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Potential predisposing features of external cervical resorption: An observational study.

Shanon Patel1,2,3, Francesc Abella4, Kreena Patel3

  • 1Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.

International Endodontic Journal
|November 19, 2024
PubMed
Summary

External cervical resorption (ECR) is often linked to orthodontic treatment, dental trauma, and cat ownership. Identifying these factors aids in the early diagnosis of ECR.

Keywords:
external cervical resorptionpredisposing factors

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Area of Science:

  • Endodontics
  • Dental Traumatology
  • Periodontology

Background:

  • External cervical resorption (ECR) is a complex pathological process affecting the external root surface of teeth.
  • Understanding predisposing factors is crucial for early detection and management of ECR.

Purpose of the Study:

  • To investigate the prevalence of ECR in relation to patient demographics and potential contributing factors.
  • To identify associations between ECR and variables such as sex, age, tooth type, and lifestyle.

Main Methods:

  • A retrospective analysis of 215 ECR lesions from 194 patients treated between 2017 and 2022.
  • Patient interviews using a checklist of potential predisposing factors, including orthodontic history, dental trauma, cat ownership, and parafunctional habits.
  • Statistical analysis to determine significant associations between ECR and patient/factor variables.

Main Results:

  • A sole predisposing factor was identified in 57.7% of cases, with combined factors in 20%.
  • The most frequent factors were orthodontic treatment (25.6%), dental trauma (20.9%), cat ownership (15.8%), and parafunctional habits (10.2%).
  • Significant associations were found between ECR and tooth type, jaw location, trauma history, cat ownership, and parafunctional habits, with differences noted between sexes.

Conclusions:

  • Orthodontic treatment, dental trauma, and cat ownership are significant identified predisposing factors for ECR.
  • These findings can assist clinicians in the early diagnosis and risk assessment of external cervical resorption.