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CC BY-NC-ND 4.0 · European Journal of General Dentistry 2017; 6(03): 127-130
DOI: 10.4103/ejgd.ejgd_138_16
Case Report

Diagnosis and management of root resorption in traumatized teeth: Report of two cases

Thiago Farias Rocha Lima
Department of Restorative Dentistry, Federal University of Paraíba, João Pessoa, PB, Brazil
,
Julio Vargas Neto
1   Department of Restorative Dentistry, State University of Campinas, Piracicaba, SP, Brazil
,
Adriana de Jesus Soares
1   Department of Restorative Dentistry, State University of Campinas, Piracicaba, SP, Brazil
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Abstract

Internal resorption (IR) is a progressive process initiated within the pulp space with the loss of dentin. Although trauma and pulp inflammation/infection are the major contributory factors in the initiation of IR, all the etiologic factors and the pathogenesis have not yet been completely elucidated. Cervical external resorption is defined as a localized resorptive process that commences on the surface of the root below the epithelial attachment and the coronal aspect of the supporting alveolar process, namely, the zone of the connective tissue attachment. This report is presented two cases of root resorption (external cervical resorption and inflammatory IR) in traumatized teeth where cone beam computed tomography has been used as an important diagnostic tool. Treatment of external cervical resorption involved endodontics and periodontics. In case with inflammatory IR, only endodontic treatment was necessary. The postoperative course was uneventful and a stable clinical outcome was obtained.

Keywords

Cone beam computed tomography - dental trauma - root resorption


Publication History

Article published online:
01 November 2021

© 2017. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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  • References

  • 1 Harokopakis-Hajishengallis E. Physiologic root resorption in primary teeth: Molecular and histological events. J Oral Sci 2007;49:1-12.
  • 2 Patel S, Ricucci D, Durak C, Tay F. Internal root resorption: A review. J Endod 2010;36:1107-1121.
  • 3 Patel S, Kanagasingam S, Pitt Ford T. External cervical resorption: A review. J Endod 2009;35: 616-25.
  • 4 Durack C, Patel S. Cone Beam Computed Tomography in Endodontics. Braz Dent J 2012;23:179-191.
  • 5 Durack C, Patel S, Davies J, Wilson R, Mannocci F. Diagnostic accuracy of small volume cone beam computed tomography and intraoral periapical radiography for the detection of simulated external inflammatory root resorption. Int Endod J 2011;44:136- 147.
  • 6 Tyndall DA, Kohltfarber H. Applications of cone beam volumetric tomography in endodontics. Aust Dent J 2012;57:72-81.
  • 7 Ikhar, A, Thakur N, Patel A, Bhede R, Patil P, Gupta S. Management of external invasive cervical resorption tooth with mineral trioxide aggregate: A case report. Case Rep Med 2013;2013:139801. doi: 10.1155/2013/139801.
  • 8 Baranwal, AK. Management of external invasive cervical resorption of tooh with Biodentine: A case report. J Conser Dent 2016;19:266-9.
  • 9 Heithersay GS. Clinical, radiologic and histopathologic features of invasive cervical resorption. Quintessence Int 1999;30:27-37.
  • 10 Durack C, Patel S, Davies J, Wilson R, Mannocci F. Diagnostic accuracy of small volume cone beam computed tomography and intraoral periapical radiography for the detection of simulated external inflammatory root resorption. Int Endod J 2011;44:136-47.
  • 11 Tyndall DA, Kohltfarber H. Applications of cone beam volumetric tomography in endodontics. Aust Dent J 2012;57:72-81.
  • 12 Ball RL, Barbizam JV, Cohenca N. Intraoperative endodontic applications of Cone-Beam Computed. J Endod 2013;39:548-57.
  • 13 Lima TF, Gamba TO, Zaia AA, Soares AJ. Evaluation of cone beam computed tomography and periapical radiography in the diagnosis of root resorption. Aus Dent J 2016:61:425-431.
  • 14 Dias C, Closs L, Barletta F, Reston E, Tovo MF, Lambert P. Root resorption a 6-year follow-up case report. Open Dent J 2015,31:103-5.
  • 15 Roig M, Morelló S, Mercadé M, Durán-Sindreu F. Invasive cervical resorption: Report on two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 110: 64-9.
  • 16 Kim SY, Yang SE. Surgical repair of external inflammatory root resorption with resin-modified glass ionomer cement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111:33-6.
  • 17 Malkondu O, Karapinar Kazandag M, Kazazoglu E. A review on biodentine, a contemporary dentine replacement and repair material. Biomed Res Int 2014;2014:160951.
  • 18 Valles M, Mercade M, Duran-Sindreu F. Influence of light and oxygen on the color stability of five calcium silicate-based materials. J Endod 2013;39:525-8.
  • 19 Altundasar E, Demir B. Management of a perforating internal resorptive defect with mineral trioxode aggregate: A case report. J Endod 2009;35:1441-4.
  • 20 Jacobovitz M, de Lima RK. Treatment of inflammatory internal root resorption with mineral trioxide aggregate: A case report. Int Endod J 2008;41:905-12.
  • 21 Bystrom A, Claesson R, Sundqvist G. The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Endod Dent Traumatol 1985;1:170-5.
  • 22 Sjgoren U, Figdor D, Spangberg L, Sundqvist G. The antimicrobial effect of calcium hydroxide as a short-term intracanal dressing. Int Endod J 1991; 24:119-25.
  • 23 Hedge N, Hedge MN. Internal and external root resorption management: A report of two cases. Int J Clin Pediatr Dent 2013;6:44-7.
  • 24 Mittal S, Kumar T, Mittal S, Sharma J. Internal root resorption: An endodontic challenge - A case series. J Conserv Dent 2014;17:590-3.