Conservative Mucogingival Management of External Cervical Root Resorption Using Bioceramic Repair Materials: A Case Series
Abstract
AIMS: To document the clinical and radiographic outcomes of a conservative mucogingival surgical protocol-combining coronally advanced flap, defect debridement, bioceramic repair material, and connective tissue graft-in the management of external cervical root resorption, with emphasis on soft-tissue stability, esthetics, and pulp vitality preservation.
METHODS: Ten patients with external cervical root resorption diagnosed by cone-beam computed tomography were classified according to Patel's three-dimensional system. Treatment involved a coronally advanced flap, defect debridement, application of bioceramic material to repair the defect, and a connective tissue graft. Clinical and radiographic outcomes were monitored over a three-year follow-up period.
RESULTS: All treated teeth remained functional and asymptomatic after three years. The protocol preserved soft-tissue esthetics with minimal gingival recession. Pulp vitality was maintained in eight cases, likely related to the biocompatibility of the bioceramic material.
CONCLUSIONS: Within the limitations of this case series, the combined surgical approach appeared to be associated with favorable clinical outcomes, including maintenance of tooth vitality, soft-tissue stability, and satisfactory esthetics. These preliminary findings should be interpreted cautiously and confirmed in controlled clinical studies.
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Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
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