Article
Dentistry, Oral Surgery & Medicine
Ioannis N. Kotsanos, Eleftheria Tzika, Nikolaos Economides, Nikolaos Kotsanos
Summary: A 9.5-year-old boy's avulsed maxillary permanent central incisor was replanted 60 min after the injury. At 8 months, apexification was performed for apical periodontitis. At 3 years and 3 months, ankylosis and external cervical root resorption (ECR) occurred. After intentional extraction and restoration, the tooth was reimplanted and remained aesthetically pleasing, asymptomatic, non-ankylosed, and functional after 10 years.
DENTAL TRAUMATOLOGY
(2023)
Review
Health Care Sciences & Services
Massimo Pisano, Federica Di Spirito, Stefano Martina, Giuseppe Sangiovanni, Francesco D'Ambrosio, Alfredo Iandolo
Summary: Intentional replantation is a technique that can save teeth from extraction. This systematic review found a survival rate of 86.7% for intentional replantation, with no significant difference between single-rooted and multi-rooted teeth.
Article
Dentistry, Oral Surgery & Medicine
Motoki Okamoto, Yoko Asahi, Henry Fergus Duncan, Nanako Kuriki, Yusuke Takahashi, Mikako Hayashi
Summary: The treatment of large external cervical resorption lesions can be difficult and result in non-restorable teeth. Intentional replantation is a potential option depending on the location and extent of the resorption. This case report presents a successful management of a large resorption lesion with intentional replantation and tooth rotation. The patient, a female, had an extensive palatal resorption on the maxillary lateral incisor that was not amenable to nonsurgical treatment, and a deliberate replantation with rotation was planned and performed.
CASE REPORTS IN DENTISTRY
(2023)
Article
Dentistry, Oral Surgery & Medicine
Paolo Bertoletti, Riccardo Tonini, Jacopo Francinelli, Stefano Gaffuri, Matteo Salvadori, Stefano Salgarello
Summary: This study presents the operative procedures and clinical outcomes of managing a case of external cervical root resorption with pulp tissue involvement via endodontic treatment and intentional replantation. The follow-up visits after 3, 6, 12, and 18 months confirmed the successful outcome of the treatment.
GIORNALE ITALIANO DI ENDODONZIA
(2023)
Article
Chemistry, Multidisciplinary
Egle Zasciurinskiene, Liveta Rastokaite, Pedram Hosseinzadehfard, Greta Lodiene
Summary: This case report describes a rare condition of lower second premolar impaction and presents the corresponding orthodontic treatment plan and surgical procedures. Ankylosis can lead to orthodontic treatment failure.
APPLIED SCIENCES-BASEL
(2023)
Review
Dentistry, Oral Surgery & Medicine
Yiming Chen, Ying Huang, Xuliang Deng
Summary: External cervical resorption (ECR) is a pathological condition where resorption tissues invade the cervical aspect of the root, causing severe damage to dental tissue and potentially involving the pulp. The etiology of ECR is poorly understood, and timely diagnosis and treatment are crucial. Research on histopathology and pathogenesis has shed light on potential mechanisms of ECR.
INTERNATIONAL JOURNAL OF ORAL SCIENCE
(2021)
Review
Dentistry, Oral Surgery & Medicine
Yiming Chen, Ying Huang, Xuliang Deng
Summary: External cervical resorption (ECR) is a relatively uncommon yet aggressive form of dental hard tissue destruction with unclear etiology. Recent advancements in clinical assessment measures have provided additional insights into the nature of this lesion and facilitated the development and improvement of treatment methods.
JOURNAL OF ENDODONTICS
(2021)
Article
Dentistry, Oral Surgery & Medicine
Jenny Huang, Ryan M. Walsh, David E. Witherspoon, Navid Khalighinejad, Esther C. Tam, Poorya Jalali, Jianing He
Summary: This study aimed to examine the prevalence, characteristics, and risk factors associated with external cervical root resorption (ECR) in patients seeking endodontic care. The overall prevalence of ECR was low but showed an increase in recent years. Anterior teeth were most commonly affected, and Class II and Class III defects were frequently identified. Patients with a history of trauma or orthodontic treatment were more likely to be diagnosed with severe cervical resorption.
CLINICAL ORAL INVESTIGATIONS
(2023)
Article
Dentistry, Oral Surgery & Medicine
Ali Nosrat, Omid Dianat, Prashant Verma, Martin D. Levin, Jeffery B. Price, Anita Aminoshariae, Fabio Antonio Piola Rizzante
Summary: This study aimed to assess the temporal evolution of external cervical resorption (ECR) defects using a volumetric quantification method. CBCT images of patients diagnosed with ECR who chose not to receive treatment and attended recalls were collected. The volume of resorption defects and the volumetric ratio of resorption defects/teeth increased over time, and there was a higher prevalence of root surface perforations >1 mm at recall compared with baseline.
JOURNAL OF ENDODONTICS
(2023)
Article
Dentistry, Oral Surgery & Medicine
Shanon Patel, Francesc Abella, Kreena Patel, Paul Lambrechts, Nassr Al-Nuaimi
Summary: In this study involving 194 patients with 215 external cervical resorption (ECR) lesions, the majority of ECR cases were found incidentally on radiographic examination. ECR was most commonly detected in maxillary central incisors (21.4%) and mandibular first molars (10.2%). ECR presenting with symptoms and clinical signs were associated with pulp involvement and were more frequently seen in cases affecting multiple tooth surfaces.
INTERNATIONAL ENDODONTIC JOURNAL
(2023)
Article
Dentistry, Oral Surgery & Medicine
Warley Luciano Fonseca Tavares, Ana Cecilia Diniz Viana, Marcus Vinicius Lucas Ferreira, Gabriela da Costa Ferreira, Isabella da Costa Ferreira, Ricardo Alves de Mesquita, Rodrigo Rodrigues Amaral
Summary: External cervical resorption (ECR) is a type of dental resorption that occurs when the cementum's protective layer is lost, leading to the invasion of clastic cells and tooth resorption. This case report examines the use of guided tissue regeneration (GTR) with xenogenic material and polydioxanone membrane to treat class IV ECR. The successful outcome highlights the importance of correct diagnosis and treatment planning, including thorough debridement and restoration with biodentine, as well as the use of GTR for stabilizing periodontal tissues.
JOURNAL OF ENDODONTICS
(2023)
Article
Dentistry, Oral Surgery & Medicine
Athina-Maria Mavridou, Eleonore Rubbers, Alexander Schryvers, Arno Maes, Marcel Linssen, Dick S. Barendregt, Lars Bergmans, Paul Lambrechts
Summary: A clinical approach strategy on the diagnosis, treatment and evaluation of external cervical tooth resorption (ECR) cases was proposed. The strategy includes three steps: diagnosis, treatment planning, and evaluation. The study found that the overall survival rate of this strategy is 70.3% with a mean of 5 years. The success of treatment decisions should be based on long-term outcomes.
INTERNATIONAL ENDODONTIC JOURNAL
(2022)
Article
Dentistry, Oral Surgery & Medicine
Lolwa Alyahya, Garry L. Myers
Summary: This case-control study found a significant association between denosumab use and the occurrence of external cervical resorption (ECR), suggesting that denosumab use can predict the risk of ECR.
JOURNAL OF ENDODONTICS
(2021)
Review
Dentistry, Oral Surgery & Medicine
Ningxiang Wang, Mei Zhang, Jiaye Zhu, Yaoyao Zhu, Juan Wu
Summary: Multiple idiopathic cervical root resorption (MICRR) is a rare and aggressive form of external root resorption, and the current literature on this condition is limited. This systematic review found that MICRR is more common among younger females and may be related to hormonal changes and denosumab use. The management focuses on complete removal and restoration of the resorptive tissue to maintain the tooth's structural integrity.
Article
Dentistry, Oral Surgery & Medicine
Eleni Irinakis, Markus Haapasalo, Ya Shen, Jolanta Aleksejuniene
Summary: The study found that the treatment outcomes of external cervical resorption (ECR) were influenced by tooth location, Heithersay classification, as well as root canal treatment (RCT) and the combination of ECR repair with RCT.
INTERNATIONAL ENDODONTIC JOURNAL
(2022)
Article
Polymer Science
Naji Kharouf, Ammar Eid, Louis Hardan, Rim Bourgi, Youri Arntz, Hamdi Jmal, Federico Foschi, Salvatore Sauro, Vincent Ball, Youssef Haikel, Davide Mancino
Summary: This study explored the effects of incorporating pyrogallol (PY) into adhesive systems on antibacterial activity and bond strength to dentin. Results showed that PY improved antibacterial activity and potentially preserved the polymer-dentin interface in modern universal adhesive systems. Different concentrations of PY had varying impacts on bond strength and antibacterial activity, with 1% PY demonstrating higher bond strength at six months.
Article
Chemistry, Multidisciplinary
Ruth Perez-Alfayate, Juan Algar-Pinilla, Montse Mercade, Federico Foschi
Summary: Sonic activation has a positive influence on the tubular dentine penetration of bioceramic sealers, resulting in increased sealer penetration into dentinal tubules.
APPLIED SCIENCES-BASEL
(2021)
Review
Chemistry, Physical
Germain Sfeir, Carla Zogheib, Shanon Patel, Thomas Giraud, Venkateshbabu Nagendrababu, Frederic Bukiet
Summary: Calcium silicate-based materials have gained popularity as root canal sealers due to their biocompatibility, antimicrobial properties, and certain bioactivity, but their higher solubility may impact their long-term sealing ability. Unlike conventional sealers, these sealers are hydraulic and require humidity for setting. Limited research has been conducted on the clinical outcomes of calcium silicate-based sealers, with current usage mainly based on clinical practices rather than recommendations or evidence.
Review
Dentistry, Oral Surgery & Medicine
Aisling Donnelly, Federico Foschi, Paul McCabe, Henry F. Duncan
Summary: There is limited consensus on the preferred treatment for complicated crown fractures. This systematic review found that pulpotomy has high success rates and should be considered as the treatment of choice for both immature and mature teeth that have suffered complicated crown fractures.
INTERNATIONAL ENDODONTIC JOURNAL
(2022)
Review
Dentistry, Oral Surgery & Medicine
Shanon Patel, Bhavin Bhuva, Rahul Bose
Summary: Vertical root fracture is a common reason for tooth extraction, and accurate diagnosis is challenging. Prevention is crucial, including identifying susceptible teeth and using conservative treatment methods and appropriate restorative procedures.
INTERNATIONAL ENDODONTIC JOURNAL
(2022)
Review
Dentistry, Oral Surgery & Medicine
Shanon Patel, Navid Saberi, Tiago Pimental, Peng-Hui Teng
Summary: Root resorption is the irreversible loss of dental hard tissue caused by odontoclastic action. It is undesirable and pathological in permanent teeth, and can occur internally or externally on the root. Regardless of its location, it can result in patient discomfort and premature tooth loss. Accurate diagnosis and management of root resorption are often challenging. This review aims to present the relevant literature and discuss future directions in diagnosis and management.
INTERNATIONAL ENDODONTIC JOURNAL
(2022)
Review
Dentistry, Oral Surgery & Medicine
Francesco Mannocci, Kerstin Bitter, Salvatore Sauro, Paolo Ferrari, Rupert Austin, Bhavin Bhuva
Summary: This narrative review discusses contemporary considerations and future research directions for the restoration of root filled teeth. Clinicians are increasingly aware of the interdependence of endodontic and restorative aspects in managing root filled teeth and the importance of these aspects for long-term survival. However, current research often overlooks the influence of occlusal factors on the longevity of root filled teeth. The clinical relevance of minimally invasive endodontic and restorative concepts is still controversial, but conceptually, they appear to be valid. Prospective clinical studies are needed to determine the efficacy of these treatment protocols.
INTERNATIONAL ENDODONTIC JOURNAL
(2022)
Review
Dentistry, Oral Surgery & Medicine
Ali Hilmi, Shanon Patel, Kazim Mirza, Johnah C. C. Galicia
Summary: Apical periodontitis is a chronic inflammatory response caused by microorganisms. Clinical examination and imaging techniques are relied upon for diagnosis, as radiographic images may not show pathological changes associated with AP. This review evaluated the efficacy of diagnostic imaging using histopathology as a reference standard. The findings suggest that periapical radiography has low consistency with histopathological assessment, while CBCT is more accurate.
INTERNATIONAL ENDODONTIC JOURNAL
(2023)
Review
Dentistry, Oral Surgery & Medicine
Shanon Patel, Gabriel Krastl, Roland Weiger, Paul Lambrechts, Leo Tjaderhane, Gianluca Gambarini, Peng-Hui Teng
Summary: This article represents the consensus of an expert committee convened by the European Society of Endodontology (ESE) on root resorption. It aims to provide authoritative information on the etiology, histopathology, clinical presentation, and management recommendations for root resorption based on current evidence and expert knowledge. The committee intends to update this statement as new evidence emerges.
INTERNATIONAL ENDODONTIC JOURNAL
(2023)
Article
Dentistry, Oral Surgery & Medicine
Jorge N. R. Martins, Marco A. Worldwide Anatomy Res Grp, Marco A. Versiani
Summary: This cross-sectional study examined the global prevalence of a lingual canal in mandibular incisors and its association with patient demographics. The study analyzed 26,400 mandibular incisors from 44 countries using cone-beam computed tomography imaging. The results showed significant variations in the prevalence of lingual canals based on geographic location, ethnicity, age, and gender. The overall prevalence was 21.9% for central incisors and 26.0% for lateral incisors.
JOURNAL OF ENDODONTICS
(2023)
Article
Dentistry, Oral Surgery & Medicine
Shanon Patel, Francesc Abella, Kreena Patel, Paul Lambrechts, Nassr Al-Nuaimi
Summary: In this study involving 194 patients with 215 external cervical resorption (ECR) lesions, the majority of ECR cases were found incidentally on radiographic examination. ECR was most commonly detected in maxillary central incisors (21.4%) and mandibular first molars (10.2%). ECR presenting with symptoms and clinical signs were associated with pulp involvement and were more frequently seen in cases affecting multiple tooth surfaces.
INTERNATIONAL ENDODONTIC JOURNAL
(2023)
Review
Medicine, General & Internal
Alexandru Gliga, Marina Imre, Simone Grandini, Crystal Marruganti, Carlo Gaeta, Dana Bodnar, Bogdan Alexandru Dimitriu, Federico Foschi
Summary: Diagnosis is crucial in endodontic treatment, however, the use of invasive interventions without medical necessity has become a common trend. Intraoral endodontic radiology-based diagnosis is limited and the commonly used periapical X-ray does not provide accurate results. This systematic review aims to evaluate the histological diagnosis of a periapical lesion compared to intraoral X-ray investigation. Out of the sixteen articles analyzed, only two supported the claim that periapical diagnosis can be accurately assessed through radiographic imaging. Further research is needed to reach a definitive conclusion.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Dentistry, Oral Surgery & Medicine
Shanon Patel, Samantha Hamer
Summary: The COVID-19 pandemic has had a major impact on dental care provision, leading to the implementation of specific measures to reduce aerosol generating exposure. The use of dental dam is essential for reducing the degree of exposure and potentially decreasing fallow time.
BRITISH DENTAL JOURNAL
(2021)