It appears to be a progressive condition, and there has been no detectable frequency for its occurrence, regions affected in the dentition, or whether singlemultiple quadrants are involved liang, et al. Multiple idiopathic cervical root resorption micrr is a rare condition. Multiple idiopathic root resorption, journal of clinical. Progressive, generalized, apical idiopathic root resorption. Multiple idiopathic root resorption multiple idiopathic root resorption moody, g. Injury and stimulation the injury is similar to several types of root resorption injury is related to the nonmineralized tissues covering the external surface of the root, the precementum, or internal surface of the root canal, the predentin. Root resorption is a multifactorial process that results in loss of tooth structure. Clinical management of two root resorption cases in endodontic. This case report describes the endodontic treatment of an idiopathic perforated internal root resorption. The etiology of idiopathic cervical root resorption has not been elucidated clearly. Idiopathic radiographic apical resorption in wind instrument players shafi i, welbury r. Multiple idiopathic external root resorption is an unusual condition that may present in a cervical or an apical form. Root resorption is a pathological process involving loss of hard dental tissues. I am not talking about the inflammatory type of root resorption that can occur in the face of chronic endodontic andor periodontal disease.
What we know and how it affects our clinical practice. As the condition is nonsymptomatic, a case is usually detected as an incidental radiographic finding. Multiple idiopathic apical root resorption wiley online library. Management of perforating idiopathic internal root resorption. Multiple idiopathic external and internal resorption. Walton, dmd, ms,1 iowa city, iowa college of dentistry, university of iowa multiple idiopathic external apical root rorption is an unusual phenomenon. External root resorption of the permanent teeth is a multifactorial process. Delaurier a, boyde a, jackson b, horton ma, price js. Patients with idiopathic root resorption are commonly asymptomatic clinically with an occasional complaint of tooth mobility. This is a rare case of multiple idiopathic apical root resorption miarr in a 16yearold boy. Article idiopathic radiographic apical root resorption in. However, upto now only numerated cases of idiopathic apical root resorption have been reported in the literature. Cases of generalized idiopathic root resorption have been reported in the literature. Its distribution can vary from a single region to the entire dentition and the number of teeth affected by resorption tends to increase as the.
Odontoclastic multinuclear cells are responsible for the resorption, which can grow to perforate the root if untreated. It may be widespread, affecting the majority of teeth, with implications for the longevity of the dentition. Root resorption is a condition associated with either a physiologic or a pathologic process resulting in a loss of dentin, cementum andor bone it may be initiated in the periodontium and affect initially the external surfaces of the tooth external resorption or it may start within the pulp space affecting primarily the. Internal resorption is an unusual form of tooth resorption that begins centrally within the tooth, apparently initiated in most cases by a peculiar inflammation of the pulp internal root resorption internal surface resorption internal infection related root. Mar 01, 2008 read generalized idiopathic root resorption. In most teeth, the dental pulp apical to the resorptive lesion was structurally normal.
Pdf a rare case of idiopathic root resorption affecting the entire dentition was described. Idiopathic root resorption of the permanent dentition is encountered occasionally during routine dental examinations. Aim to present a case of cervical root resorption affecting all teeth and resulting in multiple tooth loss. Idiopathic external root resorption ierr is an infrequent pathology with few accounts in the literature. Multiple idiopathic external apical root resorption. In both diseases, it is unclear whether anatomical features of the tooth surface are associated with a predisposition for resorptive lesions. Identifying early osteoclastic resorptive lesions in.
An overview and case report of endodontic management. The aim of this paper is to provide a practical guide for diagnosis of root. This article reports progressive root resorption in two female patients. Pdf orthodontic treatment in patient with idiopathic. Summary a healthy 33yearold chinese male, with no contributory medical or family. Pdf extensive idiopathic apical root resorption eric. Meyer, dds abstract idiopathic root resorption of the permanent dentition is encountered occasionally during routine dental examinations. Multiple idiopathic external cervical root resorption. Extensive idiopathic apical root rorption a case report eric m.
A loss of substance by lysis, or by physiologic or pathologic means. Multiple idiopathic root resorption is a specific entity that must be delineated from all other resorptive processes. Root resorption is a poorly understood phenomenon and is often misdiagnosed and, as a result, inappropriately treated. However the majority of previously reported cases have affected adults, and it has been rare that a possible link to a medical condition has been found. Jan 28, 2014 multiple idiopathic external root resorption is an unusual condition that may present in a cervical or an apical form. The most frequent clinical characteristic of idiopathic root resorption is that. This report presents a case of multiple idiopathic apical root resorption. Alveolor resorption of the alveolar bone in periodontitis. Dental management of a patient with multiple idiopathic cervical root resorption clinical relevance clinicians need to be aware that multiple idiopathic cervical root resorption is a rare condition.
Root resorption is the progressive loss of dentine and cementum through the continued action of osteoclastic cells. There appeared to be no correlation between this type of resorption and any medicaldental finding. Even when the resorptive lesion was close to the dental pulp, there were no signs of in. Orthodontic treatment in patient with idiopathic root resorption. The initiating factor in internal root resorption is thought to be trauma or. The etiology of one root resorption known as idiopathic root resorption remains mysterious. A 24yearold male malay patient presented with internal. Some factors have been identified and may be categorized into physiological resorption.
May 10, 20 root resorption is the progressive loss of dentine and cementum through the continued action of osteoclastic cells. Total idiopathic root resorption of permanent dentition scielo. No reports were found in the literature regarding orthodontic management of patients with multiple idiopathic root resorption and which document long term. Three cases of significant idiopathic apical resorption resulting, respectively, in prevention, abandonment, and alternative methods of orthodontic treatment are described.
Multiple apical root resorption, idiopathic, dental radiography. A familial pattern of multiple idiopathic cervical root. In both diseases, it is unclear whether anatomical features of the tooth surface are associated with. However, when observed in permanent teeth, it is an unfortunate and unpredictable phenomenon. The proposition is made that mirr results from microbiologically. Identifying early osteoclastic resorptive lesions in feline. Belinda weltman hbsc, ms, dmd, bdent, msc, frcdc root resorption a physiologic or pathologic process occurring as a result of changes seen. A case is presented of this relatively rare condition in monozygotic twins. Internal inflammatory root resorption is a rare condition in permanent teeth, which. As we take more intraoral dental radiographs in dogs, we are finding this condition popping up more and more. Cbct evaluation of multiple idiopathic internal resorptions in. Multiple idiopathic root resorption in monozygotic twins.
The clinical and radiographic findings and the medicaldental histories of four patients who presented with multiple idiopathic cervical root resorption were recorded. The causes of root resorption may vary, leading to several types of resorptions. The lesions continue to grow until they unite, thereby undermining the entire coronal structure of affected teeth. This article describes a rare case of multiple idiopathic external and internal resorption in the. Mar 17, 2016 minimal apical external root resorption may be present in all permanent teeth and has been attributed to a variety of causes. Idiopathic resorption in multiple roots is far rarer than resorption seen in one or two teeth, and it occurs in a differ. Orthodontic surgical management in a class ii case with.
Extensive idiopathic external root resorption in first. The aim of this case report was to present a case of multiple idiopathic apical root resorption which is a rare condition in a 17yearold adult male. However, the process has been linked to trauma, intracanal bleaching, and partial. Idiopathic resorption definition of idiopathic resorption. Pdf idiopathic root resorption of the entire permanent dentition.
Examination of siblings and the patients mother did not show a resorptive process. Department of endodontics, school of dental medicine, shiraz university of. Suspected patients may require specialist, multidisciplinary care and require referral to an appropriate secondary. Resorption of individual teeth is a common phenomenon, but there are few reported cases of multiple idiopathic root resorption. Few cases of multiple idiopathic external cervical root resorption exist in the literature.
We present a case report and discuss the diagnostic possibilities that must be considered before arrival at this diagnosis. Some factors have been identified and may be categorized into physiological resorption, local factors, systemic conditions, and idiopathic resorptions. Pdf the aim of this case report was to present a case of multiple idiopathic apical root resorption which is a rare condition in a 17yearold. The ins and outs of root resorption british dental journal. Wellrecognised causes of apical root resorption in permanent teeth include orthodontic therapy, trauma.
Orthodontic treatment in patient with idiopathic root. Usman hameed takes a look at the unpredictable nature of some root resorption cases and argues the importance of flexibility in treatment planning usman hameed, bds, graduated from manchester university in 2007 and currently practices at standish street dental practice in. Multiple idiopathic apical root resorption bmj case reports. Domestic cats commonly suffer from external osteoclastic tooth resorption, a disease with many similarities to human multiple idiopathic root resorption. If an etiological factor cannot be identified for root resorption, the term idiopathic is applied. In this article, the combined orthodontic and surgical management of a patient with idiopathic root resorption is presented. Jan 20, 2014 the etiology of root resorption requires two phases. Distal root of the right mandibular first molar affected by type 1 tr and the mesial root by type 2 tooth resorption.
May 01, 20 idiopathic external root resorption can be either localized to the apical region or the cervical part of the root. Multiple idiopathic cervical root resorption was an incidental finding on routine clinical and radiographic examination. Idiopathic root resorption affects either or both apical and cervical regions of one or. Dental management of a patient with multiple idiopathic. Idiopathic apical root resorption usually presents as a chance radiographic finding. Management poses serious problems, and the condition is generally. Some cases of external resorption can be classified as idiopathic with unknown. The apical type causes a gradual shortening and rounding of tooth root. However, it may cause pain and mobility in severe cases. A 6month followup examination revealed the resorption to be arrested. Idiopathic external root resorption can be either localized to the apical region or the cervical part of the root. Pdf idiopathic external root resorption a case report. Orthodontic therapy is controversial in root resorption cases for fear of aggravating the situation and losing teeth. May 11, 2018 root resorption is a poorly understood phenomenon and is often misdiagnosed and, as a result, inappropriately treated.
It initiates at the cementoenamel junction of multiple teeth. Multiple idiopathic external apical root resorption miearr is a relatively rare condition affecting multiple teeth in a dentition. Root resorption in deciduous teeth is a physiological process. Multiple idiopathic apical root resorption is a rare condition which is usually detected as an incidental radiographic finding. This study describes a familial pattern of multiple idiopathic cervical root resorption in a father and son.
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