Idiopathic root resorption: report of a case

A case of multiple idiopathic apical root resorption in a 26-yr-old female patient is presented. A review of the literature revealed that extensive idiopathic root resorption is unusual. Neither local nor systemic etiological factors were found in our case. Examination of parents and siblings did not reveal a familiar tendency. Radiographs and clinical evaluation showed a very poor prognosis for most of the teeth present in the mouth of our patient.     

Generalized idiopathic root resorption: a case report

BACKGROUND: Cases of generalized idiopathic root resorption have been reported in the literature. However the majority of previously reported cases have affected adults, and it has been rare that a possible link to a medical condition has been found. CASE REPORT: The subject of this case report was 11 years old when generalized root resorption was first diagnosed. This case report is unusual in that the resorption may be connected to a bone dysplasia. The possible medical diagnoses and links to tooth resorption have been discussed for this very rare case. CONCLUSION: The investigation into the exact diagnosis of the patient and the treatment of tooth resorption is still ongoing and has required input from many disciplines of Medicine and Dentistry.     

Multiple idiopathic apical root resorption: a case report

AIM: To report a rare case of multiple idiopathic apical root resorption in an adult male. SUMMARY: A 27-year-old male with no history of medical or dental disorders was referred by his family dentist for evaluation of extreme root resorption involving the apical region of most of his teeth. A complete haematological investigation was conducted and all the results were within the normal range. Mobility of the teeth was physiologic and no abnormal periodontal pockets were observed. A diagnosis of multiple idiopathic apical root resorption was made. KEY LEARNING POINTS: *Apical root resorption of multiple teeth can be related to no specific aetiology and is known as idiopathic apical root resorption. *It is mostly seen in young adult males; maxillary teeth are more frequently involved. *No preventive or therapeutic regimen is known and monitoring accompanied by periodontal maintenance is recommended.     

Rapidly progressive internal root resorption: a case report

Abstract – The etiology of internal root resorption is not fully understandable, trauma and chronic pulpitis are considered the main risk factors. Usually the process is asymptomatic and diagnosed upon routine radiographic examination. This case report presents a rapid progression of internal resorption related directly to traumatic injury. A 16‐year‐old female arrived at the emergency room after a mild extrusion of the mandibular incisors. The initial treatment included repositioning and splinting of the teeth. Radiographs performed at repositioning and splinting demonstrated normal configuration of the incisor’s roots. Ten months later progressive internal resorption of the left mandibular first incisor was diagnosed. While treating this tooth similar process was detected in the right mandibular second incisor and in the mandibular left second incisor. The lower right first incisor reacted inconsistently to vitality test. As a result of the severe and rapidly progressive nature of the process, root canal treatments were performed in all lower incisors. The follow‐up radiographs demonstrate arrest of the internal resorption process.     

External root resorption after bleaching: a case report.

An external root resorption occurred after bleaching and was diagnosed radiographically in a 26-year-old female dental assistant. The resorption was noticed 6 months after bleaching. The involved tooth had no history of trauma. An attempt to stop the resorption by using calcium hydroxide failed. The perforation was corrected surgically with amalgam.     

Management of apical inflammatory root resorption: report of a case

This article describes the diagnosis and treatment of a case of extensive apical external root resorption in the presence of a large periradicular lesion. The diagnosis was made in retrospect because the result of the resorption mimicked an immature root. The treatment consisted of the use of calcium hydroxide to induce apexification. Healing was obtained after 24 months.     

Osteoblastoma of the mandible with root resorption: a case report.

This article reviews the clinical behavior, histologic features, differential diagnosis, and treatment of a benign osteoblastoma. Benign osteoblastoma is a rare tumor constituting 1% of all primary bone tumors. Only 15% of osteoblastomas occur in the skull and jaw bones. The most common clinical presentation is a painful or tender swelling. A case is presented of a 21-year-old female who had noted discomfort for approximately 2 years, and the pain was not relieved by any analgesic. The choice of treatment was local excision and curettage. In this case, root resorption of the adjacent tooth, which is not a characteristic behavior of osteoblastoma, is seen.     

Treatment of perforating internal root resorption with MTA: a case report

Endodontic treatment of teeth with perforating internal root resorption represents a clinical challenge. In most cases, extraction of the tooth and subsequent replacement with an osseointegrated implant is indicated. Presented herein is a case report of a maxillary lateral incisor with advanced perforating internal root resorption in the middle third of the root and the presence of a sinus tract. Mineral Trioxide Aggregate (MTA) was used with the aid of a surgical microscope in order to fill the resorption area after conventional root canal therapy of the apical segment. At the follow-up after 11 years and 8 months, the patient was clinically asymptomatic and the sinus tract had disappeared. The radiographic examination and computerized tomography indicated periodontal bone repair.     

Surgical root restoration after external inflammatory root resorption: A case report

External inflammatory root resorption after a jaw fracture is rare. This report describes a case of extensive external root resorption in the middle third of the root of a mandibular right canine after a mandibular fracture involving the tooth socket. Because of delayed treatment and damage to the root caused by a surgical screw, root canal treatment was performed followed by surgical intervention. The resorptive defect was debrided and part of the root was rebuilt with conventionally setting restorative glass ionomer cement. Postoperative follow-up revealed complete healing.     

Cervical external root resorption following trauma—a case report

Summary. A case is presented in which cervical external root resorption occurred 3 years after trauma. Poor soft tissue management at the time of initial treatment is considered to have contributed significantly to the development of the lesion.     

Multiple idiopathic root resorption in monozygotic twins: case report

Idiopathic root resorption of the permanent dentition is encountered occasionally during routine dental examinations. A case is presented of this relatively rare condition in monozygotic twins. Examination of siblings and the patients' mother did not show a resorptive process. A 6-month follow-up examination revealed the resorption to be arrested.     

External root resorption following partial-thickness connective tissue graft placement: a case report

We report an unusual case of external root resorption (ERR) that developed in a 37-year-old black male approximately 1 year following routine partial thickness connective tissue graft surgery. The lesion was accessed via flap surgery, thoroughly root planed, and the mucoperiosteal flap replaced. The site healed uneventfully and the patient has been closely observed for over 1 year without symptoms or recurrence of the resorptive lesion and the affected tooth remained vital. Clinicians performing partial-thickness connective tissue grafts should be alert to the possible occurrence of root resorption over extended periods of time. The authors speculate that retention of the donor periosteum with placement on the recipient dentin and root biomodification may limit the resorptive response following connective tissue graft procedures to treat tooth root recession.     

Treatment of inflammatory internal root resorption with mineral trioxide aggregate: a case report

Aim To report the treatment and follow‐up of a maxillary central incisor with internal resorption managed by root canal treatment, white mineral trioxide aggregate (MTA) repair and a fibre‐glass post for reinforcement. Summary This study presents a case of extensive internal root resorption affecting tooth 11 (FDI) in a 28‐year‐old male patient, with a history of trauma in that region. The substantial loss of tooth structure, including cementum, and a perforation with lateral periodontal communication were complicating factors. Despite a guarded prognosis but encouraged by a healthy periodontal condition, treatment based on reconstructing the tooth with white MTA and a fibre‐glass core was carried out. Follow‐up radiographs over 20 months demonstrated the maintenance of a functional tooth. The tooth did, however, discolour after MTA treatment. Key learning points • Because of its insidious pathology, internal root resorption can extend to significant dimensions before being recognized. • MTA plus the fitting of a fibre‐glass post provided adequate, functional rehabilitation of a compromised tooth for 20 months. • Despite the favourable biological and mechanical properties of white MTA, considerable tooth discolouration may occur.     

Monozygotic twins with idiopathic internal root resorption: A case report

This study presents the first case of internal root resorption in monozygotic twins. Genetic factors have been implicated in the development of root resorption lesions. The link between interleukin (IL)-1 gene polymorphism and root resorption had been reported. However, these studies have involved external root resorption. Twin healthy 17 year old Caucasian sisters were diagnosed with internal root resorption in their upper left central incisor. Neither had a history of orofacial trauma and neither had received orthodontic treatment. The presence of IL-1β+C3953 allele is the sign of predisposed susceptibility to an exaggerated inflammatory response, including a limited feedback mechanism as a consequence of IL-1RN mutation. Most investigators agree that the listed polymorphism presents a significantly higher risk for development of pathological resorption. These were thought to be cases of true idiopathic resorption as none of the other factors related to root resorption was found.