Michael Solomonov, DMD, is an Israeli board certified endodontist and the director of the Postgraduate Endodontic program in Endodontics at the Sheba Medical Center, Tel-Hashomer, IDF, Israel .
Dr. Solomonov received his DMD degree at the Tel Aviv University in Israel in 1994, and in 2002 graduated from the 3 years postgraduate program in Endodontology at the Hebrew University – Hadassah in Jerusalem.
From 2003 to 2010 Dr. Solomonov served as an clinical instructor at the Hebrew University, Hadassah School of Dental Medicine, Department of Endodontics, Jerusalem. From 2011 he serves as the director of the postgraduate endodontic program in Endodontic department at the Sheba Medical Center, Tel-Hashomer, IDF, Israel.
From 2008 Dr. Solomonov is an examiner for the Israeli Board of Endodontics at the Scientific Council of the Israeli Dental Association.
He is a member of the American Association of Endodontics (AAE), the European Society of Endodontology (ESE) and the Israeli Endodontic society.
Dr. Solomonov has presented and lectured at national and international congresses in Israel, Russia, Greece, Poland, Japan, Italy, Ukraine, Kazakhstan, Kyrgyzstan, Germany, Moldova, Spain, France, Canada, and Slovenia.
He has published 40 peer-reviewed scientific articles, as well as textbook on clinical endodontics.
Since 1999 he operates a private practice limited to endodontics. He is the founder of the Endodontic Medical Center at the Tel-Aviv metropolis, where he works clinically, alongside board certified endodontists, as well as carries out private courses on contemporary endodontics.
Invasive Cervical Resorption (ICR) lesions are an insidious form of root resorption with an unclear etiology, and may be of an aggressive nature. ICR lesions present a diagnostic and treatment challenge, and often demands a multidisciplinary approach.
CBCT imaging allows us to be accurate in the diagnosis and classification of the lesion. We can identify the exact place and dimension of the entry point of the resorbing tissue, a key factor in treatment planning. Treatment is aimed at eliminating the resorbing tissue, disruption of blood supply to the resorbing tissue and restoring the tooth. The approach may be non- surgical or surgical and may include in some cases endodontic treatment. Orthodontic extrusion, root amputations or extractions may be indicated in some cases.
We developed a decision making tree based on the position of the ICR lesion regarding the bone crest, the width of its entry point and esthetic considerations. Narrow entry points may be successfully treated by an internal endodontic approach, without any periodontal surgery.
Esthetic consideration may result in forced eruption rather than resective periodontal surgery. Extraction is indicated in cases which present a wide infracrestal ICR lesion. Immediate implantation may be an option in these cases, since the site is most often not infected.
I will present clinical cases followed up for 3 years, depicting our decision making tree, treated with different treatment modalities.