title: Management of bilateral invasive cervical resorption lesions in maxillary incisors using a novel calcium silicate-based cement: A case report.
abstract: Invasive cervical resorption is a pathologic process leading to progressive and usually destructive loss of tooth structure. The pathogenic mechanism is not completely understood and the diagnosis may be challenging. The aim of this article is to present an unusual case of bilateral presence of invasive cervical resorption lesions in maxillary central incisors and to discuss the treatment procedures using a novel repair material. The management of the present case was carried out in three phases. The first stage of the treatment aimed at curetting the active tissue from the resorption cavity and restoring the defect with the novel calcium silicate-based cement (Biodentine, Septodont). In the maxillary left central incisor it was not possible to remove the resorptive tissue without exposing the pulp, and therefore root canal treatment was performed. At the second phase, a full-thickness flap was raised in order to expose and repair the defect that was extending subgingivally. At the third phase teeth were restored with composite resin. The patient was kept under review and after a follow-up period of 2 years neither signs of periradicular lesion nor recurrence of resorption were observed. The teeth were asymptomatic, and restorations appeared to be in excellent condition. In conclusion, Biodentine seems to be a promising material for the treatment of invasive cervical resorption lesions.
authors.forename: Athanasia
authors.initials: A
authors.lastname: Karypidou
authors.forename: Ino-Dimitra
authors.initials: ID
authors.lastname: Chatzinikolaou
authors.forename: Pantelis
authors.initials: P
authors.lastname: Kouros
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Koulaouzidou
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Economides
mesh_terms: D017610:Calcium Compounds / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D003188:Composite Resins / Q000627:therapeutic use; D003738:Dental Cements / Q000627:therapeutic use*; D003793:Dental Restoration, Permanent / Q000379:methods*; D005260:Female; D006801:Humans; D007180:Incisor / Q000473:pathology*; D008437:Maxilla; D012390:Root Canal Therapy; D017640:Silicates / Q000627:therapeutic use*; D013524:Surgical Flaps; D019237:Tooth Cervix / Q000473:pathology*; D014091:Tooth Resorption / Q000628:therapy*; D055815:Young Adult
chemical_list: D017610:Calcium Compounds; D003188:Composite Resins; D003738:Dental Cements; D017640:Silicates; C506393:tricalcium silicate