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.
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.
Abstract
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 Reports |
| Authors | |
| Project Number | not applicable |
| Publication Date | June 30, 2024 |
| Submission Date | November 22, 2023 |
| Acceptance Date | February 19, 2024 |
| Published in Issue | Year 2024 |
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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