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PubMedDate not supplied

[Frequency of the external resorptions of tooth roots].

Root resorptions present a significant problem in endodontic therapy of the affected teeth and in dentistry in general. The objective of this study was to analyze, based on epidemiological and statistical research, the frequency of clinical incidence of pathological root resorptions in everyday practice related to localization, type of tooth, age and sex of patients. Radiographic documentation of patients treated from 1997 till 2002 at the Department of Conservative Dentistry and Endodontics, Faculty of Stomatology in Belgrade, was used as baseline for this study. Retroalveolar radiographs of teeth with visible signs of resorptions were singled out from 15654 patients' clinical records used for this study. The external resorptions were shown as radiolucent areas localized on various outer root surfaces, followed by significant or less significant resorption of lamina dura and alveolar bone. Out of all teeth analyzed in this study, 594 (3.79%) showed some kind of resorption. The external resorptions were found to be more present in the upper jaw (55.10%) and molars (50.30%) than in the lower jaw (44.90%) and single root teeth (49.70%), but in both cases without significant statistical differences. The most frequent localization of resorptions was root apex (82.44%). In regard to age, the most frequent resorptions were recorded in patients aged between 21 and 30 years (28.40%), and the lowest incidence was found in the youngest population (5.51%). The results also showed that resorptions were more frequent among the female population (59.04%) than among the male population (40.96%). Based on these results, we may conclude that the external root resorptions are not a frequent clinical phenomenon. Proper and early diagnostics of such tissue pathology is one of the basic prerequisites for successful endodontic therapy of the affected root.

Adolescent↗
PubMed1994

Multi-nucleated cells remove the main hyalinized tissue and start resorption of adjacent root surfaces.

Recent studies revealed that the initial root resorption occurred in the peripheries of the necrotic periodontal ligament (PDL) and was performed by mono-nucleated non-clast macrophage- and fibroblast-like cells (Brudvik and Rygh, 1993a, b). The aim of the present transmission electron microscopic (TEM) investigation was to study in more detail the cells involved in removal of the main hyalinized tissue and those involved in root resorption, occurring on the root surface situated beneath the main hyalinized tissue. Twelve male Wistar rats were used. The maxillary first molar was moved mesially by a fixed orthodontic appliance for 7 and 10 days. The results indicate that multi-nucleated giant cells (MNGC) without a ruffled border surface, as well as mono-nucleated macrophage-like cells were responsible for removal of the necrotic tissue and also for resorption of the surface parts of the root cementum. Although the present MNGC showed many morphological traits similar to the observed odontoclasts and osteoclasts, except for their lack of ruffled borders, it is assumed that they are derived from the mono-nucleated phagocytic system. Multi-nucleated clast-like cells with ruffled border were never observed near the remnants of the necrotic tissue. Such cells were found only in the resorption lacunae on root and bone surfaces.

Acid Phosphatase↗
PubMed1995

Transition and determinants of orthodontic root resorption-repair sequence.

When severe root resorption is observed during orthodontic treatment the clinician needs to know how the active process can be stopped. It is generally assumed that if active force is discontinued, the root resorption will end. The determinants of the resorption/repair sequence are, however, not well understood. The aim of the present study was to register and analyse determinants that may influence the extent of resorbed root surface, as well as the transition of a process of active root resorption into a process of tissue deposition/repair in the resorption lacunae. Using an experimental model that would simulate the first force-activation cycle, the upper first molars of rats were moved mesially by a fixed orthodontic appliance for periods between 2 and 21 days. The results revealed that (1) the extent of root resorption after 21 days corresponded with the maximal extent of the hyalinized zone; (2) a process of repair started from the periphery in the resorbed lacunae where the periodontal ligament (PDL) had been re-established, while ongoing active resorption was observed beneath the existing hyalinized tissue; and (3) root resorption continued in the area where hyalinized tissue persisted even after active force had terminated. It is hypothesized that determinants of continued resorption/repair generally seem to be associated with the persistence and removal of the necrotic tissue.

Animals↗
PubMed1996

Idiopathic dental root replacement resorption in old dogs.

The roots of the teeth of 33 large dogs aged 10 years or older were radiographed. These dogs were euthanized for reasons other than oral diseases; dogs with obvious dental or periodontal diseases were excluded. The dogs had shown no clinical signs related to the teeth and the teeth were macroscopically normal. Of the 33 dogs, six had one or more teeth that had abnormally shaped and partially resorbed roots, with replacement of root structure by radiographically normal trabecular bone. Histological examination of radiographically abnormal roots revealed mid-root resorption, without signs of inflammation or hypercementosis. These findings are similar to the condition known as idiopathic dental root replacement resorption in the human dental literature. Possible etiologies of root resorption are discussed.

Animals↗
PubMed1990

A long-term study of 370 autotransplanted premolars. Part III. Periodontal healing subsequent to transplantation.

The purpose of the present investigation was to determine the long-term prognosis of autotransplanted premolars with respect to periodontal healing. The subjects consisted of 195 patients aged 7 to 35 years, with a total of 370 autotransplanted all operated and followed with a standard technique. The observation period ranged from 1 to 13 years. Periodontal healing as demonstrated radiographically was complete in most cases after 8 weeks. Root resorption occurring after transplantation was divided into surface-, inflammatory- and replacement resorption (ankylosis). Root resorption occurred in 52 of the transplanted teeth and was usually diagnosed within 6 months. Root resorption was found to be significantly related to increasing stage of root development and the stage of eruption at the time of transplantation. Subsequent orthodontic movement of teeth with completed root formation at the time of transplantation resulted in a slight increase in the frequency of both surface and inflammatory resorption. The present study indicates that trauma to the PDL of the transplant is the explanatory factor for the development of root resorption.

Adolescent↗
PubMed1994

[Morphological and functional properties of odontoclasts on dentine resorption].

Tooth root resorption in tooth movement is the principal unsolved problem in orthodontics. In order to study this mechanism, odontoclasts in bovine deciduous tooth root-resorbing tissues (RRT) were cultured and characterized for their biological properties in comparison with those of osteoclasts. Multinucleated cells isolated from the RRT had tartrate-resistant acid phosphatase activity and responded to calcitonin and also formed the resorption lacunae on the dentine. These results are consistent with the notion that odontoclasts resemble osteoclasts with respect to enzyme-cytochemical and morphological properties. However, odontoclasts cultured on dentine in the presence of 1 alpha,25-dihydroxyvitamin D3 demonstrated a higher activity in forming resorption lacunae than did osteoclasts. Immunohistochemical examinations revealed that interleukin-1 (IL-1) was detected in mononuclear cells and occasionally in odontoclasts that were present adjacent to the site where active root resorption occurred. The IL-1 stimulated the formation of resorption lacunae on dentine to a higher extent in odontoclasts than in osteoclasts, suggesting functional differences between odontoclasts and osteoclasts. In conclusion, the present study demonstrates that 1) odontoclasts present in the RRT possess similar biological properties to those of osteoclasts. However, under certain circumstances odontoclasts may behave differently from osteoclasts; 2) IL-1 produced in the RRT might play a role in controlling the function of odontoclasts in a paracrine and autocrine fashion.

Animals↗
PubMed1999

Tooth resorption.

Tooth resorption is a common sequela following injuries to or irritation of the periodontal ligament and/or tooth pulp. The course of tooth resorption involves an elaborate interaction among inflammatory cells, resorbing cells, and hard tissue structures. The key cells involved in resorption are of the classic type, which include osteoblasts and odontoclasts. Types of tooth resorption include internal resorption and external resorption. There are two types of internal resorption: root canal (internal) replacement resorption and internal inflammatory resorption. External resorption can be classified into four categories by its clinical and histologic manifestations: external surface resorption, external inflammatory root resorption, replacement resorption, and ankylosis. External inflammatory root resorption can be further categorized into cervical resorption with or without a vital pulp (invasive cervical root resorption) and external apical root resorption. Other variations of resorption include combined internal and external resorption and transient apical breakdown.

Humans↗
PubMed1995

Spatial and temporal repair patterns of orthodontically induced surface resorption patches.

Root resorption appears to be an inevitable sequel to orthodontic tooth movement, occurring either apically or along surfaces in and around the pressure zones. However, there is uncertainty as to the location of initial cementum repair in resorbed areas as well as the time of onset of repair. The aim of the present study was to map the spatial and temporal patterns of cementum repair in orthodontically induced areas of surface resorption following maxillary expansion. Two spatial patterns of repair of orthodontic surface resorption patches were observed with cementum deposition proceeding either from the periphery or starting somewhere in the center of the resorbing areas, although the deposition starting centrally was argued to be artifactual. Furthermore, onset of reparative cementum mineralization appeared to follow within 2 wk after release of the force, involving initially only acellular cementum formation. However, the pattern of formation changed gradually, favouring a slow deposition of cellular cementum at more advanced stages of healing.

Bicuspid↗
PubMedDate not supplied

Resorption of premolar roots by ectopic canines.

This case report describes an unusual phenomenon related to bilaterally displaced canines, where both upper lateral incisors were absent, but where the canines produced extensive root resorption of both upper first premolars, necessitating their removal.

Adolescent↗
PubMed1982

Root surface resorption, repair, and periodontal attachment following rapid maxillary expansion in man.

This study was designed to investigate human repair and reattachment of principal periodontal fibers in areas of resorption on anchor premolar root surfaces following rapid maxillary expansion. Maxillary first premolar teeth were obtained from patients requiring rapid maxillary expansion. Extraction of the teeth was scheduled after periods of retention varying between 14 and 53 weeks. The roots of the teeth were examined via light microscopy and scanning electron microscopy. Extensive root resorption characterized the buccal surfaces of anchor premolars. Repair of the resorptive defects was found to occur exclusively with cellular cementum. Anchor teeth retained for longer periods, up to the maximum of 53 weeks of retention in this study, generally demonstrated more advanced repair. Topographically, Sharpey fiber holes indicative of principal periodontal fiber insertion were found in repair cementum. However, these depressions were neither numerous nor consistent in their presence and location. In human teeth, periodontal attachment to resorbed and repairing surfaces was shown to be present. SEM studies of histologic sections revealed that periodontal fibers and fiber bundles inserted directly into the repair cellular cementum matrix, irrespective of the site of the lesion on the root.

Female↗
PubMed2004

A premaxilla with a supernumerary tooth indicating a developmental region with a variety of dental abnormalities: a report of nine cases.

The aim of this study was to elucidate whether a premaxilla with a supernumerary tooth has additional dental abnormalities. The study does not include premaxillas with a mesiodens, only premaxillas with parasagittally located supernumerary teeth. Radiographs from eight children, followed from 1 year and 5 months to 11 years and 5 months in the municipal dental health service in Denmark, were analyzed. One patient was seen only once. Dental abnormalities recorded included: invaginations on permanent incisors, resorption of roots of incisors, curved roots of incisors, delayed eruption, and delayed formation of roots. The study shows that there are dental abnormalities within the premaxillary region where the supernumerary tooth is located. This indicates that, apart from the supernumerary tooth, a more widespread deviation from normal conditions including tooth malformation, arrested eruption, and root resorption occur within the premaxillary region. The most important outcome of this study is that in the region with a supernumerary tooth the adjacent incisor shows delayed eruption after surgical removal of the supernumerary tooth. The deviations in root morphology, including root resorption, are not limited to patients who have had orthodontic treatment, but patients who did not receive orthodontic treatment also revealed deviations in root morphology. Therefore the treatment outcome can be different from the expected outcome.

Adolescent↗
PubMed1993

Resorbed lateral incisors adjacent to impacted canines have normal crown size.

The importance of detecting maxillary canine impaction is that it may compromise dental health, particularly since a small but significant proportion of impacted canines is associated with the resorption of the roots of neighboring teeth. It has been shown that the existence of small and peg-shaped lateral incisors is highly correlated with maxillary canine palatal impaction. To date, however, it has not been established whether the root resorption that occurs has a similar correlation or a predilection for one or other types of lateral incisor crown structure. Accordingly, a group of patients with buccally or palatally impacted canines, in which root resorption of the lateral incisor could be diagnosed roentgenographically, was examined and compared with a group of cases with palatally impacted canines, none of which showed root resorption, which served as controls. The mesiodistal crown dimension of the lateral incisor in the experimental group was found to be normal in all patients except three (13%), which was significantly different from the distribution of lateral incisor size in the control group (p < 0.001). In the majority of the cases, aggressive root resorption of the lateral incisor root had occurred. We would speculate that in these cases, the normal-sized and early developing lateral incisor root obstructs the deviated eruption path of the canine and consequently stands a considerably greater chance of being damaged by resorption.

Adolescent↗
PubMed1994

A case report of severe external resorption.

External root resorption is a multifactorial process with many causes. Except for transient surface resorption, it is usually considered an irreversible process. Treatment can arrest or retard the resorptive process. Many factors that have been associated with this process include physiologic resorption, local factors, systemic conditions, and idiopathic resorption. This case report documents a 29-year-old white male who suffered a motor vehicle accident and dental trauma nine years ago. The accident resulted in the lateral displacement of the maxillary right canine. The maxillary right lateral incisor, right central incisor and left central incisors were avulsed. The right central incisor was never recovered from the accident site. The other teeth were replanted 90 minutes after the accident and rigidly splinted for six months. They then received root canal treatment, approximately one month after the splint was removed (seven months from time of the trauma). On annual examination, the patient complained of a loose maxillary fixed prosthesis. He was diagnosed with severe external resorption on the right lateral and left central incisors, and severe external replacement resorption on the right canine. This case report reviews the current trends in the treatment of avulsed teeth and the resorptive process.

Adult↗
PubMed2005

Association between ectopic eruption of maxillary canines and first molars.

The purpose of this study was to elucidate a possible association between ectopic first molar eruption causing root resorption on the distal root of the primary maxillary second molar, and ectopic canine eruption causing root resorption on the permanent maxillary incisors. The subjects consisted of 30 patients, 22 females and eight males in the age range 8.3-15.0 years in whom root resorption of the permanent maxillary lateral and/or central incisor caused by the erupting permanent canine was diagnosed, and clinical and/or radiographic information concerning maxillary first molar eruption existed. It was found that of the 30 patients, seven (23.3 per cent) also had pathological root resorption of the second primary molar caused by ectopic molar eruption. It is suggested that patients with ectopic maxillary first molar eruption leading to pathological root resorption of the maxillary second primary molar are followed closely during the period of premolar and canine eruption, as the ectopic first molar could be an early warning of an increased risk of ectopic canine eruption leading to root resorption of the maxillary permanent incisors.

Adolescent↗
PubMed1992

[The initial morphological state in the basally pneumatized maxillary sinus--a radiological-histological study in man].

Twenty human autopsy specimens of the lateral maxilla with radiologically diagnosed extended basal maxillary sinus were prepared either in the horizontal, sagittal or transversal plane. Generally the cortical bone of the maxillary sinus showed a thickness up to 1000 microns. In areas with root contact histological findings could be described as follow: reduction of thickness, bone perforations, bone perforations combined with apical and or lateral root resorptions and root resorptions without bone perforations. These morphological findings could not be verified by X-ray examination.

Adult↗