Artículo de revisión

Published on 4 de abril de 2024 | http://doi.org/10.5867/medwave.2024.03.2780

Clinical and radiographic characterization of external root resorption

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Articles included in the review regarding treatment.
Author and yearType of studyTreatmentConclusions
Kandalgaonkar S, 2013 [25]Narrative revisionCERRComplete removal of resorption tissue + chelating agent + restoration with ionomer glass, composite resin, MTA.Endodontic treatment when the lesion is very close to the pulp.Cervical-type lesions contain fibrovascular tissue with resorbed clastic cells adjacent to the dentin surface. More advanced lesions show fibro-osseous features with deposition of ectopic bone-like calcifications both within the resorbed tissue and directly on the dentin surface.
Bansode P, 2018 [26]Narrative revisionERRR: surgical repositioning with Emdogain application. Decoronation and submersion.RREI: treatment: endodontic treatment with intracanal medication such as ledermix, MTA, and calcium hydroxide.RREC: surgical access if necessary + 90% trichloroacetic acid + curettage and restoration of the defect.Early diagnosis, correct case selection, appropriate restorative material, and adequate treatment are essential for long-term tooth retention with root resorption.
Zare M, 2019 [27]Narrative revisionRREI: endodontic treatment + intracanal medication.Calcium hydroxide is the most commonly used intra-oral medication comparable to MTA, Ledermix, and acetazolamide.
Patel S, 2022 [28]Narrative revisionSERR: elimination of ethiological facto.CER: excavation of the resorption tissue, restoration of the lesion +- endodontic treatment. The use of trichloroacetic acid is suggested.EIRR: endodontic treatment with strict canal disinfection protocols + intracanal medication with calcium hydroxide or Ledermix.RRER: treatment is variable and ranges from control to extraction.TAR: if there is no pulp risk, it should be controlled; if there is pulp risk, endodontic treatment should be performed.A thorough and systematic clinical evaluation and radiographic examination are paramount to ensure proper management. The prognosis of root resorption depends on an accurate and early diagnosis.

EIRR, External inflammatory root resorption . CER, cervical external root resorption. MTA, mineral trioxide. ERRR, external root resorption replacement. SERR, superficial external root resorption. TAR, transient apical resorption. CERR, cervical external root resorption.

Source: Prepared by the authors.