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Multiple Idiopathic Cervical Root Resorption: A Challenge for a Transdisciplinary Medical-Dental Team
Emily Y Chu1, Janina Golob Deeb2, Brian L Foster3
1National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, United States.
Frontiers in Dental Medicine
|August 9, 2021
Summary
Multiple idiopathic cervical root resorption (MICRR) highlights the critical need for transdisciplinary collaboration between medicine and dentistry. Integrated approaches are essential for identifying causes and improving patient outcomes in oral-dental conditions.
Area of Science:
- Oral Medicine
- Dental Research
- Pathophysiology
Background:
- Tooth root resorption is physiological in primary teeth but pathological in adults.
- Multiple idiopathic cervical root resorption (MICRR) is an aggressive external root resorption near the cemento-enamel junction (CEJ).
- The precise etiology of MICRR remains unknown, though osteoclast/odontoclast activity is the primary mediator.
Purpose of the Study:
- To use MICRR as a model to advocate for transdisciplinary collaborations in healthcare.
- To emphasize the integration of basic science and clinical treatment planning.
- To improve overall healthcare quality through interdisciplinary efforts.
Main Methods:
- This perspective article synthesizes existing knowledge and case studies.
- It reviews potential etiologies and pathophysiological mechanisms of MICRR.
- It highlights the importance of comprehensive patient histories and interdisciplinary communication.
Main Results:
- MICRR pathogenesis involves various factors including systemic conditions, genetic variants, and environmental influences.
- Potential causes include inherited genetic factors, altered periodontal structures, drug effects, chemotherapy, infections, and trauma.
- Insights into MICRR etiology are derived from case studies and animal models.
Conclusions:
- Transdisciplinary research collaborations between medicine and dentistry are crucial for understanding MICRR.
- Integrated management strategies are necessary for early diagnosis and improved clinical outcomes.
- MICRR serves as a paradigm for the broader need for medical and dental integration in healthcare.
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