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At least 811 records · Page 45Linked to original sources
PubMed2004

Interdisciplinary treatment including forced extrusion and reintrusion of a traumatized mandibular incisor for a patient with Class II Division 1 skeletal open bite.

A woman with Class II Division 1 long-face syndrome characteristics had a history of facial trauma, dentoalveolar fracture of her mandibular anterior teeth, and temporomandibular joint pain. The pretreatment apical radiograph showed a large area of external root resorption of the mesial surface of the mandibular left central incisor. To arrest the external root resorption, the mandibular left central incisor was extruded. During extrusion, sequential apical radiographs were taken. As the tooth moved away from the site of osteoclastic activity, resorption ceased, and repair took place on the root surface. At this time, the mandibular left central incisor was intruded, the mesial defect self-repaired, the tooth remained vital, and the periodontial ligament was intact. The biologic bases for this cessation of resorption and the repair of the tooth's surface are presented.

Adult↗
PubMed1986

Resorption of the mouse incisor after the application of cold to the periodontal attachment apparatus.

In order to study in detail the processes leading to the resorption and ankylosis of teeth after trauma, the effects of cold application on the periodontal tissues were studied in the mouse. Liquid nitrogen was applied locally to the outer surface of the lower jaw which resulted in a freezing of the incisor and its surrounding tissues. The healing processes in the damaged periodontal ligament and the accompanying phenomena of ankylosis and dental root resorption were investigated histologically at both the light and electron microscopic levels. As a result of cold application, the cells in the periodontal ligament were killed. After a few days, the ligament started to be repopulated with cells like fibroblasts and macrophages. From 3 days on, mineral crystallites were deposited along the cementum covering the lingual, mesial, and lateral surfaces of the incisor, finally resulting in a 4-6 micron thick layer. During the period of 7-12 days following cold application, this layer of mineralized material started to be phagocytosed and degraded, presumably by mononuclear cells. Finally, extensive root resorption and some ankylosis between the tooth and the alveolar bone were observed. In the resorbed areas, cells were seen which could not be distinguished from osteoclasts. In some instances, their ruffled border was in close apposition with each of the three mineralized tissues--dentin, cementum, and alveolar bone. It is hypothesized that the deposition and subsequent phagocytosis of mineralized material along the root surface may be an important factor in the initiation of dental root resorption.

Animals↗
PubMed1997

Recurrent peripheral giant cell granuloma associated with cervical resorption.

A case of recurrent peripheral giant cell granuloma in a 38-year-old man is reported. The lesion was localized on the attached gingiva of the lower left second premolar (tooth #35). The surgical excision of the lesion revealed a superficial resorption of the cervical region of the involved tooth. The resorption was smoothed out, and there was no sign of recurrence or further resorption after 14 months. Root resorption, although extremely rare, may be associated with peripheral giant cell granuloma.

Adult↗
PubMedDate not supplied

A histological study on the effect of different periods of orthodontic force on the innervation and dimensions of the cat periodontal ligament.

Using light microscopy, the numbers of myelinated axons in the periodontal ligament of the cat mandibular canine were counted after orthodontic forces had been applied for either 3 days or 12 weeks, and also 8 weeks after removal of a force that had been applied for the previous 12 weeks. After 3 days no significant changes in axon number were recorded, but after 12 weeks there were significantly fewer myelinated axons in the periodontal ligament of the experimental teeth than in the control teeth. This reduction was not reversed after an 8 week recovery period. The width of the ligament was measured in an attempt to correlate regions of nerve fibre degeneration with areas of compression or tension, and the tooth root circumference was measured to assess the extent of any root resorption. It appeared that axon degeneration occurred both in areas of compression and tension. Root resorption had occurred after 12 weeks of applied force and there was no significant change after the 8 week recovery period. These findings support the view that nerve injury occurs as a result of orthodontic force and may possibly be permanent.

Animals↗
PubMed2006

[CT diagnosis of various subtypes of ameloblastoma in the maxillomandibular region].

BACKGROUND & OBJECTIVE: Based on biological behavior and histopathologic characteristics, ameloblastomas in the maxillomandibular region can be divided into several subtypes with different prognosis. This study was to explore the clinical and CT imaging features of solid or multicystic ameloblastoma (SMA), unicystic ameloblastoma (UA), and malignant ameloblastoma (MA), and thus to improve the CT diagnostic accuracy for these diseases. METHODS: Clinical and CT features of 25 histologically proven ameloblastomas in the maxillomandibular region, including 14 SMAs, 6 UAs, and 5 MAs were analyzed retrospectively. RESULTS: The median age of the patients initially diagnosed as SMA, UA, and MA were 33.5, 20.5, and 56 years, respectively. The mean maximal transverse diameters on CT images were 33 mm for SMA, 46 mm for UA, and 59 mm for MA. Of the 14 SMAs, 11 (79%) showed low to intermediate density as compared with muscles, 3 (21%) showed homogenous and intermediate density; 12 (86%) appeared as lobulate lesions; 10 (71%) had incomplete bone septa; 9 (64%) showed root resorption of the neighboring teeth; 13 (93%) showed cortical perforation; 6 (43%) had soft tissue masses; all SMAs showed well-defined margins. Of the 11 SMAs examined by enhanced studies, 9 (82%) showed strong enhancement. CT images of the 6 UAs showed homogenous and low density in comparison with muscles. Of the 6 UAs, 2 (33%) were lobulate, 4 (67%) were regularly round or oval; 1 (17%) had bone septa, 2 (33%) had root resorption of the neighboring teeth, 3 (50%) had cortical perforation. All UAs showed well-circumscribed margins without soft tissue masses. Three UAs were examined by enhanced studies and showed mild to moderate enhancement of the wall. Of the 5 MAs, 3 (60%) showed low to intermediate density as compared with muscles, 2 (40%) showed homogenous and intermediate density; 3 (60%) had bone septa; 3 (60%) showed root resorption or destruction of the neighboring teeth. All 5 MAs were lobulate with cortical perforation, soft tissue masses, and ill-defined margins. All 3 MAs examined by enhanced studies showed strong enhancement. CONCLUSIONS: SMAs are usually seen in middle-aged patients. CT images of SMAs frequently show lobulate lesions with strongly enhanced solid and cystic components. UA occurs mostly in young patients, and typically appears as cystic lesion with mild to moderate enhancement of the wall on CT images. MA often appears in old patients, and shows extensive bone destruction, soft tissue mass, ill-defined margin, and strong enhancement on CT images. Combined analysis of CT images and clinical data is helpful in differentiating these 3 subtypes of ameloblastoma.

Adult↗
PubMed1999

Complete replacement resorption after replantation of maxillary incisors: report of case.

This article describes the treatment of a 17-year-old patient with complete root resorption of the maxillary permanent central and lateral incisors following avulsion and replantation seven years ago. The most important factor influencing the prognosis of replanted teeth is the status of the periodontal ligament (PDL). As a result of replantation, the PDL cells necrosed and tooth replacement resorption occurred. The main factors, which affected the resorption after replantation and survival of PDL cells, could be summarize as; dry extraoral time greater than 30 minutes, the kept tooth in a dry environment, touching the cementum surface, and splint treatment for a prolonged time. Since complete root resorption was found in our case, these factors probably also occurred.

Adolescent↗
PubMed2000

Gallium diffusion in human root dentin: quantitative measurements by pulsed Nd:YAG laser ablation combined with an inductively coupled plasma mass spectrometer.

OBJECTIVE: The purpose of this work was to determine if gallium nitrate placed in human root canals would diffuse across root dentin and reach concentrations high enough to inhibit osteoclasts (approximately 10(-4) M). BACKGROUND DATA: External root resorption by osteoclasts is a common sequela of dental trauma. If not detected and treated, it can lead to the loss of a tooth. Gallium has recently been reported to inhibit osteoclastic resorption in vitro. METHODS: Roots were cleaned and shaped using standard endodontic procedures and the tips sealed with cyanoacrylate cement. The root canal space was filled with an aqueous solution of 1.0 M gallium nitrate chelated with 1.0 M sodium citrate buffer (pH 7.2). The roots were then sectioned longitudinally into two equal halves. Each half was fixed to a translation stage that moved at a constant rate beneath a frequency-quadrupled Nd-YAG laser (266 nm) laser that was used to sample the concentration of 43Ca, 69Ga, and 71Ga by laser ablation across the thickness of root dentin to the periodontal surface. The plume of ablated dentin was swept into an inductively heated plasma chamber by argon gas and hence into a mass spectrometer. RESULTS: Quantitative analyses of the distribution of gallium showed it was highest adjacent to the root canal space and fell as more peripheral sites were sampled but then rose slightly at the external boundary of the root which is covered with a thin layer of atubular cementum. CONCLUSIONS: Even the lowest concentrations of gallium found in peripheral root dentin exceeded the 10(-4) M concentration required to inhibit osteoclastic activity. This simple endodontic treatment should undergo clinical trials to determine its efficacy in vivo. The laser ablation, inductively coupled mass spectrometry method is a powerful analytic tool for measuring spatial distribution of materials in mineralized tissues.

Dental Pulp Cavity↗
PubMed2005

Evaluation of intruded primary incisors.

Tooth intrusion consists of the displacement of the tooth into its alveolus and is the most common trauma during early infancy. This work aims to evaluate the aspects related to tooth intrusion in primary teeth by monitoring 16 patients (22 teeth) for a period between 3 and 36 months. Of the patients who suffered from tooth intrusion, 56.25% were male and 91% of the intruding teeth were upper central incisors. In all cases the treatment indicated was to await spontaneous re-eruption: total re-eruption occurred in 42.5% of cases, partial re-eruption in 47% of cases and in 10.5% there was no re-eruption. Twenty-three percentage of the teeth suffered necrosis, 33% suffered internal or external root resorption and none suffered root canal obliteration. Fifty-seven percentage indicated healthy pulps independent of degree of re-eruption.

Accidental Falls↗
PubMed2004

Internal apical resorption and its correlation with the type of apical lesion.

AIM: To determine the presence of various periapical pathologies and their association with the presence and extent of internal apical inflammatory root resorption in human teeth. METHODOLOGY: A total of 75 root apices from extracted teeth with periapical lesions were examined. Semi-serial sections of soft tissue lesions were stained with HE. The lesions were classified as non-cystic or cystic, and according to the degree of abscess severity: 0, 1, 2 or 3. The apices were reduced to 3 mm in length and longitudinally cut so that the internal aspect could be analyzed under scanning electron microscopy (SEM). Internal root resorption was also classified as 0, 1, 2 or 3 according to the extent of the resorbed area. Additionally, six vital teeth were used as a control. RESULTS: Non-cystic lesions with severe abscesses were the most common finding (70.7%), while 20% of the lesions were cystic (4% little or no abscess; 16% severe abscesses). Non-cystic lesions with little or no abscess comprised 9.3% of the sample. Of the root canals containing periapical lesions, 48% had internal apical resorption in more than half of the area, while 25.3% of the sample had no internal resorption. Resorption degree 1 was identified in 12% of the cases, and 14.7% showed resorption degree 2. The control group displayed significantly less internal resorption than the test groups. CONCLUSIONS: Most periapical lesions (86.7%), whether cystic (16.0%) or non-cystic (70.7%), showed large collections of acute inflammatory cells. Apical internal resorption was present in 74.7% of roots and was associated with periapical lesions. There was no correlation between internal apical resorption and the histological diagnosis of the lesions.

Analysis of Variance↗
PubMed2000

Effect of a static magnetic field on orthodontic tooth movement in the rat.

Orthodontic tooth movement may be enhanced by the application of a magnetic field. Bone remodelling necessary for orthodontic tooth movement involves clastic cells, which are tartrate-resistant acid phosphatase (TRAP) positive and which may also be regulated by growth hormone (GH) via its receptor (GHR). The aim of this study was to determine the effect of a static magnetic field (SMF) on orthodontic tooth movement in the rat. Thirty-two male Wistar rats, 9 weeks old, were fitted with an orthodontic appliance directing a mesial force of 30 g on the left maxillary first molar. The appliance incorporated a weight (NM) or a magnet (M). The animals were killed at 1, 3, 7, or 14 days post-appliance insertion, and the maxillae processed to paraffin. Sagittal sections of the first molar were stained with haematoxylin and eosin (H&E), for TRAP activity or immunohistochemically for GHR. The percentage body weight loss/gain, magnetic flux density, tooth movement, width of the periodontal ligament (PDL), length of root resorption lacunae, and hyalinized zone were measured. TRAP and GHR-positive cells along the alveolar bone, root surface, and in the PDL space were counted. The incorporation of a SMF (100-170 Gauss) into an orthodontic appliance did not enhance tooth movement, nor greatly alter the histological appearance of the PDL during tooth movement. However significantly greater root resorption (P = 0.016), increased width of the PDL (P = 0.017) and greater TRAP activity (P = 0.001) were observed for group M at day 7 on the compression side. At day 14 no differences were observed between the appliance groups.

Acid Phosphatase↗
PubMed2005

A scanning electron microscopy study of idiopathic external tooth resorption in the cat.

BACKGROUND: Multiple idiopathic root resorption (MIRR) is a rare condition in man characterized by cervical resorption leading to significant tooth loss. A similar condition, feline osteoclastic resorptive lesions (FORL), affects up to 70% of domestic cats and thus provides a valuable model for investigating the etiopathogenesis of MIRR. The aim of the present study was to establish changes in the surface microanatomy of the tooth in late stage FORL and to identify whether its location has a surface bias. METHODS: Scanning electron microscopy (SEM) was used to analyze the surface features of enamel and cementum of feline teeth affected with advanced FORL. RESULTS: Resorption involved the coronal root at the cementoenamel junction (CEJ) in 95% of teeth and focal resorption of intact enamel was observed in 14% of teeth. In 55% of teeth, the main lesion was on the buccal surface and a distinct circumferential resorption "front" was present at the apical margin of resorption. The root surfaces of most affected teeth either lacked extrinsic fibers or cellular lacunae or featured evidence of cementum remodeling. Woven bone-like tissue was found within lesions, on resorbed dentin, or on the root surface in 27% of teeth. CONCLUSIONS: This study demonstrates that most FORL involve the CEJ, and the presence of focal lesions at this site suggests that this is where resorption is initiated. This implies that local factors in the oral microenvironment play a role in the etiopathogenesis of this condition. The study also shows that FORL are more likely to occur on buccal surfaces and are associated with changes in the microarchitecture of the root surface consistent with destruction of the normal periodontal attachment and stimulation of a reparative response. These findings may be relevant to understanding the etiopathogenesis of multiple idiopathic resorption areas in man.

Animals↗
PubMed1988

Autogenous free tooth transplantation in man by a 2-stage operation technique. A longitudinal intra-individual radiographic assessment.

Insufficient nutrition to the root surface of autotransplanted mature human teeth after transplantation could be an explanation for the high rates of complications such as root resorption and loss of the tooth transplant. Insufficient nutrition is suggested as being due to the distance between the recipient site tissue and the root surface, and the presence of a blood-clot between the tissues. Improved nutrition could be achieved by transplanting into contact with the vascularised connective tissue of a healing wound. To test this hypothesis, a series of human teeth with fully developed roots were autotransplanted to recipient sites prepared and left to heal for 14 days before transplantation. This study is a follow-up of 57 transplants with a minimum observation time of 1 year. Periodic radiographic examinations of the teeth were performed up to 5 years after transplantation. The results presented, showed a lower incidence of root resorption and extractions than previously reported for teeth with fully developed roots.

Adolescent↗
PubMed2002

A disappearing act? Report of an unusual radiographic feature.

The clinical presentation of root resorption varies between patients, and occasionally may be a coincidental finding on routine radiographs. Clinical symptoms may be absent but, if present, usually indicate the presence of pulpal disease. The treatment options are determined by the type, site and extent of the resorptive lesion: in some cases, especially where there is external resorption, extraction may be the only option. This article presents a case in which a misdiagnosis of root resorption was made on the basis of persistent clinical symptoms and a diagnostic radiographic finding.

Diagnostic Errors↗
PubMed1978

The induction of new bone and cementum formation. IV. Microscopic examination of the periodontium following human bone and marrow allograft, autograft and nongraft periodontal regenerative procedures.

This retrospective study based on histologic evaluations of 100 human block sections and extracted teeth taken from sites treated via bone and marrow autograft, allograft and nongraft regenerative procedures revealed the following findings: 1. Graft procedures yielded new cementum formation in 66 of 79 sites evaluated while nongraft approaches yielded new cementum formation in only 7 of 21 sites. Two of the grafted sites not yielding new cementum were only 14 days duration. 2. Block section evaluation revealed new bone formation in 33 of 39 graft sites and in 7 of 21 nongraft sites. 3. When regeneration did occur, as seen in the block sections, the nature of the new attachment was similar in all graft approaches and was comparable to healthy functioning periodontium. 4. The potential for regeneration of a functional attachment apparatus including new cementum, bone and functionally oriented periodontal ligament has been demonstrated in autograft and allograft approaches. 5. Adverse immune response to bone and marrow allografts could not be detected at a clinical, histologic or chemical level. 6. No ankylosis or root resorption was noted with fresh intra-oral donor material and with frozen iliac autografts or allografts. Root resorption was noted in two cases treated with nongraft methods and in 16 of 275 sites treated with fresh iliac autograft material.

Alveolar Process↗
PubMed2001

Factors affecting the time of onset of resorption in avulsed and replanted incisor teeth in children.

Resorption is the main reason for loss of replanted teeth. The outcome examined in this study is the timing of the onset of resorption. The effect of dichotomised dry and wet time intervals as well as the presence of additional crown damage and of contamination were determined. Of 84 replanted teeth, 67.5% developed resorptions. Twenty-eight had detectable additional crown damage with a more rapid onset being seen in these cases (P=0.009). The critical limit for dry time was 15 min (P=0.038) and significant differences persisted for greater limits also. Serial analysis of the association between the time of onset of root resorption and dichotomised wet time variables failed to yield any significant associations. There was visible contamination detected in 32 teeth and these exhibited a more rapid onset of resorption than the other cases (P=0.030). Teeth with inflammatory root resorption (12.8%) had a more rapid onset of resorption than those that developed replacement resorption (54.7%) (P<0.001). It is concluded that the risk of early resorption is increased in teeth that have additional damage or have contamination, or are kept in dry conditions for longer than 15 min.

Adolescent↗
PubMed1989

Patterns of healing on replanted baboon incisors coated with an allogeneic fibrin-fibronectin protein concentrate.

This study investigated the use of an allogeneic fibrin-fibronectin protein concentrate (AFFP) in preventing ankylosis and root resorption on replanted teeth during healing. In 2 adult male baboons (Papio ursinus) after extraction of the mandibular incisors, the coronal two-thirds of the exposed roots were planed to remove the remnant of the periodontal ligament and the cementum. The exposed dentinal surfaces were demineralized with citric acid at pH 1 for 3 min and notched at the junction between the planed and non-planed surfaces. Before replantation, the experimental roots and alveoli were coated with the AFFP prepared from pooled fresh-frozen baboon plasma. The animals were killed 55 days after operation and histometrical analysis was performed on serial sections cut in the buccolingual direction parallel to the long axis of the recovered specimens. An analysis of variance demonstrated significant differences between the two treatments with regard to the magnitude of ankylosis (greater for citric acid-demineralized plus AFFP-treated surfaces). There were variations in the magnitude of the different patterns of healing both between and within the experimental and control surfaces. Within the limits of the study, in this primate replantation model, the biochemical treatment of surgically exposed and demineralized root surfaces with AFFP did not enhance connective tissue attachment regeneration nor prevent dentoalveolar ankylosis and root resorption.

Alveolar Process↗