PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “ROOT RESORPTION”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources
PubMed1992

[Root resorption].

Root resorption can be divided into two main categories: internal root resorption and external root resorption. Internal root resorption is a pathology that can lead to tooth destruction in the short term and must consequently be stopped as soon as possible by applying adequate canal treatment. Until now, despite many research studies, very little is known about its causes and the way this kind of resorption appears. There are many different forms of external root resorption and it has a very diverse etiology. An external root resorption can thus appear in case of orthodontic treatment or due to the pressure brought by cysts, tumours or impacted teeth. A trauma or an infection may also lead to the development of an external root resorption. Because they are so diverse, each of these forms of external root resorption requires a specific treatment. It should also be noted that internal root resorptions, and some forms of external resorption too, often respond favourably to a calcium hydroxide treatment.

Calcium Hydroxide↗
PubMed1998

Correlation between cortical plate proximity and apical root resorption.

Root resorption is one of the most common iatrogenic sequelae of orthodontic treatment. Recently, root contact with the labial or palatal cortical plate at root apex level during orthodontic tooth movement was reported to be related to root resorption, and dentofacial morphology was suggested to predispose certain persons to root contact with the cortical plate. In this study, we constructed a best-fit straight line for the maxillary palatal cortical plate and set a line for the labial cortical plate from A point to Prosthion point in order to obtain measurements of proximity of root apices with the cortical plates of the maxillary alveolus. We investigated the correlation between apical root resorption and the measured variables. Our findings suggest that root approximation to the palatal cortical plate during orthodontic treatment could explain approximately 12% of the variance observed in the level of root resorption and the maxillary alveolar bone width about 2%. Tooth extrusion and crown lingualization also contributed to root resorption. We concluded that maxillary central incisor apical root resorption is influenced by root approximation to the palatal cortical plate during orthodontic treatment.

Adolescent↗
PubMed2006

[External root resorption].

Root resorption may be a physiological (resorption of deciduous teeth) or a pathological process (resorption of permanent teeth). In the latter case an external and an internal form of resorption can be distinguished. Root resorption may occur on one tooth or on several teeth within a dentition and it may be caused by trauma, periodontitis, orthodontic treatment, internal bleaching, cysts, tumors, or by stimuli from a necrotic dental pulp. Current knowledge concerning the pathogenesis of root resorption and therapeutic approaches are presented. For cervical resorption, it is assumed that the stimulus for the resorbing cells originates from the bacteria within the gingival sulcus and along the affected root surface. The case presented here was initially diagnosed as chronic periodontitis of medium severity. Scaling and root planing were performed resulting in a significant improvement of the periodontal status. Two years later, following a period of irregular recall visits, the patient presented with large areas of cervical resorption on teeth 36 and 37 which made it impossible to preserve these teeth. After another six months, teeth 34 and 35 showed deep destruction caused by external root resorption, mandating the extraction of these teeth as well. Fourteen months later, external root resorptions were evident on teeth 32 and 33, and at the same time, a recurrence of the chronic periodontitis was noted. Periodontal therapy was performed under a systemic antibiotic regime. It was possible to preserve teeth 32 and 33 through surgical crown lengthening procedures. No additional resorption has been observed ever since.

Adult↗
PubMed1996

[Orthodontic treatment and root resorption].

Root resorption after orthodontic treatment occurs frequently. The biologic process of tooth movement and root resorption is described. Furthermore, attention is given to the frequency and severity of root resorption, diagnostics and aspects of the orthodontic treatment which aggravate root resorption. Displacement of teeth with resorptions that already exist or with deviating rootforms is riskfull.

Dental Stress Analysis↗
PubMed1993

Root resorption. 2: Internal root resorption.

Internal root resorption is classically described as resulting from long standing chronic inflammation in the pulp. The resorption may be transient, where lacunae present within the canal walls, or progressive, where the odontoblasts are destroyed and no predentine can be laid down. The diagnosis of this process and its subsequent treatment is described in this series of eight patients with internal root resorption.

Adult↗
PubMed1980

Bilateral external root resorption.

Root resorption in bilateral maxillary canines was diagnosed in two patients who had histories of orthodontic treatment of the canines when the patients were teenagers. Periodontal surgery exposed the resorbed root areas. Surface restorations and endodontic therapy using guttapercha as the filling material completed therapy. Five-year follow-up examinations disclosed successful results in both cases. This information should lead practitioners to attempt treatment when root resorption is diagnosed, as these teeth can be salvaged with total therapy.

Adult↗
PubMed1994

External root resorption.

Root resorption is a pathological process initiated by specific clastic cells which remove the organic and mineral components of dental hard tissues. Clastic cell activity in teeth is associated with a number of factors which include biomechanical forces, mechanical, surgical and chemical trauma, endodontic micro-oragnisms and their toxins, developmental defects, neoplasia, and hormonal disturbances. The therapeutic measures which can regulate clastic activity include endodontic treatment, the use of specific anticlastic agents such as Ledermix paste, non-specific necrobiotic agents such as calcium hydroxide and trichloracetic acid, surgery or root surface conditioners. Accurate diagnosis is essential to the correct application of therapy. While some resorptions are self-limiting, others such as inflammatory root resorption require active and prompt endodontic preparation and medication to allow the control of clastic activity. One treatment regimen of invasive cervical and related conditions involves careful and accurate application of a chemical cauterizing agent, trichloracetic acid, followed by curettage and restoration.

Humans↗
PubMed2001

Assessment of root resorption and root shape: periapical vs panoramic films.

A radiographic examination is an essential part of the diagnostic process in orthodontics. However, what radiographs are needed to properly evaluate root shape and position? Most clinicians order panoramic or periapical radiographs in addition to the cephalometric radiograph. The purpose of this study was to find out whether one type of film is more accurate than the other in the pretreatment evaluation of root shape and the posttreatment computation of apical root resorption. Pretreatment and posttreatment panoramic films and full-mouth periapical films from 42 patients who completed fixed orthodontic treatment were assessed for tooth length and root shape. Panoramic films showed significantly greater average apicaL root resorption than periapical films for the 743 teeth surveyed. The greatest differences were found in the lower incisors, the least in the maxillary incisors. Classification of root shape was significantly different between the 2 types of radiographs. Root dilacerations and other abnormal shapes, clearly visible on periapical films, often appeared normal on panoramic films. The findings strongly suggest that root shape is much harder to assess on panoramic films. We conclude that, in cases where the apices are obscured or other factors are present that might suggest higher risk for root resorption or vertical bone loss, periapical films should be ordered. The use of panoramic films to measure pre- and posttreatment root resorption may overestimate the amount of root loss by 20% or more.

Adolescent↗
PubMed1992

Factors regulating and modifying dental root resorption.

A comparison is made between the resorption of bone and the resorption of the mineralized tissues of teeth. The structure and function of osteoclasts are described well as the factors that regulate their activity. The cells resorbing the dental mineralized tissues are of the same cell type as osteoclasts. The dental tissues are covered by cementoblasts or odontoblasts which differ from the osteoblasts in that they do not respond to hormones and cytokines that stimulate bone resorption. Root resorption therefore seem to require damage of the cementoblastic layer in combination with necrosis or inflammation or replacement of the cementoblastic layer by osteoblasts. The root resorption that occurs at the shedding of the primary teeth is induced in a different way possibly by substance(s) from the reduced enamel epithelium. There seems to be no systematic study on the frequency and extension of root resorption in association with inflammatory or neoplastic conditions. It is suggested that dentigerous cysts and some epithelial tumors induce root resorption in the same way as the erupting tooth. The mechanisms by which some other tumors or tumor-like conditions cause root resorption are essentially unknown.

Animals↗
PubMed1989

[The question of root resorption. Is the risk of root resorption related to the typology of the face?].

The mechanisms involved in root resorption are of the same nature than those leading to bone resorption. The state of calcification and the local conditions in the microenvironment are responsible for the different responses of alveolar bone and root with regard to calcified matrix resorption. Root resorption is commonly observed in association with impacted cuspids, acute chronical trauma, inflammatory or idiopathic conditions. Root resorption is more frequent in females and is independent on facial typology or orthodontic technique. Critical conditions to root integrity are often associated with heavy forces and periodontal ligament disruption. Root anatomy may also be a predisposing factor to resorption. Systematic radiological examination is the only way to control the onset of a root resorption process in orthodontic therapy.

Cephalometry↗
PubMedDate not supplied

Early radiographic diagnosis of inflammatory root resorption.

Inflammatory root resorption (IRR) is a common sequelae to oral trauma. Anticipating root resorption after trauma and taking some preventive measures may avoid this outcome. Endodontics and radiographic examination play an important role in the early diagnosis and treatment of root resorption. Subtle radiographic clues can lead to timely implementation of appropriate treatment (if any) according to the kind of resorption discovered. This article describes the most current classification of inflammatory root resorption (usually following trauma) and utilizes a clinical study to provide radiographic clues for its early detection.

Adolescent↗
PubMed2003

Histological study of deposited cementum in human deciduous teeth with pathological root resorption.

Physiological root resorption is a characteristic feature of human deciduous teeth. Pathological root resorption due to apical periodontitis, dental trauma or excessive orthodontic force is also observed in deciduous roots. The root resorption is not continuous, and has resting periods. In the resting period, cementum deposits in resorbed root surface. The deposited cementum in permanent teeth has been reported in detail. However, the deposited cementum in deciduous teeth is unclear. The present study examined apices of roots of human deciduous incisors with apical periodontitis and roots of sound deciduous incisors by light and transmission electron microscopy. Root dentin and original cementum had a severe irregular caved surface. Cementum was partially deposited on the caved root surfaces. The deposited cementum had made the caved root surface relatively flat. The cementum was lax and had some defects. The deposited cementum was belt-like in shape and had a stratified structure. Each layer had various structures consisting of abundant microfibrils and fine granular materials, microfibrils, granular materials, and collagen fibrils, a few fibrils and granular materials and a relatively homogeneous structure. The original cementum had many collagen fibrils, such as intrinsic and extrinsic fibers, and no granular materials or homogeneous structure. Therefore, structure of the deposited cementum was very different from that of original cementum in deciduous teeth and from that of deposited cementum in permanent teeth.

Child↗
PubMedDate not supplied

[Calcitonin as an alternative treatment for root resorption].

Inflammatory root resorption is a common finding following trauma and will cause eventual destruction of the tooth root if left untreated. This study examined the effects of intrapulpal application of calcitonin, a hormone known to inhibit osteoclastic bone resorption, on experimental inflammatory root resorption induced in monkeys. Results were histologically evaluated using a morphometric technique and revealed that calcitonin was an effective medicament for the treatment of inflammatory root resorption. It was concluded that this hormone could be a useful therapeutic adjunct in difficult cases of external root resorption.

Animals↗
PubMed1997

Progressive cervical root resorption related to tetracycline root conditioning.

Root resorption is reported as a microscopic finding in trials attempting to regenerate the periodontium using tetracycline or citric acid root conditioning. This report deals with a case of progressive cervical root resorption in a female patient who had been successfully treated by tetracycline root conditioning. The article emphasizes the possibility of this adverse effect, and discusses a possible mechanism inducing this phenomenon.

Adult↗
PubMed1993

Inhibition of prostanoid synthesis depresses alveolar bone resorption but enhances root resorption in the rat.

Tooth drift requires the deformation of the root socket and the adjustment of the other components of the attachment apparatus, namely, the periodontal ligament (PDL) and the cementum. Indomethacin (7.5 mg/kg/d), an inhibitor of prostanoid synthesis, provoked in rats a depression in the bone resorption effecting the deformation of the socket (Lasfargues and Saffar, Anat. Rec., 234:310-316, 1992). In the present paper we examined the consequence of this treatment both on the PDL and the root surface. After 3 days of treatment, when osteoclastic resorption was not yet disturbed, the root had been markedly resorbed (P < 0.05) opposite the resorbing bone surface; at that time the PDL width remained in the normal range. After 7 days, i.e., when the bone resorption was depressed, the PDL was widened as the result of the ongoing root resorption. Despite the extensive root resorption, the anchorage of the PDL fibers appeared to remain effective, suggesting that it was rapidly restored. On day 14 at the time of the bone resorption recovery, cementum was deposited in the root resorption lacunae and the PDL width had returned to its control value. As early as day 3 the daily rate of dentine formation increased in the pulp area subjacent to the root resorption lacunae (P < 0.01). These data demonstrate that i) the responses of the different components of the periodontal apparatus are coordinated to allow for the maintainance of the PDL width so that when bone resorption is disturbed, root resorption compensates for it, and ii) the odontoclasts can differentiate and resorb under prostanoid inhibition whilst osteoclastic resorption of the bone socket is inhibited.

Adaptation, Physiological↗
PubMed2004

Dentine phosphoproteins in gingival crevicular fluid during root resorption.

External apical root resorption is a common, yet unexplained, phenomenon associated with orthodontic treatment. Available methods of clinical evaluation are radiographic. Biochemical assays offer the advantage of being non-invasive, as well as being diagnostic and potentially prognostic. The hypotheses are firstly that during the process of root resorption, organic matrix proteins are released into the gingival crevicular fluid (GCF) and, secondly, that there is a difference in the levels of these proteins between a group of patients with mild root resorption and a control group. GCF was collected from the permanent central incisors of untreated subjects (controls, n = 20), primary second molars with half of the root resorbed (primary group and positive controls, n = 20) and permanent central incisors with mild root resorption in patients undergoing active orthodontic treatment (orthodontic group, n = 20). Dentine phosphoproteins (DPP) were measured in the GCF using an enzyme-linked immunosorbent assay developed with DPP isolated from human first premolars and an antibody against rat incisor DPP. The primary group showed the highest levels of DPP in the GCF compared with the orthodontic (P = 0.296) and control (P = 0.001) groups. The orthodontic group showed elevated levels relative to the control group (P = 0.046). It is concluded that root resorption can be studied using a biochemical immunoassay and that this method can provide quantitative measurement of DPP in GCF.

Adolescent↗