Case report: pre-eruptive intra-coronal radiolucencies revisited

Area of Science:

• Dentistry
• Oral Pathology
• Radiology

Background:

• Pre-eruptive intra-coronal radiolucency (PEIR) is a lesion in unerupted teeth's coronal dentine.
• Its prevalence varies with radiographic techniques and patient age.
• The etiology suggests a resorptive process, though not fully understood.

Observation:

• Three pediatric cases of PEIR are presented.
• Lesions were incidentally found on radiographs (OPT, bitewing).
• Clinical presentations ranged from asymptomatic findings to cusp fracture upon eruption.

Findings:

• Histopathological analysis of one case revealed soft red tissue.
• Treatment varied: indirect pulp cap, fissure sealing, preformed crown, or extraction.
• Successful outcomes were achieved with individualized management.

Implications:

• Early detection and accurate classification of PEIR are crucial.
• Tailored treatment strategies are essential for successful management.
• Understanding PEIR aids in preserving tooth vitality and function.