External resorption (by Ilya Mer)

This patient had no any complains but aesthetics. Restoration was replaced 3 times during 5 years. A year before  dentist  noticed a pink spot on palatal side. X-ray and CBCT  confirmed diagnosis of external resorption

Preop X-ray and CBCT show huge cervical cavity
Preop X-ray and CBCT show huge cervical cavity
Some enamel fractures seen just over the "pink spot". Fortunately pulp wasn't involved and no perforation into pulp space. The main idea of the treatment was to cut altered gingiva out with diode laser clean the cavity and not  penetrate pulp space.
Some enamel fractures seen just over the “pink spot”. Fortunately pulp wasn’t involved and no perforation into pulp space. The main idea of the treatment was to cut altered gingiva out with diode laser clean the cavity and not penetrate pulp space.
Final view. Filling was carried out with dual cure composite2 weeks of sensitivity for cold water and it was  gone
Final view. Filling was carried out with dual cure composite
2 weeks of sensitivity for cold water and it was gone

 

 

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