{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:42:15Z","timestamp":1786653735566,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The presence of both a pathologic external cervical resorption (ECR) and an iatrogenic over-enlarged root canal with a widened apex can significantly compromise the structural integrity of a tooth. Furthermore, regular restorative-endodontic management of the involved tooth poses many procedural challenges and difficulties. However, a multi-modal approach involving nonsurgical and surgical procedures with the application of advances in endodontics can help to manage and salvage such a tooth. This article aims to report on a case of multi-modal management with the application of cone-beam computed tomography, micro-endodontics, bioactive and biomimetic materials, and monobloc effect to manage and structurally rehabilitate and reinforce a tooth affected by both ECR and over enlarged canal with a widened apex. This multi-modal approach was applied with nonsurgical and surgical treatments to restoratively and endodontically manage the affected tooth. Clinical and radiographic follow-up of the tooth was uneventful and showed satisfactory and favorable outcomes.<\/jats:p>","DOI":"10.4103\/ccd.ccd_501_24","type":"journal-article","created":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T03:18:39Z","timestamp":1743218319000},"page":"61-64","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Multi-modal Restorative Endodontic Management to Rehabilitate and Salvage a Tooth with External Cervical Resorption and Iatrogenic Over Enlarged Root Canal with Widened Apex"],"prefix":"10.4103","volume":"16","author":[{"given":"Gopal Chandra","family":"Sanyal","sequence":"first","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Manipal University College Malaysia, Melaka, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.R. Vivekananda","family":"Pai","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Manipal University College Malaysia, Melaka, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Harishma","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Chettinad Dental College and Research Institute, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riddhi","family":"Kotecha","sequence":"additional","affiliation":[{"name":"Endodontist, Private Practice, Vadodara, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"R2-20250327","doi-asserted-by":"crossref","first-page":"1602","DOI":"10.1016\/j.joen.2017.05.026","article-title":"Descriptive analysis of factors associated with external cervical 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Endod"},{"key":"R6-20250327","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.1016\/j.joen.2018.07.020","article-title":"Invasive cervical resorption:Clinical management in the anterior zone","volume":"44","author":"Espona","year":"2018","journal-title":"J Endod"},{"key":"R7-20250327","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1111\/iej.13717","article-title":"External cervical resorption \u2013Treatment outcomes and determinants:A retrospective cohort study with up to 10 years of follow-up","volume":"55","author":"Irinakis","year":"2022","journal-title":"Int Endod J"},{"key":"R8-20250327","first-page":"1794","article-title":"Rehabilitation of surgically failed anterior teeth using bioactive material and monoblock effect","volume":"7","author":"Jain","year":"2015","journal-title":"Indian J Dent Adv"},{"key":"R9-20250327","doi-asserted-by":"crossref","first-page":"9","DOI":"10.3390\/jimaging10010009","article-title":"Upper first and second molar pulp chamber endodontic anatomy evaluation according to a recent classification:A cone beam computed tomography study","volume":"10","author":"Reda","year":"2023","journal-title":"J Imaging"},{"key":"R10-20250327","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1016\/j.joen.2022.05.009","article-title":"Mechanical performance and metallurgical characteristics of 5 different single-file reciprocating instruments:A comparative in vitro and laboratory study","volume":"48","author":"Seracchiani","year":"2022","journal-title":"J Endod"},{"key":"R11-20250327","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/etp.12075","article-title":"Bioceramic materials in endodontics","volume":"32","author":"Wang","year":"2015","journal-title":"Endod Top"},{"key":"R12-20250327","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1111\/iej.12843","article-title":"Mineral trioxide aggregate and other bioactive endodontic cements:An updated overview \u2013Part II:Other clinical applications and complications","volume":"51","author":"Torabinejad","year":"2018","journal-title":"Int Endod J"}],"container-title":["Contemporary Clinical Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_501_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:41:33Z","timestamp":1786650093000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_501_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ccd.ccd_501_24","relation":{},"ISSN":["0976-237X","0976-2361"],"issn-type":[{"value":"0976-237X","type":"print"},{"value":"0976-2361","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-11-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}