Diagnosis Of Invasive Cervical Resorption By Using Cone Beam Computed Tomography: Report Of Two Cases

A radiographic interpretation is essential to the diagnosis of invasive cervical resorption (ICR) and the difficulty in distinguishing this lesion from internal root resorption has been highlighted in the literature. This paper reports the use of cone beam computed tomography (CBCT) in the diagnosis of ICR. The cases reports describe how CBCT can be used to make a differential diagnosis and also show that the use of this technology can provide relevant information on the location and nature of root resorption, which conventional radiographs cannot. As a result, the root canal treatment was not initially considered. The patients will be monitored and will undergo a scan after a short period of time to detect any small changes. It was observed that both cases benefited from CBCT in the diagnosis of ICR, because this imaging modality determined the real extent of resorption and possible points of communication with the periodontal space.235602607Heithersay, G.S., Clinical, radiologic, and histopathologic features of invasive cervical resorption (1999) Quintessence Int, 30, pp. 27-37Tronstad, L., Root resorption - etiology, terminology and clinical manifestations (1988) Endod Dent Traumatol, 4, pp. 241-252Patel, S., Dawood, A., Whaites, E., Pitt Ford, T., The potential applications of cone beam computed tomography in the management of endodontic problems (2007) Int Endod J, 40, pp. 818-830Gartner, A.H., Mark, T., Somerlott, R.G., Walsh, L.C., Differential diagnosis of internal and external cervical resorption (1976) J Endod, 2, pp. 329-334Heithersay, G.S., Invasive cervical resorption (2004) Endod Topics, 7, pp. 73-92Kim, E., Kim, K.-D., Roh, B.-D., Cho, Y.-S., Lee, S.-J., Computed tomography as a diagnostic aid for extracanal invasive resorption (2003) J Endod, 29, pp. 463-465Dawood, A., Patel, S., Brown, J., Cone beam CT in dental practice (2009) Br Dent J, 207, pp. 23-28Nair, M.K., Nair, U.P., Digital and advanced imaging in Endodontics: A Review (2007) Int J Endod, 33, pp. 1-6Tyndall, D.A., Rathore, S., Cone-beam CT diagnostic applications: Caries, periodontal bone assessment, and endodontic applications (2008) Dent Clin North Am, 52, pp. 825-841Murmalla, R., Wortche, R., Muhling, J., Hassfeld, S., Geometric accuracy of the NewTom 9000 Cone Beam CT (2005) Dentomaxillofac Radiol, 34, pp. 28-31Cohenca, N., Simon, J.H., Marhtur, A., Malfaz, J.M., Clinical indications for digital imaging in dento-alveolar trauma: Part 2 - Root resorption (2007) Dent Traumatol, 23, pp. 105-113Cotton, T.P., Geisler, T.M., Holden, D.T., Schwartz, S.A., Schindler, W.G., Endodontic applications of CBCT (2007) J Endod, 9, pp. 1121-1132D'Addazio, P.S.S., Campos, C.N., Özcan, M., Teixeira, H.G.C., Passoni, R.M., Carvalho, A.C.P., A comparative study between cone-beam computed tomography and periapical radiographs in the diagnosis of simulated endodontic complications (2011) Int Endod J, 44, pp. 218-224Schwartz, R.S., Robbins, W., Rindler, E., Management of invasive cervical resorption: Observations from three private practices and a report of three cases (2010) J Endod, 36, pp. 1721-1730Haapasalo, M., Endal, U., Internal inflammatory resorption: Theunknown resorption of the tooth (2006) Endod Topics, 14, pp. 60-79Kamburoglu, K., Barenboim, S.F., Aritürk, T., Kaffe, I., Quantitative measurements obtained by micro-computed tomography and confocal laser scanning microscopy (2008) Dentomaxillofac Radiol, 37, pp. 385-391Durack, C., Patel, S., Davies, J., Wilson, R., Mannocci, F., Diagnostic accuracy of small volume cone beam computed tomography and intraoral periapical radiography for the detection of simulated external inflammatory root resorption (2011) Int Endod J, 44, pp. 136-147Scarfe, W.C., Farman, A.G., Sukovic, P., Clinical applications of cone-beam computed tomography in dental practice (2006) J Can Dent Assoc, 72, pp. 75-80Liang, X., Jacobs, R., Hassan, B., Li, L., Pauwels, R., Corpas, L., A Comparative evaluation of cone beam computed tomography (CBCT) and multi-slice CT (MSCT) Part I. On subjective image quality (2010) Eur J Radiol, 75, pp. 265-269Durack, C., Patel, S., Cone beam computed tomography in Endodontics (2012) Braz Dent J, 23, pp. 179-191Patel, S., Dawood, A., Wilson, R., Horner, K., Mannocci, F., The detection and management of root resorption lesions using intraoral radiography and cone beam computed tomography - an in vivo investigation (2009) Int Endod J, 42, pp. 831-838Jacobs, R., Dental cone beam CT and its justified use in oral health care (2011) JBR-BTR, 94, pp. 254-265Estrela, C., Bueno, M.R., Alencar, A.H.G., Mattar, R., Neto, J.V., Azevedo, B.C., Method to evaluate inflammatory root resorption by using cone beam computed tomography (2009) J Endod, 35, pp. 1491-149