Surgical reconstruction of invasive external cervical root resorption with perforation and associated periodontal defect using novel bioceramic materials and cone beam computed tomography as a diagnostic adjunct- A case report

Tooth resorption; both internal and external, occasionally occurs as an inflammatory response of the dentoalveolar apparatus to infection. Depending on the type of resorption, etiology, and the stage at which root resorption defect is detected, different treatment regimens have been proposed. This c...

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Main Authors: Vikrant Thakur, Shweta Verma, Munish Goel, Vijay Kumar, Baljeet Singh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-09-01
Series:Journal of Indian Society of Periodontology
Subjects:
Online Access:https://journals.lww.com/10.4103/jisp.jisp_207_24
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author Vikrant Thakur
Shweta Verma
Munish Goel
Vijay Kumar
Baljeet Singh
author_facet Vikrant Thakur
Shweta Verma
Munish Goel
Vijay Kumar
Baljeet Singh
author_sort Vikrant Thakur
collection DOAJ
description Tooth resorption; both internal and external, occasionally occurs as an inflammatory response of the dentoalveolar apparatus to infection. Depending on the type of resorption, etiology, and the stage at which root resorption defect is detected, different treatment regimens have been proposed. This case report demonstrates the management of extensive inflammatory combined internal and external root resorption by nonsurgical endodontic therapy using a Bioceramic sealer (BioRoot RCS) and surgical reconstruction of resorptive defect using Biodentine. On follow-up at 1, 3, 6, and 12 months, clinical and radiographic evidence revealed signs of periapical healing, arrested root resorption, and periodontal reattachment. The inclusion of cone beam computed tomography plays a crucial role in diagnosis, decision-making, and treatment planning and thus successful management of such cases having Endodontic-Periodontal involvement. As supported by clinical and radiographic findings at 12-month follow-up, treatment of cases with extensive root resorption and associated involvement of periodontium can be successfully done using bioceramic materials.
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issn 0972-124X
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publishDate 2024-09-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Indian Society of Periodontology
spelling doaj-art-cf5afea0e5054afab24912a82eaae2c22025-08-20T02:52:52ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X0975-15802024-09-0128559159510.4103/jisp.jisp_207_24Surgical reconstruction of invasive external cervical root resorption with perforation and associated periodontal defect using novel bioceramic materials and cone beam computed tomography as a diagnostic adjunct- A case reportVikrant ThakurShweta VermaMunish GoelVijay KumarBaljeet SinghTooth resorption; both internal and external, occasionally occurs as an inflammatory response of the dentoalveolar apparatus to infection. Depending on the type of resorption, etiology, and the stage at which root resorption defect is detected, different treatment regimens have been proposed. This case report demonstrates the management of extensive inflammatory combined internal and external root resorption by nonsurgical endodontic therapy using a Bioceramic sealer (BioRoot RCS) and surgical reconstruction of resorptive defect using Biodentine. On follow-up at 1, 3, 6, and 12 months, clinical and radiographic evidence revealed signs of periapical healing, arrested root resorption, and periodontal reattachment. The inclusion of cone beam computed tomography plays a crucial role in diagnosis, decision-making, and treatment planning and thus successful management of such cases having Endodontic-Periodontal involvement. As supported by clinical and radiographic findings at 12-month follow-up, treatment of cases with extensive root resorption and associated involvement of periodontium can be successfully done using bioceramic materials.https://journals.lww.com/10.4103/jisp.jisp_207_24biodentinebioroot rcscone beam computed tomographyinflammatory root resorptionperiodontal reattachmentsurgical root reconstruction
spellingShingle Vikrant Thakur
Shweta Verma
Munish Goel
Vijay Kumar
Baljeet Singh
Surgical reconstruction of invasive external cervical root resorption with perforation and associated periodontal defect using novel bioceramic materials and cone beam computed tomography as a diagnostic adjunct- A case report
Journal of Indian Society of Periodontology
biodentine
bioroot rcs
cone beam computed tomography
inflammatory root resorption
periodontal reattachment
surgical root reconstruction
title Surgical reconstruction of invasive external cervical root resorption with perforation and associated periodontal defect using novel bioceramic materials and cone beam computed tomography as a diagnostic adjunct- A case report
title_full Surgical reconstruction of invasive external cervical root resorption with perforation and associated periodontal defect using novel bioceramic materials and cone beam computed tomography as a diagnostic adjunct- A case report
title_fullStr Surgical reconstruction of invasive external cervical root resorption with perforation and associated periodontal defect using novel bioceramic materials and cone beam computed tomography as a diagnostic adjunct- A case report
title_full_unstemmed Surgical reconstruction of invasive external cervical root resorption with perforation and associated periodontal defect using novel bioceramic materials and cone beam computed tomography as a diagnostic adjunct- A case report
title_short Surgical reconstruction of invasive external cervical root resorption with perforation and associated periodontal defect using novel bioceramic materials and cone beam computed tomography as a diagnostic adjunct- A case report
title_sort surgical reconstruction of invasive external cervical root resorption with perforation and associated periodontal defect using novel bioceramic materials and cone beam computed tomography as a diagnostic adjunct a case report
topic biodentine
bioroot rcs
cone beam computed tomography
inflammatory root resorption
periodontal reattachment
surgical root reconstruction
url https://journals.lww.com/10.4103/jisp.jisp_207_24
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