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Root resorption.

L K Bakland1

  • 1Department of Endodontics, Loma Linda University School of Dentistry, California.

Dental Clinics of North America
|April 1, 1992
PubMed
Summary

Dental resorption, including internal, external, and pressure types, is diagnosed through history and exams. Trauma is a key factor, and treatment varies, with root canal therapy beneficial for some resorption types but not others.

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Area of Science:

  • Dentistry
  • Oral Pathology

Background:

  • Tooth resorption is a complex pathological process affecting dental structures.
  • Several distinct types of resorption exist, including internal, external, invasive, pressure, and idiopathic resorption.
  • Accurate diagnosis is crucial for effective management.

Purpose of the Study:

  • To outline the diagnostic approaches for various tooth resorption types.
  • To discuss the role of trauma in tooth resorption.
  • To delineate appropriate treatment strategies based on resorption diagnosis.

Main Methods:

  • Diagnosis relies on comprehensive medical and dental history.
  • Clinical examination and radiographic assessments are essential.
  • Identifying past traumatic dental events is a key diagnostic clue.

Main Results:

  • Trauma is identified as a significant contributing factor to tooth resorption.
  • Root canal therapy is indicated for internal and inflammatory external resorption.
  • Root canal therapy is not recommended for replacement and pressure resorption unless other pulpal issues exist.

Conclusions:

  • Effective management of tooth resorption hinges on accurate diagnosis and tailored treatment.
  • Preventive strategies include prompt management of traumatic dental injuries and regular follow-up.
  • Early detection of pressure-inducing agents can mitigate resorptive damage.

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