Case Report

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

Volume: 27 Number: 2 June 30, 2024
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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

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Details

Primary Language

English

Subjects

Oral and Maxillofacial Radiology , Endodontics , Oral Medicine and Pathology

Journal Section

Case Report

Authors

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
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.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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