Treatment Approaches for Pre-Eruptive Intracoronal Resorption According to Lesion Grade and Pulp Involvement: A Systematic Review of Case Reports and Case Series.
Paulina Radomyska, Natalia Torlińska-Walkowiak, Renata Śniatała et al.
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In 30 seconds
This systematic review synthesized case reports and case series describing treatment of pre-eruptive intracoronal resorption (PEIR), a condition without standardized treatment guidelines. Forty-six studies were included: 35 case reports and 11 case series. Management varied with lesion size, eruption status, and pulpal involvement, ranging from observation or sealants to restoration, surgical exposure, pulp or endodontic treatment, and extraction. Outcomes were variable, and the evidence was insufficient to estimate treatment success, failure, recurrence, or prognosis, or to compare the effectiveness of approaches.
Key findings
- The review included 46 studies: 35 case reports and 11 case series.
- Reported approaches included observation or sealants (12 cases), restoration (14), surgical exposure (12), vital pulp or endodontic therapy (9), and extraction (14).
- Clinical and radiographic outcomes varied, and the evidence did not support reliable estimates of success, failure, recurrence, or prognosis.
Why it matters
PEIR management is described across a broad range of approaches, with decisions reported as varying by lesion characteristics and pulpal involvement. However, the evidence base consists of case reports and case series and cannot establish which approach is more effective. This limits the certainty clinicians can bring to treatment selection and prognosis discussions.
What to keep in mind
Evidence was limited to case reports and case series, preventing reliable estimates of outcomes or comparisons between management approaches.