INVASIVE CERVICAL RESORPTION: DIAGNOSIS, ETIOLOGY, TREATMENT AND CURRENT CHALLENGES

Abstract

Invasive Cervical Resorption (ICR) is an aggressive form of external tooth resorption that begins in the cervical region of the tooth, often below the alveolar bone crest. Characterized by its progressive nature and destructive potential, ICR can lead to tooth loss if not diagnosed and treated early. This monograph reviews the scientific literature from the last five years, addressing the multifactorial etiology of ICR, diagnostic methods, treatment options, and current challenges in managing this condition. ICR is a complex pathology with a multifactorial etiology, involving predisposing factors (trauma, orthodontics, bleaching, cervical anatomy), triggering factors (infection, inflammation), and possibly genetic or systemic factors. Early diagnosis is crucial but difficult, as the lesion may be asymptomatic and discreet on radiographs. CBCT is the preferred examination, allowing three-dimensional analysis and the use of standardized classifications (such as Patel, 2018). Treatment varies depending on the extent of the disease, pulp involvement, and periodontal condition. The prognosis depends on the severity and treatment adopted. RCI is a challenge in modern dentistry. Its management requires early diagnosis, personalized treatment, integration between specialties, and ongoing monitoring. Developments in regenerative techniques may, in the future, expand therapeutic options and improve prognosis.