Aggressive external root resorption of the entire dentition accompanied by osteolysis: a case report

A healthy Caucasian male lost all of his teeth because of aggressive cervical, apical, and lateral root resorption over a period of 11 years. Microscopically, there was no sign of reparative cementum apposition, but cell-rich fibrous connective tissue filling the deep resorptions was seen. The resorbed teeth were surrounded by fibro-osseous tissue of osteolytic appearance, as noted during radiologic examination. Radiography showed the osteolytic processes to regress dramatically with the removal or loss of teeth. No underlying systemic or local factor was identified. In spite of endodontic and surgical treatment, none of the resorptions went into remission.