P75: Incidental identification of cervical root resorption during orthodontic treatment planning: A case report

TY - CONF

T1 - P75: Incidental identification of cervical root resorption during orthodontic treatment planning

T2 - British Society of Paediatric Dentistry Annual Conference 2021

AU - Gribben, M.

AU - Campbell, F.

AU - Ritchie, C.

AU - Kilgariff, Julie

PY - 2021/10/13

Y1 - 2021/10/13

N2 - Background: Cervical Root Resorption (CRR) is rare and challenging to diagnose. Late diagnosis reduces treatment options and prognosis. Increased awareness of CRR lesions in their identification and management by the dental team enhances the quality of care and treatment outcome. Presenting Problem: A 15 year-old male referred by their General Dental Practitioner presented to the Restorative Department at Dundee Dental Hospital in 2018 regarding a previously traumatised tooth 21 (UL1). Cervical root resorption affecting tooth 21 was diagnosed. As concurrent orthodontic treatment was planned, a multi-disciplinary orthodontic-paediatric-endodontic team approach was required. Clinical Management: Informed consent was given for Root Canal Treatment and Cervical Root Resorption repair via Microsurgery. Multidisciplinary planning involved delaying orthodontic fixed appliance therapy for tooth 21 to reduce the risk of resorption recurrence and progression. Thereafter, efficient orthodontic treatment and light forces were important. Regular endodontic review was undertaken alongside orthodontic treatment and ongoing hygiene phase therapy to maintain the subgingival surgical repair site. Discussion: The clinical presentation of CRR varies considerably and early diagnosis, although very challenging, is key. Clinicians must be aware of previous trauma and its possible negative sequelae. A multidisciplinary approach may maximise the clinical outcomes for paediatric patients with CRR who also are undergoing orthodontic treatment. This case shares key learning points on the management of trauma to adult teeth, the challenges of its sequelae, and the importance of monitoring to assess treatment outcomes. After 3 years, clinical reviews show tooth 21 remains functional and asymptomatic, with no evidence of CRR recurrence.

AB - Background: Cervical Root Resorption (CRR) is rare and challenging to diagnose. Late diagnosis reduces treatment options and prognosis. Increased awareness of CRR lesions in their identification and management by the dental team enhances the quality of care and treatment outcome. Presenting Problem: A 15 year-old male referred by their General Dental Practitioner presented to the Restorative Department at Dundee Dental Hospital in 2018 regarding a previously traumatised tooth 21 (UL1). Cervical root resorption affecting tooth 21 was diagnosed. As concurrent orthodontic treatment was planned, a multi-disciplinary orthodontic-paediatric-endodontic team approach was required. Clinical Management: Informed consent was given for Root Canal Treatment and Cervical Root Resorption repair via Microsurgery. Multidisciplinary planning involved delaying orthodontic fixed appliance therapy for tooth 21 to reduce the risk of resorption recurrence and progression. Thereafter, efficient orthodontic treatment and light forces were important. Regular endodontic review was undertaken alongside orthodontic treatment and ongoing hygiene phase therapy to maintain the subgingival surgical repair site. Discussion: The clinical presentation of CRR varies considerably and early diagnosis, although very challenging, is key. Clinicians must be aware of previous trauma and its possible negative sequelae. A multidisciplinary approach may maximise the clinical outcomes for paediatric patients with CRR who also are undergoing orthodontic treatment. This case shares key learning points on the management of trauma to adult teeth, the challenges of its sequelae, and the importance of monitoring to assess treatment outcomes. After 3 years, clinical reviews show tooth 21 remains functional and asymptomatic, with no evidence of CRR recurrence.

U2 - 10.1111/ipd.12916

DO - 10.1111/ipd.12916

M3 - Poster

SP - 53

EP - 54

Y2 - 4 October 2021 through 6 October 2021

ER -