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Article: Volume 42 Number 7 Page 667 - September 2015

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  Dent Update 2015; 42: 667-672

Restorative dentistry:  Dental Management of a Patient with Multiple Idiopathic Cervical Root Resorption

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Abstract: Multiple Idiopathic Cervical Root Resorption (MICRR) is a rare condition. It initiates at the cemento-enamel junction of multiple teeth. The lesions continue to grow until they unite, thereby undermining the entire coronal structure of affected teeth. Its distribution can vary from a single region to the entire dentition and the number of teeth affected by resorption tends to increase as the condition is followed over time. The teeth themselves appear clinically normal. The aetiology of MICRR is unknown and it is considered to be a diagnosis of exclusion. The condition tends to be progressive. Consequently, root treatments/surgical curettage and restoration of the lesions have been unsuccessful at arresting the condition. Affected teeth are often extracted in anticipation of catastrophic fracture and have been replaced with partial or complete dentures. In this case report, we describe how a young female patient was dentally managed over 10 years and ultimately rehabilitated with dental implants.

Clinical relevance: Patients suspected of having multiple idiopathic cervical root resorption may require specialist, multidisciplinary care and require referral to an appropriate secondary care unit for treatment planning and potential oral rehabilitation.

Author notes: Rahat Ali, BSc, BDS, MSc, MFGDP, MFDS RCS, PGC(HE), FDS(Rest Dent) RCS, Post CCST Oral Rehabilitation Fellow, Liverpool and Manchester Dental Hospital, Stephen Fayle, BDS, MDSc, FDS RCS MRCD(C), Consultant in Paediatric Dentistry, David Langley, Chief Dental Technician in Conservative Dentistry, Asmaa Altaie, BDS, MSc, MFDS RCS, Clinical Teaching Fellow in Restorative Dentistry and Brian Nattress, BChD, FDS RCS, MRD RCS, PhD, Senior Lecturer/Honorary Consultant in Restorative Dentistry, Leeds Dental Institute, Clarendon Way, Leeds, LS2 9LU, UK.

Objective: To describe potential short-, medium- and long-term dental treatment options for patients presenting with multiple idiopathic cervical root resorption.