Case Report

Repair of an Extensive External Cervical Resorption Lesion Using Intentional Replantation with Crown Rotation

Table 1

Timeline symptoms and treatment of maxillary second incisor.

Clinical main symptomsClinical treatment

Ten years previously (private dental clinic)AsymptomaticShe visited a private clinic due to trauma. Caries treatment
Several weeks previously (private dental clinic)Uncomfortable feelingReferred to a university hospital for ECR
Radiographic translucency became larger
Root canal treatment (at dental hospital)Uncomfortable sensationRoot canal treatment
Slightly tenderness to the percussion
No tenderness to palpation
Pulp sensibility tests show negative (thermal stimulation test and electrical pulp test)
Periodontal probing depths of 4 mm (palatal side) with bleeding and slight pus
No pathologic tooth mobility
Root canal filling (at dental hospital)Resolution discomfortRoot canal treatment (root canal filling)
No tenderness to percussion and palpation
No periodontal problems
Orthodontic treatment (at dental hospital)No clinical symptomA custom orthodontic device was set (3-week duration)
Intentional replantation (at dental hospital)No clinical symptomGranulation tissue and affected ECR dentin were removed.
Resin composite restoration for defect due to ECR
Intentional replantation with crown rotation
The healing period is 3 months due to COVID-19
Follow-up 1-week after intentional replantation (at dental hospital)Postoperative slight tooth mobilityRemoving sutures and fixing resin cement for stability
Follow up 3 months after intentional replantation (at dental hospital)Postoperative tooth mobility is within normal limitProvisional restoration was fabricated. (Delayed schedule due to COVID-19)
Follow up 6 months after intentional replantation (at dental hospital)No clinical symptomA composite resin crown was constructed
Follow up 18-months after intentional replantation (at dental hospital)No clinical symptom