Review
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Root Resorption in the Permanent Teeth. A Review

Year 2023, Volume: 26 Issue: 3, 321 - 327, 29.09.2023
https://doi.org/10.7126/cumudj.1228236

Abstract

The loss of dental hard tissue as a result of odontoclastic activity is known as root resorption. It is unwanted and pathological in permanent teeth. Root resorption may happen within the root canal called internal root resorption or on the outer surface of the root called external root resorption. Regardless of where it occurs, root resorption is irreparable, can cause pain for the patient, necessitates treatment, and in some circumstances, resulting in the early loss of the affected tooth. It might be challenging to precisely diagnose and treat root resorption. There is limited information within literatures on root resorption therefore this review aims to understand the radiological and clinical characteristics of root resorption with evaluation of their effect in accurate diagnosis and management of root resorption in permanent teeth.

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References

  • 1. Harokopakis-Hajishengallis E. Physiologic root resorption in primary teeth: molecular and histological events. J Oral Sci 2007;49:1-2.
  • 2. Sak M, Radecka M, Karpiński TM, Wędrychowicz-Welman A, Szkaradkiewicz AK. Tooth root resorption: etiopathogenesis and classification. MicroMedicine 2016;4:21-31.
  • 3. Fuss Z, Tsesis I, Lin S. Root resorption–diagnosis, classification and treatment choices based on stimulation factors. Dent Traumatol 2003;19:175-82.
  • 4. MARINESCU IR, BĂNICĂ AC, MERCUŢ V, GHEORGHE AG, DRĂGHICI EC, COJOCARU MO, SCRIECIU M, POPESCU SM. Root resorption diagnostic: Role of digital panoramic radiography. Curr Health Sci J 2019;45:156.
  • 5. Trope M. Root resorption of dental and traumatic origin: classification based on etiology. Pract Periodontics Aesthet Dent 1998;10:515-522.
  • 6. Andreasen JO. Experimental dental traumatology: development of a model for external root resorption. Dent Traumatol 1987;3:269-287.
  • 7. 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.
  • 8. Da Silveira HL, Silveira HE, Liedke GS, Lermen CA, Dos Santos RB, De Figueiredo JA. Diagnostic ability of computed tomography to evaluate external root resorption in vitro. Dentomaxillofac Radiol 2007;36:393-396.
  • 9. Bergmans L, Van Cleynenbreugel J, Verbeken E, Wevers M, Van Meerbeek B, Lambrechts P. Cervical external root resorption in vital teeth: X‐ray microfocus‐tomographical and histopathological case study. J Clin Periodontol 2002;29:580-585.
  • 10. Laux M, Abbott PV, Pajarola G, Nair PN. Apical inflammatory root resorption: a correlative radiographic and histological assessment. Int Endod J 2000;33:483-493.
  • 11. Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J 2007;40:818-830.
  • 12. Patel K, Mannocci F, Patel S. The assessment and management of external cervical resorption with periapical radiographs and cone-beam computed tomography: a clinical study. J Endod 2016;42:1435-1440.
  • 13. Nilsson E, Bonte E, Bayet F, Lasfargues JJ. Management of internal root resorption on permanent teeth. Int J Dent 2013;2013.
  • 14. Liu DG, Zhang WL, Zhang ZY, Wu YT, Ma XC. Localization of impacted maxillary canines and observation of adjacent incisor resorption with cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:91-98.
  • 15. Jaju PP, Jaju SP. Clinical utility of dental cone-beam computed tomography: current perspectives. Clin Cosmet Investig Dent 2014;6:29.
  • 16. Patel S, Saberi N, Pimental T, Teng PH. Present status and future directions: Root resorption. Int Endod J 2022;55:892-921.
  • 17. Darcey J, Qualtrough A. Resorption: part 1. Pathology, classification and aetiology. Br Dent J 2013;214:439-51.
  • 18. Umashetty G, Hoshing U, Patil S, Ajgaonkar N. Management of inflammatory internal root resorption with Biodentine and thermoplasticised Gutta-Percha. Case Rep Dent 2015;2015.
  • 19. Thoma KH. Central osteoclastic resorption of dentine and complete repair with osteo-dentine in the permanent tooth of an adult. Dent Items Interest 1935;57:28.
  • 20. Cabrini RL, Maisto OA, Manfredi EE. Internal resorption of dentine: histopathologic control of eight cases after pulp amputation and capping with calcium hydroxide. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1957;10:90-96.
  • 21. Ahlberg K, Bystedt H, Eliasson S, Odenrick L. Long-term evaluation of autotransplanted maxillary canines with completed root formation. ACTA ODONTOL 1983;41:23-31.
  • 22. Patel S, Ricucci D, Durak C, Tay F. Internal root resorption: a review. J Endod 2010;36:1107-1121.
  • 23. Haapasalo M, Endal U. Internal inflammatory root resorption: the unknown resorption of the tooth. Endod Topics 2006;14:60-79.
  • 24. Lyroudia KM, Dourou VI, Pantelidou OC, Labrianidis T, Pitas IK. Internal root resorption studied by radiography, stereomicroscope, scanning electron microscope and computerized 3D reconstructive method. Dent Traumatol 2002;18:148-152.
  • 25. Adham AH, Ali AH, Mannocci F. Continuous Chelation Concept in Endodontics. J Baghdad Coll Dent 2022;34:59-69.
  • 26. Siqueira Jr JF, Rôças IN, Santos SR, Lima KC, Magalhães FA, de Uzeda M. Efficacy of instrumentation techniques and irrigation regimens in reducing the bacterial population within root canals. J Endod 2002;28:181-184.
  • 27. Priyalakshmi S, Ranjan M. Review on Biodentine-a bioactive dentin substitute. J Dent Med Sci 2014;13:51-57.
  • 28. Ali A, Banerjee A, Mannocci F. Effect of adhesive materials on shear bond strength of a mineral trioxide aggregate. Am J Dent 2016;29:46-50.
  • 29. Arnold M. Reparative endodontic treatment of a perforating internal inflammatory root resorption: a case report. J Endod 2021;47:146-155.
  • 30. Kaval ME, Güneri P, Çalışkan MK. Regenerative endodontic treatment of perforated internal root resorption: a case report. Int Endod J 2018;51:128-137.
  • 31. Haapasalo M, Endal U. Internal inflammatory root resorption: the unknown resorption of the tooth. Endod Topics 2006;14:60-79.
  • 32. Nagne M, Ikhar A. A Review on Internal Resorption. J Pharm Res Int 2021;33:3458-3465.
  • 33. Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic imaging: part 1. Conventional and alternative radiographic systems. Int Endod J 2009;42:447-462.
  • 34. Bhuva B, Barnes JJ, Patel S. The use of limited cone beam computed tomography in the diagnosis and management of a case of perforating internal root resorption. Int Endod J 2011;44:777-786.
  • 35. Abbott PV. Prevention and management of external inflammatory resorption following trauma to teeth. Aust Dent J 2016;61:82-94.
  • 36. Alhashimi R. Effects of heating on the physical properties of bio ceramic root canal sealer (in vitro comparative). J Popul 2023;30:1-8.
  • 37. 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.
  • 38. Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 4. Factors related to periodontal ligament healing. Dent Traumatol 1995;11:76-89.
  • 39. Trope M. Clinical management of the avulsed tooth: present strategies and future directions. Dent Traumatol 2002;18:1-1.
  • 40. Yoshpe M, Einy S, Ruparel N, Lin S, Kaufman AY. Regenerative endodontics: a potential solution for external root resorption (case series). J Endod 2020;46:192-199.
  • 41. Patel S, Mavridou AM, Lambrechts P, Saberi N. External cervical resorption‐part 1: histopathology, distribution and presentation. Int Endod J 2018;51:1205-1223.
  • 42. Cvek M, Lindvall AM. External root resorption following bleaching of pulpless teeth with oxygen peroxide. Dent Traumatol 1985;1:56-60.
  • 43. Rotstein I, Torek Y, Misgav R. Effect of cementum defects on radicular penetration of 30% H2O2 during intracoronal bleaching. J Endod 1991;17:230-233.
  • 44. Irinakis E, Aleksejuniene J, Shen Y, Haapasalo M. External cervical resorption: A retrospective case-control study. J Endod 2020;46:1420-1427.
  • 45. Patel S, Kanagasingam S, Ford TP. External cervical resorption: a review. J Endod 2009;35:616-25.
  • 46. Patel S, Foschi F, Mannocci F, Patel K. External cervical resorption: a three‐dimensional classification. Int Endod J 2018;51:206-214.
  • 47. Patel S, Foschi F, Condon R, Pimentel T, Bhuva B. External cervical resorption: part 2–management. Int Endod J 2018;51:1224-1238.
  • 48. Al-Hashimi RA, Habeeb MA, Al-Kinani AA. A Comparative Evaluation of Apical Seal Associated with Ultrasonic Retrograde Cavities Filled with Bioactive Material (In Vitro Study). J Baghdad Coll Dent 2016;28:15-21.
Year 2023, Volume: 26 Issue: 3, 321 - 327, 29.09.2023
https://doi.org/10.7126/cumudj.1228236

Abstract

References

  • 1. Harokopakis-Hajishengallis E. Physiologic root resorption in primary teeth: molecular and histological events. J Oral Sci 2007;49:1-2.
  • 2. Sak M, Radecka M, Karpiński TM, Wędrychowicz-Welman A, Szkaradkiewicz AK. Tooth root resorption: etiopathogenesis and classification. MicroMedicine 2016;4:21-31.
  • 3. Fuss Z, Tsesis I, Lin S. Root resorption–diagnosis, classification and treatment choices based on stimulation factors. Dent Traumatol 2003;19:175-82.
  • 4. MARINESCU IR, BĂNICĂ AC, MERCUŢ V, GHEORGHE AG, DRĂGHICI EC, COJOCARU MO, SCRIECIU M, POPESCU SM. Root resorption diagnostic: Role of digital panoramic radiography. Curr Health Sci J 2019;45:156.
  • 5. Trope M. Root resorption of dental and traumatic origin: classification based on etiology. Pract Periodontics Aesthet Dent 1998;10:515-522.
  • 6. Andreasen JO. Experimental dental traumatology: development of a model for external root resorption. Dent Traumatol 1987;3:269-287.
  • 7. 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.
  • 8. Da Silveira HL, Silveira HE, Liedke GS, Lermen CA, Dos Santos RB, De Figueiredo JA. Diagnostic ability of computed tomography to evaluate external root resorption in vitro. Dentomaxillofac Radiol 2007;36:393-396.
  • 9. Bergmans L, Van Cleynenbreugel J, Verbeken E, Wevers M, Van Meerbeek B, Lambrechts P. Cervical external root resorption in vital teeth: X‐ray microfocus‐tomographical and histopathological case study. J Clin Periodontol 2002;29:580-585.
  • 10. Laux M, Abbott PV, Pajarola G, Nair PN. Apical inflammatory root resorption: a correlative radiographic and histological assessment. Int Endod J 2000;33:483-493.
  • 11. Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J 2007;40:818-830.
  • 12. Patel K, Mannocci F, Patel S. The assessment and management of external cervical resorption with periapical radiographs and cone-beam computed tomography: a clinical study. J Endod 2016;42:1435-1440.
  • 13. Nilsson E, Bonte E, Bayet F, Lasfargues JJ. Management of internal root resorption on permanent teeth. Int J Dent 2013;2013.
  • 14. Liu DG, Zhang WL, Zhang ZY, Wu YT, Ma XC. Localization of impacted maxillary canines and observation of adjacent incisor resorption with cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:91-98.
  • 15. Jaju PP, Jaju SP. Clinical utility of dental cone-beam computed tomography: current perspectives. Clin Cosmet Investig Dent 2014;6:29.
  • 16. Patel S, Saberi N, Pimental T, Teng PH. Present status and future directions: Root resorption. Int Endod J 2022;55:892-921.
  • 17. Darcey J, Qualtrough A. Resorption: part 1. Pathology, classification and aetiology. Br Dent J 2013;214:439-51.
  • 18. Umashetty G, Hoshing U, Patil S, Ajgaonkar N. Management of inflammatory internal root resorption with Biodentine and thermoplasticised Gutta-Percha. Case Rep Dent 2015;2015.
  • 19. Thoma KH. Central osteoclastic resorption of dentine and complete repair with osteo-dentine in the permanent tooth of an adult. Dent Items Interest 1935;57:28.
  • 20. Cabrini RL, Maisto OA, Manfredi EE. Internal resorption of dentine: histopathologic control of eight cases after pulp amputation and capping with calcium hydroxide. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1957;10:90-96.
  • 21. Ahlberg K, Bystedt H, Eliasson S, Odenrick L. Long-term evaluation of autotransplanted maxillary canines with completed root formation. ACTA ODONTOL 1983;41:23-31.
  • 22. Patel S, Ricucci D, Durak C, Tay F. Internal root resorption: a review. J Endod 2010;36:1107-1121.
  • 23. Haapasalo M, Endal U. Internal inflammatory root resorption: the unknown resorption of the tooth. Endod Topics 2006;14:60-79.
  • 24. Lyroudia KM, Dourou VI, Pantelidou OC, Labrianidis T, Pitas IK. Internal root resorption studied by radiography, stereomicroscope, scanning electron microscope and computerized 3D reconstructive method. Dent Traumatol 2002;18:148-152.
  • 25. Adham AH, Ali AH, Mannocci F. Continuous Chelation Concept in Endodontics. J Baghdad Coll Dent 2022;34:59-69.
  • 26. Siqueira Jr JF, Rôças IN, Santos SR, Lima KC, Magalhães FA, de Uzeda M. Efficacy of instrumentation techniques and irrigation regimens in reducing the bacterial population within root canals. J Endod 2002;28:181-184.
  • 27. Priyalakshmi S, Ranjan M. Review on Biodentine-a bioactive dentin substitute. J Dent Med Sci 2014;13:51-57.
  • 28. Ali A, Banerjee A, Mannocci F. Effect of adhesive materials on shear bond strength of a mineral trioxide aggregate. Am J Dent 2016;29:46-50.
  • 29. Arnold M. Reparative endodontic treatment of a perforating internal inflammatory root resorption: a case report. J Endod 2021;47:146-155.
  • 30. Kaval ME, Güneri P, Çalışkan MK. Regenerative endodontic treatment of perforated internal root resorption: a case report. Int Endod J 2018;51:128-137.
  • 31. Haapasalo M, Endal U. Internal inflammatory root resorption: the unknown resorption of the tooth. Endod Topics 2006;14:60-79.
  • 32. Nagne M, Ikhar A. A Review on Internal Resorption. J Pharm Res Int 2021;33:3458-3465.
  • 33. Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic imaging: part 1. Conventional and alternative radiographic systems. Int Endod J 2009;42:447-462.
  • 34. Bhuva B, Barnes JJ, Patel S. The use of limited cone beam computed tomography in the diagnosis and management of a case of perforating internal root resorption. Int Endod J 2011;44:777-786.
  • 35. Abbott PV. Prevention and management of external inflammatory resorption following trauma to teeth. Aust Dent J 2016;61:82-94.
  • 36. Alhashimi R. Effects of heating on the physical properties of bio ceramic root canal sealer (in vitro comparative). J Popul 2023;30:1-8.
  • 37. 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.
  • 38. Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 4. Factors related to periodontal ligament healing. Dent Traumatol 1995;11:76-89.
  • 39. Trope M. Clinical management of the avulsed tooth: present strategies and future directions. Dent Traumatol 2002;18:1-1.
  • 40. Yoshpe M, Einy S, Ruparel N, Lin S, Kaufman AY. Regenerative endodontics: a potential solution for external root resorption (case series). J Endod 2020;46:192-199.
  • 41. Patel S, Mavridou AM, Lambrechts P, Saberi N. External cervical resorption‐part 1: histopathology, distribution and presentation. Int Endod J 2018;51:1205-1223.
  • 42. Cvek M, Lindvall AM. External root resorption following bleaching of pulpless teeth with oxygen peroxide. Dent Traumatol 1985;1:56-60.
  • 43. Rotstein I, Torek Y, Misgav R. Effect of cementum defects on radicular penetration of 30% H2O2 during intracoronal bleaching. J Endod 1991;17:230-233.
  • 44. Irinakis E, Aleksejuniene J, Shen Y, Haapasalo M. External cervical resorption: A retrospective case-control study. J Endod 2020;46:1420-1427.
  • 45. Patel S, Kanagasingam S, Ford TP. External cervical resorption: a review. J Endod 2009;35:616-25.
  • 46. Patel S, Foschi F, Mannocci F, Patel K. External cervical resorption: a three‐dimensional classification. Int Endod J 2018;51:206-214.
  • 47. Patel S, Foschi F, Condon R, Pimentel T, Bhuva B. External cervical resorption: part 2–management. Int Endod J 2018;51:1224-1238.
  • 48. Al-Hashimi RA, Habeeb MA, Al-Kinani AA. A Comparative Evaluation of Apical Seal Associated with Ultrasonic Retrograde Cavities Filled with Bioactive Material (In Vitro Study). J Baghdad Coll Dent 2016;28:15-21.
There are 48 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Review
Authors

Ammar Sharki 0000-0002-5282-4189

Ahmed Ali 0000-0002-1083-9913

Publication Date September 29, 2023
Submission Date January 2, 2023
Published in Issue Year 2023Volume: 26 Issue: 3

Cite

EndNote Sharki A, Ali A (September 1, 2023) Root Resorption in the Permanent Teeth. A Review. Cumhuriyet Dental Journal 26 3 321–327.

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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