Portal de Periódicos da CAPES

Clinical endodontic and surgical management of tooth and associated bone resorption

1985; Wiley; Volume: 18; Issue: 2 Linguagem: Inglês

10.1111/j.1365-2591.1985.tb00425.x

1365-2591

Geoffrey S. Heithersay,

dental development and anomalies

Summary. The management of root and bone resorption has been divided on clinical grounds into four categories: (i)conditions that respond to conservative endodontics; (ii) conditions that require surgical endodontics; (iii) conditions that require combined therapy, e.g. endodontics, orthodontics, periodontics, prosthodontics; (iv) conditions that will not respond to, or do not require any, treatment. Using this classification, a conservative treatment rationale based on an understanding of the underlying disease can be evolved. The diagnosis of whether the lesion is internal, external or combined is essential if rational therapy is to be carried out. Internal resorption requires the removal of the blood supply supporting this resorptive defect; the process should cease, provided that this can be effectively achieved. External root resorption is more complicated, requiring either stimulation of natural repair processes by removing the aetiological agents, artificial repair involving the curettage of the defect and the placement of a suitable repair material, or partial or complete resection. Combined therapy involving orthodontic extrusion is useful in some defects at or near the cervical region. Treatment should not be instituted where there is no therapeutic advantage or where the process would naturally cease with the removal of the initiating cause.