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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2022, vol. 28, issue2
Subject Area: Dental Medicine
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DOI: 10.5272/jimab.2022282.4361
Published online: 18 May 2022
Case report
J of IMAB. 2022 Apr-Jun;28(2):4361-4365
INVASIVE CERVICAL RESORPTION DUE TO IONTOPHORETIC INTERNAL BLEACHING WITH HYDROGEN PEROXIDE: TWO CASE REPORTS
Yaneta Kouzmanova
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Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University, Sofia, Bulgaria.
ABSTRACT:
Background: Invasive cervical resorption is a localised inflammatory-mediated aggressive form of an external root resorptive process of the tooth. One of the predisposing factors associated with ICR is the internal bleaching of non-vital teeth. The maxillary anterior teeth are highly affected among all tooth types.
Case reports: The clinical management and one-year follow-up results of two cases with invasive cervical resorption in maxillary central incisors due to iontophoretic internal whitening with 30% hydrogen peroxide are presented in this study. The complications associated with post-bleaching ICR as well the prevalence and underlying mechanism of this phenomenon and treatment planning, are discussed.
Conclusion: Clinicians should be alert to the possibility of ICR, especially following iontophoretic non-vital bleaching. A combined multidisciplinary treatment approach can be applied based on thorough clinical, radiographical and CBCT evaluation.
Keywords: invasive cervical resorption, internal bleaching, MTA,
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Please cite this article as: Kouzmanova Y. Invasive cervical resorption due to iontophoretic internal bleaching with hydrogen peroxide: two case reports. J of IMAB. 2022 Jan-Mar;28(1):4361-4365. DOI: 10.5272/jimab.2022282.4361
Correspondence to: Yaneta Kouzmanova, DMD, PhD, Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University of Sofia; 1, St. Georgi Sofiyski Blvd, 1431 Sofia, Bulgaria; E-mail: y_kuzmanova@abv.bg
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Received: 23 September 2021
Published online: 18 May 2022