SP-39 Surgical Management and Material Selection in External Cervical Resorption: A Protocol-based Approach

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CE Hours: 0.75

Description: Surgical repair remains the most predictable and long-term effective treatment for External Cervical Resorption (ECR), with evidence-based supporting it success over follow-up periods up to 10 years. This surgical approach enables the preservation of pulp vitality in early stages, enhancing both structural resistance and overall prognosis. The surgical repair permits cleaning correctly the affected area with different instruments and techniques. Establishing a standardized surgical protocol is critical to achieve consistent clinical outcomes. Careful selection of the restorative material is essential and must be chosen according to the lesion's location, size, and accessibility. This presentation outlines the clinical indications for surgical intervention in ECR and proposes a step-by-step treatment protocol based on a series of clinical cases with a minimum follow-up of one year. Additionally, it provides evidence-based recommendations for selecting the most appropriate filling materials to optimize outcomes.

Learning Objectives:  

  • Identify which ECR cases require surgical treatment.
  • Describe a step-by-step protocol for the surgical management of ECR.
  • Compare different restorative materials for ECR considering critical factors such as defect location and extent.
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