Invasive Cervical Resorption—Distribution, Potential Predisposing Factors, and Clinical Characteristics

Abstract

Introduction: The purpose of this study was to investigate the distribution, predisposing factors, and clinical characteristics of invasive cervical resorption (ICR). Methods: Cases with ICR from 2009–2019 were collected. Clinical records and radiographs were reviewed. Descriptive analysis was performed in combination with univariate analysis and the Fisher exact test. Results: A total of 63 ICR teeth from 31 patients (14 men and 17 women) were found. The patients’ ages ranged from 18–81 years, with a mean age of 45.77 years. Most patients had a single ICR lesion. Among the 63 ICR teeth, maxillary anterior teeth (47.62%) were the most commonly affected followed by maxillary premolars (20.63%). Maxillary teeth (76.19%) were more prone to ICR than mandibular teeth (23.81%). Most patients denied all major systemic diseases. The most common dental-related factors were dental/orofacial trauma (33.33%), periodontal treatment (26.98%), restoration/crown (17.46%), and orthodontic treatment (15.87%). Most teeth showed no percussion/palpation pain, probing depth >3 mm, abscess formation, sinus tracts, or periapical lesions. The pulp status was mainly vital (73.02%). The presence of percussion pain and probing depth differed significantly among Heithersay ICR classification groups. Conclusions: ICR showed no difference in sex or age. Maxillary anterior teeth were the most affected in a Taiwanese population. Traumatic injury, periodontal treatment, and orthodontic treatment were the significant predisposing factors. Furthermore, affected teeth typically lacked clinical signs and symptoms. Radiographic examination is critical for early diagnosis. In advanced cases, deep pockets and abscess formation were seen. These results are helpful for the diagnosis of ICR and further effective treatment. ? 2020 American Association of Endodontists