Rootless Tooth Hanging with Gutta Percha Cone: Report of a Case with Replacement Root Resorption

Tannishtha .; Shruthi Hegde; G Subhas Babu; Vıdya Ajıla

doi:10.7126/cumudj.1394372

EN

Rootless Tooth Hanging with Gutta Percha Cone: Report of a Case with Replacement Root Resorption

Abstract

Resorption results in damage of tissues by either physiologic or pathologic process. External tooth resorption begins within the cementum, dentin or both and continues inwards approaching the pulp of the tooth. It may penetrate the pulp if not treated, leading to a connection between the pulp tissue and the bone that surrounds it. Replacement root resorption is type of resorption distinguished by loss of tooth substance along with periodontal ligament (PDL) and its replacement by bone tissues resulting in dental ankylosis. External replacement resorption is progressive in nature. Age has a strong impact on rate of resorption, young individual has faster resorption. Present report describes the clinical, radiographic features of 18-year-old male reported with a mobile tooth in the maxillary anterior region for one month. Pinkish discoloration, mobility and intrusion were observed with the maxillary left central incisor (#21) and Ellis class II fracture was seen in the maxillary right central incisor (#11). Intra oral periapical radiograph revealed complete root resorption with 21 and radiopaque root canal restorative material in the alveolar region giving unique radiographic presentation of hanging crown with the support of gutta percha cone. Cone beam computed tomography after the tooth extraction revealed retained endodontic material in the alveolar bone. In cases of avulsion of tooth due to trauma and reimplantation the practicing dentists should be aware of prognosis in terms of external replacement root resorption and importance of regular long term follow up. Present article aims to report unique presentation of external replacement resorption, 10 years after trauma to the tooth.

Keywords

Project Number

not applicable

References

1. Aidos H, Diogo P, Santos JM. Root Resorption Classifications: A Narrative Review and a Clinical Aid Proposal for Routine Assessment. Eur Endod J. 2018; 3:134-145.
2. Abbott PV, Lin S. Tooth resorption—Part 2: A clinical classification. Dental Traumatology. 2022; 38:267–285.
3. Opacić-Galić V, Zivković S. Ucestalost eksternih resorpcija na korenu zuba [Frequency of the external resorptions of tooth roots]. Srp Arh Celok Lek. 2004;132:152-156.
4. Soares AJ, Souza GA, Pereira AC, Vargas-Neto J, Zaia AA, Silva EJ. Frequency of root resorption following trauma to permanent teeth. J Oral Sci. 2015;57:73-78.
5. Heithersay GS. Management of tooth resorption. Aust Dent J. 2007 ;52: S105-S121
6. Sapir S, Shapira J. Decoronation for the management of an ankylosed young permanent tooth. Dent Traumatol. 2008; 24:131-135.
7. Fuss Z, Tsesis I, Lin S. Root resorption – diagnosis, classification and treatment choices based on stimulation factors. Dent Traumatol. 2003; 19:175-182.
8. Şermet Elbay Ü, Elbay M, Kaya E, Sinanoglu A. Management of an intruded tooth and adjacent tooth showing external resorption as a late complication of dental injury: three-year follow-up. Case Rep Dent. 2015; 2015:741687

9. Lin S, Moreinos D, Kaufman AY, Abbott PV. Tooth Resorption – Part 1: The evolvement, rationales and controversies of tooth resorption. Dental Traumatology. 2022; 38:253–266.
10. Fernandes M, de Ataide I, Wagle R. Tooth resorption part I - pathogenesis and case series of internal resorption. J Conserv Dent. 2013; 16:4-8.
11. Lauridsen E, Blanche P, Yousaf N, Andreasen JO. The risk of healing complications in primary teeth with intrusive luxation: a retrospective cohort study. Dent Traumatol. 2017; 33:329–336
12. Andreasen JO, Hjørting- Hansen E. Replantation of teeth. I Radiographic and clinical study of 110 human teeth replanted after accidental loss. Acta Odontol Scand. 1966; 24:263–286.
13. Fernandes M, de Ataide I, Wagle R. Tooth resorption part II - external resorption: Case series. J Conserv Dent. 2013; 16:180-185.
14. Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 4. Factors related to periodontal ligament healing. Endod Dent Traumatol. 1995; 11:76– 89
15. Malmgren B, Malmgren O, Andreasen JO. Alveolar bone development after decoronation of ankylosed teeth. Endod Topics. 2006; 14:35– 40.
16. Abbott PV. Pulp, root canal and peri- radicular conditions. In: Ahmed H, Dummer PM, editors. Endodontic advances and evidence- based clinical guidelines. Oxford: Wiley; 2022. p. 83– 114
17. Abbott PV. Prevention and management of external inflammatory resorption following trauma to teeth. Aust Dent J. 2016; 61:82– 94.

Details

Primary Language

English

Subjects

Oral and Maxillofacial Radiology, Endodontics, Oral Medicine and Pathology

Journal Section

Case Report

Authors

Tannishtha .
0000-0002-9617-8959
India

Shruthi Hegde ^*
0000-0002-0744-5593
India

G Subhas Babu
0000-0001-9383-7886
India

Vıdya Ajıla
0000-0002-5744-9322
India

Publication Date

June 30, 2024

Submission Date

November 22, 2023

Acceptance Date

February 19, 2024

Published in Issue

Year 2024 Volume: 27 Number: 2

DOI

https://doi.org/10.7126/cumudj.1394372

IZ

https://izlik.org/JA57UT39PW

Cite

RIS / Bibtex

APA

., T., Hegde, S., Babu, G. S., & Ajıla, V. (2024). Rootless Tooth Hanging with Gutta Percha Cone: Report of a Case with Replacement Root Resorption. Cumhuriyet Dental Journal, 27(2), 136-141. https://doi.org/10.7126/cumudj.1394372

AMA

1.. T, Hegde S, Babu GS, Ajıla V. Rootless Tooth Hanging with Gutta Percha Cone: Report of a Case with Replacement Root Resorption. Cumhuriyet Dent J. 2024;27(2):136-141. doi:10.7126/cumudj.1394372

Chicago

., Tannishtha, Shruthi Hegde, G Subhas Babu, and Vıdya Ajıla. 2024. “Rootless Tooth Hanging With Gutta Percha Cone: Report of a Case With Replacement Root Resorption”. Cumhuriyet Dental Journal 27 (2): 136-41. https://doi.org/10.7126/cumudj.1394372.

EndNote

. T, Hegde S, Babu GS, Ajıla V (June 1, 2024) Rootless Tooth Hanging with Gutta Percha Cone: Report of a Case with Replacement Root Resorption. Cumhuriyet Dental Journal 27 2 136–141.

IEEE

[1]T. ., S. Hegde, G. S. Babu, and V. Ajıla, “Rootless Tooth Hanging with Gutta Percha Cone: Report of a Case with Replacement Root Resorption”, Cumhuriyet Dent J, vol. 27, no. 2, pp. 136–141, June 2024, doi: 10.7126/cumudj.1394372.

ISNAD

., Tannishtha - Hegde, Shruthi - Babu, G Subhas - Ajıla, Vıdya. “Rootless Tooth Hanging With Gutta Percha Cone: Report of a Case With Replacement Root Resorption”. Cumhuriyet Dental Journal 27/2 (June 1, 2024): 136-141. https://doi.org/10.7126/cumudj.1394372.

JAMA

1.. T, Hegde S, Babu GS, Ajıla V. Rootless Tooth Hanging with Gutta Percha Cone: Report of a Case with Replacement Root Resorption. Cumhuriyet Dent J. 2024;27:136–141.

MLA

., Tannishtha, et al. “Rootless Tooth Hanging With Gutta Percha Cone: Report of a Case With Replacement Root Resorption”. Cumhuriyet Dental Journal, vol. 27, no. 2, June 2024, pp. 136-41, doi:10.7126/cumudj.1394372.

Vancouver

1.Tannishtha ., Shruthi Hegde, G Subhas Babu, Vıdya Ajıla. Rootless Tooth Hanging with Gutta Percha Cone: Report of a Case with Replacement Root Resorption. Cumhuriyet Dent J. 2024 Jun. 1;27(2):136-41. doi:10.7126/cumudj.1394372