Multiple Idiopathic Internal Root Resorption in an Adolescent: A Case R Multiple Idiopathic Internal Root Resorption in an Adolescent: A Case Report

2021 ◽  
Vol 45 (6) ◽  
pp. 380-384
Author(s):  
Jae-Gook Seung ◽  
Jae-Gon Kim ◽  
Yeon-Mi Yang ◽  
Dae-Woo Lee

Internal root resorption (IRR) refers to a slow or rapid progressive resorption process that occurs in the pulp cavity of the tooth or the dentin of the root. IRR occurs as result of odontoclast action; in many cases, the pulp tissue exhibits chronic inflammation, and odontoblasts and predentin do not appear on the dentin wall near the pulp. Exact predisposing factors have not been clearly elucidated; therefore, it is difficult to identify reliable data on the prevalence of IRR because of its scarce occurrence and pathology. Reports have indicated that IRR is more common in the primary than in the permanent teeth. This case report discusses a 17-year-old girl with multiple idiopathic internal root resorptions of anterior permanent teeth in a short period of a time and its management.

2018 ◽  
Vol 10 (1) ◽  
pp. 32-36
Author(s):  
Karthik J Kabbur ◽  
Hemanth M ◽  
Preeti Patil ◽  
Ramnarayan B K ◽  
Reshma Deepak

Mesiodens is the most common supernumerary tooth and is present in the midline between the two central incisors. It occurs mostly due to hyperactivity of the dental lamina. They are usually small, with a cone shaped crown and a short root, may be single or paired, erupted or impacted and occasionally even be inverted. Presence of more than one mesiodens is termed as mesiodentes. Presence of mesiodens may cause impaction or delayed eruption of permanent teeth, malocclusion leading to disturbance in chewing, swallowing and speech, root resorption of the adjacent teeth, impaired dentofacial aesthetics, and sometimes cyst formation. The erupted mesiodens can be easily diagnosed clinically, and the unerupted ones are best diagnosed by clinical and radiological evaluation. Although mesiodens is the most common supernumerary teeth, presence of double mesiodens is uncommon. In this paper we describe a case of palatally erupted double mesiodens and its management in a 20year old girl.


2021 ◽  
Vol 9 (6) ◽  
pp. 72
Author(s):  
Gianni Di Giorgio ◽  
Alessandro Salucci ◽  
Gian Luca Sfasciotti ◽  
Flavia Iaculli ◽  
Maurizio Bossù

Background: Avulsion and reimplantation of permanent teeth represent a major challenge in terms of treatment and long-term prognosis. The present study reported clinical management of external root resorption of an avulsed and reimplanted maxillary central incisor. Case report: A 9-year-old boy reported an uncomplicated crown fracture and avulsion of tooth 11 and complicated crown fracture of tooth 21 due to trauma. Reimplantation of element 11 was obtained within 30 min post-trauma and 3 days after both elements were diagnosed with necrotic pulp. In addition, tooth 11 showed early external root resorption. Both elements underwent endodontic treatment and root closure with apical plug using calcium-silicate-based cement. At 6-month follow-up root resorption appeared to be arrested. Twenty-four months after trauma the clinical results were stable, although signs and symptoms of ankylosis were observed. Conclusions: An immediate endodontic approach and use of calcium-silicate-based cement seemed to contrast the progression of root resorption of an avulsed and reimplanted central incisor after 24 months of follow-up.


2015 ◽  
Vol 16 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Syed Ahmed Raheel ◽  
Shukry Gamal Mohammad ◽  
Kusai Baroudi

ABSTRACT Objective The objective of this study was to evaluate the histopathology effects of two medicaments Allium sativum oil and formocresol on the remaining pulp tissue of the permanent teething children. Materials and methods A total of 18 premolars were included in this study. Two sound premolars were extracted and subjected to histological examination to show the normal pulp tissue. Pulpotomy procedure was performed in the rest of the remaining 16 premolars; half of them using Allium sativum oil and the rest of the tested premolars were medicated using formocresol and all were sealed with suitable restoration. Then, premolars extracted at variable intervals (48 hours, 2 weeks, 1 month, 2 months), stained using hemotoxylin and eosin etain (H&E) and prepared for histopathology examination. Results Histological evaluation seemed far more promising for Allium sativum oil than formocresol. Histological evaluation revealed that teeth treated with Allium sativa oil showed inflammatory changes that had been resolved in the end of the study. On the contrary, the severe chronic inflammation of pulp tissue accompanied with formocresol eventually produced pulp necrosis with or without fibrosis. In addition, pulp calcification was evidenced in certain cases. Conclusion Allium sativum oil is a biocompatible material that is compatible with vital human pulp tissue. It offers a good healing potential, leaving the remaining pulp tissue healthy and functioning. How to cite this article Mohammad SG, Raheel SA, Baroudi K. Histological Evaluation of Allium sativum Oil as a New Medicament for Pulp Treatment of Permanent Teeth. J Contemp Dent Pract 2015;16(2):85-90.


1989 ◽  
Vol 34 (3) ◽  
pp. 205-208 ◽  
Author(s):  
Malcolm I. Coombs ◽  
Simon R. Moore

2015 ◽  
Vol 21 (4) ◽  
pp. 196-200
Author(s):  
Suciu Ioana ◽  
B. Dimitriu ◽  
C. Varlan ◽  
Cotrut Dana ◽  
Cristea Diana ◽  
...  

Abstract Internal resorption was associated with long-term chronic inflammation of the pulp (chronic granulomatous pulpitis). When internal resorption is radiographically confirmed, endodontic treatment becomes a necessity. Vital teeth internal resorption appears radiographically as an oval enlargement of the pulp chamber and root canal with smooth, symmetrical outline. Internal granuloma is assumed to be an effect of the trauma, or pulp inflammation, the ailment is rare, asymptomatic and might progress rapidly, causing perforation. It is difficult to remove the pulp tissue from the resorptive defect, since this area is not easily accessible for instrumentation. The delay of the endodontic treatment may lead the internal resorption to perforation, thus decreasing the chances of treatment success. In the following paper, we present a total of two clinical cases with internal granuloma with perforation that have benefited of specific endodontic treatment.


2019 ◽  
Vol 4 (1) ◽  
pp. 1-5
Author(s):  
Vo Truong Nhu Ngoc ◽  
Tong Minh Son ◽  
Le Thi Thuy Linh ◽  
Le Quynh Anh ◽  
Nguyen Minh Duc ◽  
...  

Humans have two sets of teeth, deciduous teeth and permanent teeth. When primary teeth fall out, permanent teeth erupt to maintain the chewing function and jaw development. Shedding occurs with increasing level of mobility in primary teeth as a result of root resorption. This report describes an uncommon clinical case that occurred in primary molars with internal resorption and pinkish discoloration. Pink tooth is worrisome for children and parents. Children should have their teeth examined on a regular basis to detect any problems in the process of tooth shedding and eruption.


2017 ◽  
Vol 35 (75) ◽  
Author(s):  
Raúl Solórzano Santos ◽  
Antonio José Díaz-Caballero ◽  
Eduardo Covo Morales

RESUMEN. Antecedentes: La avulsión es un tipo de lesión traumática poco frecuente en la dentición permanente. La reabsorción radicular externa es un evento común posterior al reimplante de un diente avulsionado. Objetivo: Reportar un caso de trauma de dos dientes reimplantados, en el que se obtuvieron resultados satisfactorios con 26 semanas de seguimiento. Reporte del caso: Manejo clínico de paciente de sexo masculino de 8 años de edad que se presenta a la clínica del Postgrado de Endodoncia de la Universidad de Cartagena, Colombia, con antecedente de avulsión y posterior reimplante con ferulización de los dos incisivos centrales superiores. Los dientes fueron preparados hasta lima 50 tipo K, medicados con hidróxido de calcio y obturados con MTA. Resultados: Se observó cicatrización de la superficie radicular con disminución de las zonas de reabsorción externa radicular después de 26 semanas de seguimiento. Conclusión: La reabsorción radicular externa en dientes avulsionados reimplantados puede contrarrestarse en la medida que hayan sido manejados con conocimiento profesional, dentro de un marco de tiempo y condiciones biológicas.  ABSTRACT. Background: Dental avulsion is a rare traumatic lesion in permanent teeth. External root resorption is a common event after reimplantation of an avulsed tooth. Purpose: To report a case of two reimplanted teeth with satisfactory results after controls during 26 weeks. Case report: Clinical management of an 8-year-old boy that seeks attention in the clinic of the Postdoctoral Program in Endodontics of University of Cartagena with background of avulsion of both central upper incisors. The teeth were prepared up to a type K # 50 file, medicated with calcium hydroxide and later filled with MTA. Results: Healing was observed on the root surface with reduction of the external radicular resorption after a 26-week follow-up. Conclusion: External radicular resorption can be counteracted as long as its handling was performed professionally within parameters of time and biological conditions.   


2017 ◽  
Vol 4 (5) ◽  
pp. 140
Author(s):  
Shristhi Sharma ◽  
Ananth Raghav Sharma ◽  
Shanti Prasad Maurya ◽  
Ashutosh Paliwal

Internal root resorption has been described as a resorptive defect of the internal aspect of the root following necrosis of odontoblasts as a result of chronic inflammation and bacterial invasion of the pulp tissue. Successful treatment outcome depends on early diagnosis, removal of the cause, proper treatment of the resorbed root. The present case report demonstrates the use of biodentine for the management of internal resorption.he aim of this study was to evaluate the efficacy of different lengths of time of passive ultrasonic irrigation (PUI) in removing calcium hydroxide (CH) paste from root canal, using scanning electron microscopy and energy dispersive spectrometry (SEM/EDS).


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sahar Ameli ◽  
Karim Jafari ◽  
Firouz Zadfatah ◽  
Mehrdad Blurian ◽  
Somayeh Hekmatfar

Introduction: Dental avulsion is a severe injury in which the tooth is totally displaced out of its alveolar socket. Replantation of avulsed teeth is a standard procedure. The success of the treatment of traumatized teeth revolves around the status of periodontium since it is a vital structure. Furthermore, other factors, including extra-alveolar time period, choice of storage media, and contamination of the avulsed tooth, can determine the success of replantation. Delay in the replantation of avulsed incisors increases the risk of dentoalveolar ankylosis and replacement root resorption. Case Presentation: This case report presented a 9-year-old girl with tooth avulsion subjected to a 3-year follow-up after the replantation of avulsed maxillary central incisors kept in dry conditions for seven days. The avulsed mature permanent teeth were managed through the application of treatment guidelines with prolonged extra-oral time. The avulsed teeth were replanted and splinted for four weeks. The canals of both teeth were filled with calcium hydroxide and replaced by mineral trioxide aggregate after six months. Two months after replantation, there were signs of external root resorption in tooth 21. Conclusions: In the third year of follow-up, both teeth were infraoccluded, although they had an acceptable level of functionality and appearance. These ankylosed incisors can be managed successfully with the decoronation technique in the future.


Author(s):  
F. S. Ayupova ◽  
S. N. Alekseenko ◽  
V. Ya. Zobenko ◽  
T. V. Gayvoronskaya

Relevance. To study the incidence of different types of resorption of multirooted primary teeth, to specify indications for deciduous molar extraction to prevent eruption abnormalities of permanent posterior teeth in mixed dentition.Materials and methods. Root resorption of 375 multirooted primary teeth (166 first primary molars and 209 second primary molars) was studied on panoramic X-rays of 60 children (30 girls and 30 boys) aged between 7 and 15. Illustrated classification by T.F. Vinogradova (1967) improved by authors was used to determine type and degree of root resorption of multi-rooted primary teeth. Received data were described with absolute values of number of cases and percentage. Chi-square was used to detect differences in sign incidence rate between groups, p<0.05 was considered statistically significant.Results. There were no statistically significant gender differences (p>0,05) in type and degree of root resorption of multirooted primary teeth. Type A resorption prevailed and constituted 53.3% of all primary molars. Disturbances in root resorption of multirooted primary teeth in mixed dentition were related to health condition of primary teeth. Transition of even resorption to unven was considered a risk factor of delayed eruption and aberrant position of permanent teeth, and indication for extraction of a primary molar in question. Conclusions. 1) Even root resorption (type A) was detected in 53.3% of primary molars in mixed dentition by orthopantomography. 2) Transition from even resorption of primary molar roots to uneven resorption was associated with eruption deviations and delayed premolar eruption. 3) Timely extraction of primary molars with uneven root resorption facilitated correct eruption of premolars and increased effectiveness of secondary prevention of malocclusion in children.


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