Understanding and addressing invasive cervical resorption: a systematic review on diagnostic and treatment challenges in permanent dentition
OA Version
Citation
Abstract
Invasive cervical resorption (ICR) is a complex and multifaceted dental condition characterized by the progressive loss of hard tooth tissue in the cervical region of permanent teeth. This literature review aims to critically examine the current knowledge on ICR, focusing on its etiology, diagnosis, and treatment approaches, as well as identifying potential variables that could impact treatment outcomes and rehabilitation. Due to the limited availability of randomized clinical trials and the reliance on case reports and case series, drawing definitive conclusions about the predisposing factors and their association with ICR remains challenging.
This review found that maxillary central incisors are the most frequently affected teeth in the dentition. Cone-beam computed tomography (CBCT) has been identified as an invaluable tool for the accurate diagnosis of ICR lesions, with its three-dimensional imaging capabilities providing critical information for the classification and treatment planning of ICR cases. In contrast, two-dimensional radiographs may not always lead clinicians to the correct diagnosis.
The use of trichloroacetic acid (TCA) as a diagnostic material for ICR lesions is not well-supported in the existing literature. In terms of restorative materials, glass ionomer (GI) and resin-modified glass ionomer (RMGI) demonstrated the highest success rates in the treatment of ICR lesions.
This review highlights the need for further research to establish standardized diagnostic processes and treatment planning for ICR in permanent dentition. Future research should focus on identifying the factors contributing to treatment failure and determining the most effective methods to reduce tooth loss. The development of randomized clinical trials and longitudinal studies would significantly enhance our understanding of ICR, its etiology, and the most effective strategies for diagnosis and treatment. Overall, this literature review provides a comprehensive and critical analysis of the existing knowledge on ICR and suggests directions for future research to improve treatment outcomes and reduce tooth loss in patients affected by this rare but challenging dental condition.