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External resorption associated with tooth eruption.

P N Baer1

  • 1Department of Periodontics, School of Dental Medicine, State University of New York at Stony Brook, Stony Brook, NY 11794-8703, USA.

The Journal of Clinical Pediatric Dentistry
|April 21, 2001
PubMed
Summary
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Juvenile Periodontitis can cause severe root resorption in molars. This case highlights the bicuspid follicle’s contact with the molar root, a potential factor in this dental issue.

Area of Science:

  • Dentistry
  • Periodontology
  • Oral Pathology

Background:

  • Juvenile Periodontitis (JP) is a severe form of periodontal disease affecting adolescents.
  • Root resorption is a known complication, but its specific mechanisms in JP require further elucidation.
  • Understanding the etiology of tooth root resorption is crucial for effective treatment strategies.

Observation:

  • A unique case of severe mesial root resorption of a mandibular first permanent molar is presented.
  • The patient diagnosed with Juvenile Periodontitis exhibited direct contact between the developing bicuspid follicle and the molar's mesial root.

Findings:

  • The close proximity of the bicuspid follicle to the mandibular molar root suggests a potential role in the observed severe resorption.
  • This anatomical relationship may contribute to localized bone loss and subsequent root surface damage in Juvenile Periodontitis.

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Implications:

  • This finding suggests a possible mechanism for localized root resorption in Juvenile Periodontitis, involving physical pressure or inflammatory mediators from the erupting tooth follicle.
  • Further research is warranted to confirm this association and explore preventative or therapeutic interventions.
  • This case underscores the importance of considering developmental dental relationships in the progression of periodontal disease.