Surgical root repair of extensive invasive cervical resorption defects involving the cementoenamel junction: Two case reports

Extensive invasive cervical resorption (ICR) defects involving the cementoenamel junction has a poor periodontal, restorative, and structural prognosis. However, some patients may insist upon surgical restorative repair of these lesions. Two such treated cases are reported with 15 and 12 month follow–up, respectively. In one case, glass ionomer cement, and in the other case, composite resin with fiber post, were used for restoration, after thorough surgical debridement. Both the patients were available for close follow-ups and maintained scrupulous oral hygiene. In both cases, the teeth had poor prognosis due to high chance of tooth fracture and possible continued periodontal breakdown with bone loss. However, at the above-stated follow-up periods, the teeth remained asymptomatic, periodontally stable, and structurally intact. This supports that a surgical restorative treatment, of the extensive ICR lesion, may result in short-term success and tooth retention