Orthodontic Preparation and Endodontic Approach in the Treatment of Invasive Cervical Resorption

Gusiyska A, Gavrilov G

Abstract: Invasive cervical resorption (ICR) is a pathological process characterized by the progressive loss of dental hard tissues due to odontoclastic activity, usually initiated at the cervical region of the root. Its etiology is multifactorial and may involve trauma, orthodontic treatment, intracoronal bleaching, or idiopathic causes. The management of ICR presents a significant clinical challenge due to the complex anatomy of the resorptive defect and its proximity to the periodontal attachment apparatus. Early diagnosis through detailed clinical examination and advanced imaging techniques such as cone-beam computed tomography (CBCT) is crucial for accurate classification and treatment planning. Successful management of ICR requires an interdisciplinary approach that integrates orthodontic, endodontic, and restorative principles. Orthodontic preparation can facilitate access to the resorptive lesion, improve visualization, and enable optimal isolation and restorative control. Controlled orthodontic extrusion may be indicated to reposition the lesion coronally, allowing conservative access and recontouring of the defect margins while preserving biologic width. From an endodontic perspective, treatment aims to eliminate microbial contamination, seal the communication pathways between the resorptive defect and the root canal system, and restore the tooth's structural integrity. Bioceramic materials and adhesive restorative techniques have shown promising results in promoting biological compatibility and long-term sealing. This article reviews the diagnostic considerations, classification systems, and combined orthodontic?endodontic management strategies for invasive cervical resorption. Emphasis is placed on the sequence of interdisciplinary treatment, material selection, and minimally invasive approaches that support long-term tooth preservation and periodontal stability.

Keywords: adhesive restoration, bioceramic materials, endodontic treatment, invasive cervical resorption, orthodontic extrusion

How to Cite?: Gusiyska A, Gavrilov G, "Orthodontic Preparation and Endodontic Approach in the Treatment of Invasive Cervical Resorption", Volume 14 Issue 10, October 2025, International Journal of Science and Research (IJSR), Pages: 1193-1199, https://www.ijsr.net/getabstract.php?paperid=SR251023041458, DOI: https://dx.doi.org/10.21275/SR251023041458