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PubMed1979

[Delayed eruption of the premolar after pathological deciduous tooth root resorption].

The behaviour of eruption of lower premolars after pathological resorption of deciduous molar roots was examined on models and X-rays. The molars of the first dentition were shed earlier after pathological resorption of deciduous molar roots. Data of absence are measured in years in the presence of occlusal bone bridges. The middle values are more than three years. Eruption of permanent teeth happens years later or they remain impacted. Eruption dates of premolars after pathological deciduous root resorption and interruption of the lamina dura, and after physiological resorption are significantly earlier than if there is an occlusal bony bridge (p less than 0.01). The therapeutic consequence is the surgical liberation of such premolars and their removal.

Alveolar Process↗
PubMed2006

Flaws in root resorption assessment algorithms: role of tooth shape.

INTRODUCTION: The purposes of this study were to analyze and critique the mathematical algorithms used in the clinical assessment of root resorption. METHODS: Geometric constructions and derived mathematical expressions were used to investigate the influence of tooth shape on the relationships between tooth, root, and crown lengths and their respective sizes as measured on before and after radiographs. results: The ambiguities of root-loss assessment protocols are demonstrated. CONCLUSIONS: Root resorption assessment algorithms are unsuited for their intended applications.

Algorithms↗
PubMed1996

Levels of root resorption associated with continuous arch and sectional arch mechanics.

The purpose of this study was to evaluate differences in the extent of root resorption between continuous arch and sectional mechanics. Fifty-six persons with similar malocclusions requiring the extraction of four premolars were divided into two equal groups and treated with the two different techniques. Once the canines were retracted with sliding mechanics (continuous arch wire group) or with force driven retraction loops (sectional mechanics group), the anterior teeth were then retracted with 300 gm Sentalloy coil springs (GAC international, Central Islip, N.Y.). The extent of root resorption of the anterior teeth was evaluated radiographically. Both treatment groups exhibited the same levels of resorption indicating that the side effect of treatment may be due to individual variation and not to the "round tripping" of teeth so often assumed.

Adolescent↗
PubMed1985

Glycogen content and phosphorylase activities in deciduous dental pulp. Study on porcine teeth during root formation, fully formed root and root resorption phases.

Glycogen content and glycogen phosphorylases (a and total) were measured in dental pulps from pigs sacrificed at 20, 40, 50, 70, 90, 120, 180, 270 and 300 days of age. The following conclusions were drawn: (a) pulp glycogen content was higher during root formation than during root resorption; (b) the phosphorylase activities (a and total), were higher during root resorption than in the other phases; (c) pulps from different teeth, when in the same developmental stage, possessed a similar glycogen metabolism, as revealed by glycogen content and enzyme activity determinations.

Aging↗
PubMed1993

Multiple external root resorption. Case report.

A case of a patient with multiple external root resorption affecting principally the molars and premolars is described. This case is unusual in that although both right and left molar and premolar teeth are involved, the resorption is worse on the left side and affects only the distal roots of the molars.

Adult↗
PubMed2000

Variations in the presenting and treatment features in reimplanted permanent incisors in children and their effect on the prevalence of root resorption.

OBJECTIVE: To examine variations in the presentation and treatment of reimplanted incisors in children and to determine the effect of these on the prevalence of external root resorption. SETTING: Departments of Paediatric Dentistry, Belfast and Newcastle upon Tyne. DESIGN: Recording of the timing of the injury and the storage mediums (including air) and of reimplantation, the stage of root development, the degree of contamination and the time of commencement of root treatment. Cases were reviewed clinically and radiographically at intervals of 3 months. Root resorption was classified as present or absent. Logistic regression and cross-tabulations were produced with the presence of resorption set as the outcome. RESULTS: 128 reimplanted permanent incisor teeth, their median dry time prior to reimplantation being 15 minutes (range 4-52 mins), the median time in a liquid medium being 45 minutes (range 0-650 mins), with a median splinting time of 15 days (range 4-52 days) and a median pulp extirpation time of 15 days (range 0-612 days). There was a lower prevalence of resorption when the period of dryness was less than or equal to 5 minutes (p = 0.025). The prevalence of resorption in teeth with no visible contamination was 57.1%, for those with contamination which were washed clean it was 75%, in those rubbed clean it was 87.5%, and it was 100% for those reimplanted with visible contamination still present (p = 0.014). The corrected odds ratio for contamination was 2.99 and for an extension of 10 minutes of dryness it was 1.29. CONCLUSION: The degree of contamination and the period of dryness were the major risk factors for resorption in this study of reimplanted teeth in children.

Adolescent↗
PubMed1990

Cervical root resorption following bleaching of endodontically treated teeth.

One year following root canal treatment and internal etching and bleaching of anterior teeth in dogs, the animals were sacrificed and the teeth prepared for stereomicroscopic or light microscopic examination. Evidence of cervical root resorption and ankylosis was noted on several teeth. The bleaching factors associated with the teeth exhibiting resorption were heat with 30% hydrogen peroxide. Resorption was not related to walking bleach or to internal etching alone.

Acid Etching, Dental↗
PubMed1994

Effect of fluoride on root resorption caused by mechanical injuries of the periodontal soft tissues in rats.

The present study was carried out to investigate histologically and histometrically the effect of fluoride on root resorption induced by mechanical injuries of the periodontal soft tissues in rats. Resorption lacuna in the root surface of the molar in animals given both mechanical injuries and fluoride administration was significantly smaller in length and area than that in animals given only mechanical injuries. Moreover, resorption lacuna in the former animals contained fewer odontoclasts than that in the latter. The results of the present study might suggest that the administration of fluoride suppressed root resorption induced by mechanical injuries of the periodontal soft tissues.

Animals↗
PubMedDate not supplied

[Orthodontic movement and root resorption].

Frequent sequela following orthodontic treatment is some degree of root resorption. Much controversy exists concerning its cause and predisposing factors. The purpose of this study was a review of the literature.

Humans↗
PubMedDate not supplied

[A case of appendicular supplementary root with external root resorption].

The case of a lateral maxillary incisor with a supplementary root fractured by external root resorption, is presented. The role played for the periodontal disease is shown in the clinical and radiographic achievements, and their implications in the pulpal disease. Endodontic therapy was performed and the diagnosis confirmed in the specimen histological research.

Humans↗
PubMedDate not supplied

[A case report of root resorption treatment].

A case report of endodontic surgery of maxillary left lateral incisor with external root resorption which perforated the root canal was presented. The cause of this abnormality was due to chronic inflammation. The patient had the history of pain and swelling. After root canal filling by thermoplasticized warm gutta-percha technique, the resorption defect and the apical apex were filled with amalgam via a surgical approach. The patient remained asymptomatic 8 months later, radiographic appearance revealed a sign of bone repair.

Gutta-Percha↗
PubMed1990

A comparison of apical root resorption during orthodontic treatment in endodontically treated and vital teeth.

The purpose of this study was to determine whether vital and endodontically treated incisors exhibit a similar severity of apical root resorption in response to orthodontic treatment. Forty-three patients who had one or more endodontically treated incisors before orthodontic treatment and who exhibited signs of apical root resorption after treatment were studied. In each patient the vital contralateral incisor served as a control. Vital incisors resorbed to a significantly greater degree than endodontically treated incisors (p less than or equal to 0.05). When patients were separated by gender, control teeth in males exhibited a statistically significant increase in resorption over control teeth in females. No significant differences were apparent between males and females when endodontically treated incisors were compared.

Adolescent↗
PubMed1998

Cervical root resorption associated with guided tissue regeneration: a case report.

Root surface resorption, ankylosis (replacement resorption) and alveolar bone resorption are not uncommon sequelae to periodontal healing in both animal and human trials whether the treatment objective is regenerative, preventive, or conservative. The present report describes a case with progressive cervical root resorption in a patient who received periodontal regenerative treatment with guided tissue regeneration (GTR). A 46-year-old woman was referred for treatment of severe periodontitis. Remaining radiographic attachment was less than 50%. Following a period of 18 months, during which non-surgical and surgical therapies were performed, angular defects were diagnosed on radiographs and recurrent bleeding periodontal pockets (6 mm) were found in the proximal areas of 24 and 25. Root caries was not present. Periodontal surgery with GTR was performed in this area. No immediate postsurgical complications were noted. Two years later, clinical and radiographic examinations revealed gingival recession with bleeding periodontal pockets (6 mm) which had partly uncovered severe proximal cervical resorptions in 25. Root surface caries was not present. Following surgical inspection, the root of 25 was removed. The root was subsequently prepared for histological analysis. Resorption cavities covered almost the entire cervical proximal surface of the root above intact infracrestal cementum and were covered by numerous CD68+, both mononuclear and multinucleated cells. In a central area as indicated on the radiographs, the cavities penetrated into the root canal. There was no evidence of root caries.

Antigens, CD↗
PubMed2026

Radiographic assessment and orthodontic intervention effects on orthodontically induced root resorption: a systematic review and meta-analysis of clinical trials.

The relative contribution of radiographic methods and characteristics of the orthodontic intervention to orthodontically induced root resorption (OIRR) remains unknown. The aims of this systematic review and meta-analysis were to (1) estimate the pooled OIRR effect across orthodontic intervention versus comparator contrasts, (2) compare pooled estimates by radiographic method (2D [two-dimensional] vs. 3D/CBCT [three-dimensional/cone-beam computed tomography]), and (3) explore whether force mechanics (intrusive versus nonintrusive) modified OIRR magnitude. Seven randomized controlled trials and one prospective study (January 2010-October 2025) were included. Only OIRR was the outcome, reported as correlation coefficients (r). The primary analysis combined within-study intervention-versus-comparator estimates. Subgroup analysis of 2D versus 3D/CBCT imaging was prespecified, whereas post-hoc analysis of intrusive versus nonintrusive mechanics was performed. The pooled analysis for the primary outcome showed a small, nonsignificant OIRR effect (r = 0.07; 95% confidence interval [CI]: -0.12 to 0.27; p = 0.372) with high heterogeneity (I2 = 84.0%). Radiographic method did not change the pooled estimates significantly (p = 0.331). Force-mechanics analysis showed that intrusive mechanics was related to significantly higher root resorption than nonintrusive mechanics (r = 0.40; 95% CI = 0.15 to 0.65 versus r = -0.03; 95% CI = -0.16 to 0.10; p < 0.001). This accounted for 87.1% of the between-study variance. The average orthodontic intervention effect on OIRR was small and not significant; however, the OIRR magnitude was strongly affected by force mechanics, particularly by intrusive forces. There was no significant difference in pooled estimates by radiographic method; however, 3D/CBCT provides superior volumetric quantification and should be used judiciously according ALARA (as low as reasonably achievable) principles.

Root Resorption↗
PubMed2004

Root resorption in human mandibular first premolars after rotation as detected by scanning electron microscopy.

The aims of this study were to investigate the presence, location, and severity of root resorption after orthodontic rotation for different lengths of time. Eighteen mandibular first premolars due to be extracted from 9 patients were intraindividually divided into 2 groups. Eight teeth were not moved (control group), and 10 teeth were rotated (experimental group) with a force of 50 g delivered by elastomeric modules through symmetrical brackets bonded on the buccal and lingual surfaces (25 g buccally and 25 g lingually) for periods of 2, 3, 4, and 6 weeks. The teeth were extracted, fixed, and treated with 2% sodium hypochlorite to remove the organic tissue components and then dehydrated in ethanol, air-dried, coated with gold, and analyzed in a scanning electron microscope. Examination by scanning electron microscopy revealed many concavities (resorption lacunae) on the root surfaces of all rotated teeth. The resorption areas were located mainly at the medial root third, in regions that corresponded to the prominent zones of the roots. The resorption lacunae in the teeth moved for longer time periods were deeper, often affecting the underlying root dentin, and were mainly at the medial root third. Both the apical and cervical thirds were clearly less affected at all the studied intervals. The root surfaces at the nonprominent root zones did not show signs of resorption.

Adolescent↗
PubMed2005

Root resorption associated with orthodontic force in inbred mice: genetic contributions.

Root resorption (RR) is an unwanted sequela of orthodontic treatment. Despite rigorous investigation, no single factor or group of factors that directly causes RR has been identified. The purpose of this study was to examine the effect of the genotype on susceptibility or resistance to develop RR secondary to orthodontic force. Nine-week-old male mice from eight inbred strains were used and randomly distributed into control (C) or treatment (T) groups as follows: A/J (C = 9,T = 9), C57BL/6J (C = 7,T = 8), C3H/HeJ (C = 8,T = 6), BALB/cJ (C = 8,T = 6), 129P3/J (C = 6,T = 8), DBA/2J (C = 8,T = 9), SJL/J (C = 8,T = 10), and AKR/J (C = 9,T = 8). Each of the treated mice received an orthodontic appliance to tip the maxillary left first molar mesially for 9 days. Histological sections of the tooth were used to determine RR and tartrate resistant acid phosphatase (TRAP) activity. The Wilcoxon ranked-sum non-parametric test was used to evaluate differences between the groups. The results showed that the DBA/2J, BALB/cJ, and 129P3/J inbred mouse strains are highly susceptible to RR, whereas A/J, C57BL/6J and SJL/J mice are much more resistant. The variation in the severity of RR associated with orthodontic force among different inbred strains of mice when age, gender, food, housing, and orthodontic force magnitude/duration are controlled support the hypothesis that susceptibility or resistance to RR associated with orthodontic force is a genetically influenced trait.

Acid Phosphatase↗