İNVAZİV SERVİKAL REZORPSİYON: İKİ VAKA RAPORU

Kök rezorpsiyonu, dentin, sement gibi diş sert dokularının odontoklastik bir reaksiyon sonucu kaybıdır. Rezorpsiyonun kök yüzeyiyle ilişkisine göre iç rezorpsiyon ve dış rezorpsiyon olarak rezorpsiyonu ise yüzey rezorpsiyonu, eksternal inflamatuar rezorpsiyon, eksternal servikal rezorpsiyon ve geçici apikal yıkım olarak sınıflandırılır. Heithersay, eksternal servikal rezorpsiyonu invaziv ve agresif doğasından dolayı ‘’invaziv servikal rezorpsiyon’’ olarak tanımlamıştır. ataşmanın üst kısmındaki kök bölümünde ve alveoler kemiğin koronal kısmındaki lokalize rezorptif proçes olarak tanımlanır. Eksternal servikal rezorpsiyon ECR , eksternal rezorpsiyonun en zor anlaşılan ve en zor teşhis konulan çeşididir. Diş yapısındaki büyük kayıpları önlemek için erken teşhis edilmesi oldukça önemlidir. Makalemizde iki farklı eksternal servikal rezorpsiyon vakası ve lezyonların derecelerine göre farklılık gösteren tedavi seçenekleri açıklanmıştır

INVAZIVE CERVICAL RESORPTION: TWO CASE REPORTS

Invasive cervical resorption: two case reports Root resorption is the loss of hard dental tissue ie, cementum and dentin as a result of odontoclastic action. It might be classified by its location in relation to the root surface, ie, internal or external resorption. External root resorption can be further classified into surface resorption, external inflammatory resorption, external replacement resorption, external cervical resorption and trancient apical breakdown. One of the least understood type of external resorption is external cervical resorption ECR . This form of external resorption has been described at length by Heithersay, who preferred the term invasive cervical resorption ICR , which describes its invasive and aggresive nature. An early diagnosis is desirable to avoid the gross tooth destruction that is a feature of advanced lesions. It is defined as a localized resorptive process that commences on the surface of the root below the epitelial attachment and the coronal aspect of the supporting alveoler process, namely the zone of connective tissue attachment. It can be present anywhere in the root. This article describes two different invasive cervical resorption cases which had difference according to the stage of the lesions and their treatments.

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  • Patel S, Kanagasingam S, Pitt Ford T. External Cervical Resorption: A Rewiev. J Endod 2009; 35:616-625.
  • Tronstad L. Root resorption-etiology, terminology and clinical manifestations. Endod Dent Traumatol 1988;4:241-252.
  • Coyle M, Toner M, Barry H. Multiple teeth showing invasive cervical resorption- an entity with little known histologic features. J Oral Pathol Med 2006;35:395-402.
  • Hiremath H, Yakub SS, Metgud S, Bhagwat SV, Kulkarni S. Invasive cervical resorption. J Endod 2007;33:999-1003
  • Trope M, Chivian N. Root resorption. In : Cohen S, Burns R (eds). Pathways Of The Pulp, ed 6. St Louis: Mosby, 1994:493-503.
  • Heithersay GS. Clinical endodontic and surgical management of tooth and associated bone resorption. Int Endod J 1985;18:72-92.
  • Heithersay GS. Clinical, radiologic and histopathologic features af invasive cervical resorption. Quintessence Int 1999; 30:27-37.
  • Bergmans L,Van Cleynenbreugel J, Verbeken E, et al. Cervical external root resorption microfocustomographical and histopathological case study. J Clin Periodontol 2002;29:580-5.
  • Harrington GW, Natkin E. External resorption associated with the bleaching of pulpless teeth. J Endod 1979;5:344-348.
  • Trope M, Chivian N, Sigurdsson A, Vann WF Jr. In: Cohen S, Burns RC, eds. Pathways of the Pulp, 8th edn. St. Louis: Mosby, 2002:626-628.
  • Andreasen JO, Andreasen FM. Textbook and Color Atlas of Traumatic Injuries to the Teeth, 3rd edn. Copenhagen: Munksgaard, 1994: 370-372.