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[External root resorption].

Florian Rathe1, Robert Nölken, Daniela Deimling

  • 1Abteilung für Zahnerhaltungskunde und Parodontologie, Universität Freiburg, Deutschland.

Schweizer Monatsschrift Fur Zahnmedizin = Revue Mensuelle Suisse D'Odonto-Stomatologie = Rivista Mensile Svizzera Di Odontologia E Stomatologia
|April 14, 2006
PubMed
Summary
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Root resorption, a pathological process affecting permanent teeth, can lead to tooth loss. Prompt periodontal treatment and surgical interventions may help preserve affected teeth.

Area of Science:

  • Dental Medicine
  • Periodontology
  • Pathology

Background:

  • Root resorption is a pathological process affecting permanent teeth, distinct from physiological resorption of deciduous teeth.
  • It can manifest as external or internal resorption and is associated with various factors including trauma, periodontitis, and dental pulp issues.

Observation:

  • A case initially diagnosed with chronic periodontitis showed significant improvement after scaling and root planing.
  • However, subsequent irregular dental visits led to severe cervical and external root resorption on multiple teeth, necessitating extractions.
  • Recurrence of periodontitis and further root resorption were observed on remaining teeth.

Findings:

  • Cervical resorption is hypothesized to be triggered by bacteria in the gingival sulcus.

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  • Aggressive external and cervical root resorption progressed rapidly, leading to the loss of several teeth.
  • Surgical crown lengthening and periodontal therapy with antibiotics successfully preserved the remaining affected teeth.
  • Implications:

    • This case highlights the critical role of consistent periodontal maintenance in preventing the progression of root resorption.
    • Early diagnosis and intervention, including surgical options, are crucial for managing severe cases of root resorption.
    • Understanding the link between periodontitis and root resorption is vital for effective treatment strategies.