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      Management of Pink Spot due to Class IV Invasive Cervical Root Resorption using Vital Pulp Therapy: A Case Report

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          Abstract

          A 30-year-old male patient with the chief complaint of pink spot discoloration of the tooth crown in his upper left central incisor was referred for endodontic and esthetic management. After thorough clinical and radiographic examinations, the final diagnosis was class IV invasive cervical resorption (ICR) which was conservatively treated with an orthograde approach; i.e. vital pulp therapy with calcium-enriched mixture cement (VPT/CEM). The use of VPT/CEM was successful to restore esthetics and stop the ICR; confirmed clinically, radiographically, and tomographically at one-year recall. The above-mentioned minimally invasive approach reported in the current case study may be considered a practical treatment modality for ICR, specifically in anterior teeth.

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          Vital Pulp Therapy as a Conservative Approach for Management of Invasive Cervical Root Resorption: A Case Series

          Saeed Asgary, Mahdieh Nourzadeh, Prashant Verma … (2019)
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            Vital Pulp Therapy of a Mature Molar with Concurrent Hyperplastic Pulpitis, Internal Root Resorption and Periradicular Periodontitis: A Case Report

            Saeed Asgary, Mehmet Kemal Çalışkan (2015)
            Vital pulp therapy (VPT) of permanent mature teeth is continuously ascertaining to be a more reliable endodontic treatment. The purpose of this case report was to describe successful VPT of a mature mandibular left first molar with concurrent hyperplastic pulpitis, internal root resorption and periradicular periodontitis in a 35-year-old male patient. After complete caries removal and access cavity preparation, the dental pulp was removed from the coronal third of the roots. To protect the remaining pulp, calcium-enriched mixture (CEM) cement was placed and adapted into the cavities; the tooth was then restored with amalgam. Six months after VPT, radiographic examination showed evidence of periradicular healing. Clinically, the tooth was functional without signs and symptoms of infection/inflammation. The successful outcome of this case suggests that diseased dental pulp (i.e. irreversible pulpitis) has the potential to heal after pulp protection with CEM biocement.
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              Management of Root Resorption Using Chemical Agents: A Review

              Zahed Mohammadi, Zafer C. Cehreli, Sousan Shalavi … (2015)
              Root resorption (RR) is defined as the loss of dental hard tissues because of clastic activity inside or outside of tooth the root. In the permanent dentition, RR is a pathologic event; if untreated, it might result in the premature loss of the affected tooth. Several hypotheses have been suggested as the mechanisms of root resorption such as absence of the remnants of Hertwig's epithelial root sheath (HERS) and the absence of some intrinsic factors in cementum and predentin such as amelogenin or osteoprotegerin (OPG). It seems that a barrier is formed by the less-calcified intermediate cementum or the cementodentin junction that prevents external RR. There are several chemical strategies to manage root resorption. The purpose of this paper was to review several chemical agents to manage RR such as tetracycline, sodium hypochlorite, acids (citric acid, phosphoric acid, ascorbic acid and hydrochloric acid), acetazolamide, calcitonin, alendronate, fluoride, Ledermix and Emdogain.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Iran Endod J
                Journal ID (iso-abbrev): Iran Endod J
                Journal ID (publisher-id): IEJ
                Title: Iranian Endodontic Journal
                Publisher: Iranian Center for Endodontic Research (Tehran, Iran )
                ISSN (Print): 1735-7497
                ISSN (Electronic): 2008-2746
                Publication date (Print): 2023
                Volume: 18
                Issue: 2
                Pages: 110-112
                Affiliations
                [a ] Iranian Center for Endodontic Research, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
                Author notes
                [* ]Corresponding author: Saeed Asgary; ICER, Research Institute for Dental Sciences, School of Dentistry, Daneshjoo Blvd., Evin, Tehran, Iran. Email: saasgary@yahoo.com
                Article
                DOI: 10.22037/iej.v18i2.41772
                PMC ID: 10155104
                PubMed ID: 37152854
                SO-VID: 9fbfddf3-137c-46e3-91a1-697620916024
                License:

                This open-access article has been distributed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) https://creativecommons.org/licenses/by-nc-sa/4.0/.

                History
                Date received : 4 February 2023
                Date revision received : 9 March 2023
                Date accepted : 21 March 2023
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Dentistry
                Keywords: calcium-enriched mixture cement,cem cement,endodontics,pink spot,root resorption,tricalcium-silicate
                Data availability:
                ScienceOpen disciplines: Dentistry
                Keywords: calcium-enriched mixture cement, cem cement, endodontics, pink spot, root resorption, tricalcium-silicate

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