extraction technique and short extraoral period followed by 2‐week splinting are important prognostic factors. Periodic reviews may be indicated in cases where active management is not pragmatic. Finally, extraction of the affected tooth may be the only option in untreatable cases where there are aesthetic, functional and/or symptomatic issues.</jats:p>
Original languageEnglish
Pages (from-to)1224-1238
Number of pages0
JournalInternational Endodontic Journal
Volume51
Issue number11
Early online date9 Jun 2018
DOIs
Publication statusPublished - Nov 2018

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