LARGE RESORPTIVE LESIONS: ENDODONTIST’S DILEMMA TO TREAT OR EXTRACT?

Case Report: 38-year-old male complained of discolored upper front teeth. Cone Beam CT scan confirmed the clinical diagnosis of invasive cervical resorption (ICR) teeth 11, 21. The treatment plan was a stepwise process, involving extraction of 21, immediate denture placement, followed by restoration of resorption defect tooth 11 and prosthetic replacement tooth 21. The patient was asymptomatic clinically and radiographically at 3-, 6-and 18-months intervals. Discussion: Due to enigmatic etiology, ICR is often misdiagnosed and mistreated. Thus, proper diagnosis and treatment planning is vital for a successful outcome. This report helps in establishing standardized protocol in diagnosis and treatment of ICR.