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1: Dent Update

1996 Oct;23(8):325-8

External cervical resorption: a case study using orthodontic extrusion.


Emery C.
A case is presented of external cervical resorption detected on routine
6-monthly examination. Following root canal therapy orthodontic extrusion and
pericision, the tooth was restored using a radicular retained post and core
supporting a porcelain bonded to gold full coverage crown.
Publication Types:
Review
Review of Reported Cases
PMID: 9452623 [PubMed - indexed for MEDLINE]

2: ZWR

1983 Mar;92(3):46-9

[Root resorption - synopsis of degenerative radicular hard tissue changes (I)]


[Article in German]
Bunger B.
PMID: 6576515 [PubMed - indexed for MEDLINE]

3: Aust Dent J

1969 Oct;14(5):325-6

Treatment of internal resorption--involving lateral root perforation--by


immediate root resection technique. Case report.
Vajda TT.
PMID: 5264544 [PubMed - indexed for MEDLINE]
1: ZWR

1983 Mar;92(3):46-9

[Root resorption - synopsis of degenerative radicular hard tissue changes (I)]


[Article in German]
Bunger B.
PMID: 6576515 [PubMed - indexed for MEDLINE]

2: Aust Endod J

1999 Dec;25(3):140-3

Endodontic management of internal inflammatory resorption--report of a case.

Lee A.
PMID: 11410984 [PubMed - indexed for MEDLINE]

3: Endod Dent Traumatol

2000 Jun;16(3):116-21

Comparison of different techniques for obturating experimental internal


resorptive cavities.
Goldberg F, Massone EJ, Esmoris M, Alfie D.
Department of Endodontics, School of Dentistry, Universidad del
Salvador-Asociacion Odontologica Argentina, Buenos Aires, Argentine Republic.
Forty extracted maxillary central incisors were instrumented at the working
length to a #50 file. The roots were sectioned transversely with a diamond
disk
at 7 mm from the anatomical apex. At the opening of the root canal of each
section, hemicircular cavities were drilled with a specially designed bur. The
corresponding root sections were cemented with glue, thus obtaining root
canals
with similar cavities that simulated internal resorptions. Teeth were embedded
in plaster casts to facilitate their handling. The specimens were randomly
separated into four groups of 10. The following obturation techniques were
evaluated: lateral compaction (group A), hybrid technique (group B), Obtura II
(group C), and Thermafil (group D). AH26 was used as the sealer. After
obturation, the plaster was removed and the teeth were radiographed in
buccolingual and mesiodistal directions to evaluate the quality of the
obturation at the IRC. The incisors were then cut with a scalpel at the same
level as the previous section, to examine, under a stereomicroscope, the type
of
material that filled the IRC. Obtura II gave the best results and in most of
the
specimens obturated with this technique, the IRC were filled mainly with
gutta-percha. Statistical analysis of the data indicated that the differences
between group C and the other groups were significant (P < 0.05).
Publication Types:
Clinical Trial
Randomized Controlled Trial
PMID: 11202867 [PubMed - indexed for MEDLINE]

4: Endod Dent Traumatol

1997 Apr;13(2):75-81

Prognosis of permanent teeth with internal resorption: a clinical review.


Caliskan MK, Turkun M.
Department of Endodontics, Ege University, Bornova-Izmir, Turkey.
This study was performed in order to report the clinical features of internal
resorption cases and evaluate their prognosis after endodontic treatment.

Twenty-seven patients with 28 teeth with internal resorption were referred to


our clinic and 20 teeth were treated endodontically. Sixteen teeth had
non-perforating internal resorption and were treated by conventional root
canal
therapy. The remaining 4 teeth had perforating internal resorption and were
initially treated by remineralization therapy with calcium hydroxide. The
teeth
treated by conventional root canal therapy showed clinical and radiographic
evidence of healing. However, the remineralization therapy was successful in
only one case. The three failed cases were subsequently treated by endodontic
surgery. The surgical therapy was unsuccessful in one case due to extensive
loss
of marginal alveolar bone and increased tooth mobility.
PMID: 9550034 [PubMed - indexed for MEDLINE]

5: Dent Update

1993 Sep;20(7):292-4

Root resorption. 2: Internal root resorption.


Barclay C.
Liverpool University Dental Hospital.
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.
PMID: 8056099 [PubMed - indexed for MEDLINE]

6: Endod Dent Traumatol

1993 Apr;9(2):81-4

Internal resorption occurring after accidental extrusion of iodoform paste


into
the mandibular canal.
Callskan MK, Piskin B.
Department of Endodontics, School of Dentistry, Ege University, Izmir, Turkey.
The precise etiology of internal resorption is unknown but it is generally
believed that triggering factors are infection and persistent chronic
pulpitis.
A case is presented with internal resorption, which developed subsequent to
extrusion of iodoform paste from the adjacent tooth into the mandibular canal.
According to clinical and radiographic examinations made after 7 years, the
tooth was clinically asymptomatic, vital and the internal resorption was
arrested without treatment.

PMID: 8404703 [PubMed - indexed for MEDLINE]

7: Rev Belge Med Dent

1992;47(4):54-75

[Root resorption]
[Article in French]
Lambrechts P, Vanhoorebeeck B.
Afdeling Conserverende Tandheelkunde, Leuven.
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.
Publication Types:
Review
Review, Tutorial
PMID: 1363961 [PubMed - indexed for MEDLINE]

8: Attual Dent

1988 Apr 03;4(12):10-1, 13-5

[Internal resorption: from diagnosis to clinical problems]


[Article in Italian]
Malagnino VA.
PMID: 2907974 [PubMed - indexed for MEDLINE]

9: Rev Port Estomatol Cir Maxilofac

1987 Apr-Dec;28(2-4):177-82

[Internal root resorption. Apropos of a case]

[Article in Portuguese]
Braz de Oliveira N.
PMID: 3483519 [PubMed - indexed for MEDLINE]

10: Int Endod J

1987 Mar;20(2):94-7

Treatment of internal root resorption with thermoplasticized gutta-percha. A


case report.
Wilson PR, Barnes IE.
PMID: 3471730 [PubMed - indexed for MEDLINE]

11: Ned Tijdschr Tandheelkd

1986 May;93(5):167-8

[Internal resorption]
[Article in Dutch]
Ruiken HM.
PMID: 3461304 [PubMed - indexed for MEDLINE]

12: Compend Contin Educ Dent

1985 Jun;6(6):414-7, 420-3

Internal root resorption obturated by the gutta-percha-eucapercha endodontic


method: report of a case.
Morse DR.
PMID: 3902353 [PubMed - indexed for MEDLINE]

13: Rev Esp Endodoncia

1983 Jan;1(1):39-44

[Internal and external resorption. Review and case report]


[Article in Spanish]
Gerstein H.
PMID: 6591304 [PubMed - indexed for MEDLINE]

14: Br Dent J

1982 Jan 19;152(2):55-6

Surgical treatment of idiopathic internal resorption with lateral perforation.


Wright PA.
PMID: 6950740 [PubMed - indexed for MEDLINE]

15: Bol Inf Dent (Madr)

1979 Sep-Oct;(302):27-34

[Internal reabsorption. Clinical cases]


[Article in Spanish]
Minana Laliga R, Blanco-Moreno y Lueje F.
PMID: 295654 [PubMed - indexed for MEDLINE]

16: Rev Bras Odontol

1978 Mar-Apr;35(2):7-14

[Internal resorption and its clinical implications endodontics (author's


transl)]
[Article in Portuguese]
Renart CA, Tancredo N.
Publication Types:
Review
PMID: 394224 [PubMed - indexed for MEDLINE]

17: J Br Endod Soc

1978 Jan;11(1):11-2

Idiopathic internal root resorption--a case report.


Samimy B.
PMID: 288730 [PubMed - indexed for MEDLINE]

18: ZWR

1975 Sep 10;84(17):775-7

[Internal resorption]
[Article in German]
Priester ES.
PMID: 1058582 [PubMed - indexed for MEDLINE]

19: N Y State Dent J

1965 Nov;31(9):397-404

Resorption internal and external.


Auslander WP.
PMID: 5214076 [PubMed - indexed for MEDLINE]

20: ZWR

1983 Mar;92(3):46-9

[Root resorption - synopsis of degenerative radicular hard tissue changes (I)]


[Article in German]
Bunger B.
PMID: 6576515 [PubMed - indexed for MEDLINE]

21: Aust Endod J

1999 Dec;25(3):140-3

Endodontic management of internal inflammatory resorption--report of a case.


Lee A.
PMID: 11410984 [PubMed - indexed for MEDLINE]

22: Endod Dent Traumatol

2000 Jun;16(3):116-21

Comparison of different techniques for obturating experimental internal


resorptive cavities.
Goldberg F, Massone EJ, Esmoris M, Alfie D.
Department of Endodontics, School of Dentistry, Universidad del
Salvador-Asociacion Odontologica Argentina, Buenos Aires, Argentine Republic.
Forty extracted maxillary central incisors were instrumented at the working
length to a #50 file. The roots were sectioned transversely with a diamond
disk
at 7 mm from the anatomical apex. At the opening of the root canal of each
section, hemicircular cavities were drilled with a specially designed bur. The
corresponding root sections were cemented with glue, thus obtaining root
canals
with similar cavities that simulated internal resorptions. Teeth were embedded
in plaster casts to facilitate their handling. The specimens were randomly
separated into four groups of 10. The following obturation techniques were
evaluated: lateral compaction (group A), hybrid technique (group B), Obtura II
(group C), and Thermafil (group D). AH26 was used as the sealer. After
obturation, the plaster was removed and the teeth were radiographed in
buccolingual and mesiodistal directions to evaluate the quality of the

obturation at the IRC. The incisors were then cut with a scalpel at the same
level as the previous section, to examine, under a stereomicroscope, the type
of
material that filled the IRC. Obtura II gave the best results and in most of
the
specimens obturated with this technique, the IRC were filled mainly with
gutta-percha. Statistical analysis of the data indicated that the differences
between group C and the other groups were significant (P < 0.05).
Publication Types:
Clinical Trial
Randomized Controlled Trial
PMID: 11202867 [PubMed - indexed for MEDLINE]

23: Endod Dent Traumatol

1997 Apr;13(2):75-81

Prognosis of permanent teeth with internal resorption: a clinical review.


Caliskan MK, Turkun M.
Department of Endodontics, Ege University, Bornova-Izmir, Turkey.
This study was performed in order to report the clinical features of internal
resorption cases and evaluate their prognosis after endodontic treatment.
Twenty-seven patients with 28 teeth with internal resorption were referred to
our clinic and 20 teeth were treated endodontically. Sixteen teeth had
non-perforating internal resorption and were treated by conventional root
canal
therapy. The remaining 4 teeth had perforating internal resorption and were
initially treated by remineralization therapy with calcium hydroxide. The
teeth
treated by conventional root canal therapy showed clinical and radiographic
evidence of healing. However, the remineralization therapy was successful in
only one case. The three failed cases were subsequently treated by endodontic
surgery. The surgical therapy was unsuccessful in one case due to extensive
loss
of marginal alveolar bone and increased tooth mobility.
PMID: 9550034 [PubMed - indexed for MEDLINE]

24: Dent Update

1993 Sep;20(7):292-4

Root resorption. 2: Internal root resorption.


Barclay C.
Liverpool University Dental Hospital.
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.
PMID: 8056099 [PubMed - indexed for MEDLINE]

25: Endod Dent Traumatol

1993 Apr;9(2):81-4

Internal resorption occurring after accidental extrusion of iodoform paste


into
the mandibular canal.
Callskan MK, Piskin B.
Department of Endodontics, School of Dentistry, Ege University, Izmir, Turkey.
The precise etiology of internal resorption is unknown but it is generally
believed that triggering factors are infection and persistent chronic
pulpitis.
A case is presented with internal resorption, which developed subsequent to
extrusion of iodoform paste from the adjacent tooth into the mandibular canal.
According to clinical and radiographic examinations made after 7 years, the
tooth was clinically asymptomatic, vital and the internal resorption was
arrested without treatment.
PMID: 8404703 [PubMed - indexed for MEDLINE]

26: Rev Belge Med Dent

1992;47(4):54-75

[Root resorption]
[Article in French]
Lambrechts P, Vanhoorebeeck B.
Afdeling Conserverende Tandheelkunde, Leuven.
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.
Publication Types:
Review
Review, Tutorial
PMID: 1363961 [PubMed - indexed for MEDLINE]

27: Attual Dent

1988 Apr 03;4(12):10-1, 13-5

[Internal resorption: from diagnosis to clinical problems]


[Article in Italian]
Malagnino VA.
PMID: 2907974 [PubMed - indexed for MEDLINE]

28: Rev Port Estomatol Cir Maxilofac

1987 Apr-Dec;28(2-4):177-82

[Internal root resorption. Apropos of a case]


[Article in Portuguese]
Braz de Oliveira N.
PMID: 3483519 [PubMed - indexed for MEDLINE]

29: Int Endod J

1987 Mar;20(2):94-7

Treatment of internal root resorption with thermoplasticized gutta-percha. A


case report.
Wilson PR, Barnes IE.
PMID: 3471730 [PubMed - indexed for MEDLINE]

REABSORO EXTERNA

1: J Calif Dent Assoc

2000 Nov;28(11):860-6

Luxation injuries and external root resorption--etiology, treatment, and


prognosis.

Trope M.
Department of Endodontics, School of Dentistry, UNC Chapel Hill, NC 2575997450,
USA. Martin_Trope@dentistry.unc.edu
When a tooth sustains a luxation injury, attachment damage of varying degrees
will occur. In addition, necrosis of the pulp might result, thereby making the
pulp space susceptible to infection. These circumstances can lead to root
resorption. Treatment for root resorption includes preventing it by avoiding
causes of root surface injury, minimizing initial inflammation, and reversing
resorption.
PMID: 11811235 [PubMed - indexed for MEDLINE]

2: Aust Endod J

1999 Aug;25(2):79-85

Invasive cervical resorption following trauma.


Heithersay GS.
Invasive cervical resorption is an insidious and often aggressively
destructive
form of external root resorption which may occur as a late complication
following dental trauma particularly where it involves damage to cementum and
supporting tissues. While this resorption may be evident clinically as a pink
coronal discolouration, later with cavitation of the enamel, often there are
no
obvious external signs and the condition is only detected radiographically. It
is characterised by the invasion of the cervical region of the root by
fibrovascular tissue which progressively resorbs dentine, enamel and cementum.
The dental pulp remains protected by an intact layer of dentine and predentine
until late in the process. Ectopic calcifications can be observed in advanced
lesions both within the invading fibrous tissue and deposited directly onto
the
resorbed dentine surface. The aetiology of invasive cervical resorption is
unknown but trauma has been documented as a potential predisposing factor. A
recent study by the author of 222 patients with a total of 257 teeth which
displayed varying degrees of invasive cervical resorption showed that trauma
alone was a potential predisposing sole factor in 14% of patients and 15.1% of
teeth. Trauma in combination with bleaching, orthodontics or delayed eruption
was found in an additional 11.2% of patients or 10.6% of teeth and of these a
combination of trauma and bleaching occurred in a relatively high proportion
of
7.7% of patients or 7.4% of teeth. This study also revealed that of other
potential predisposing factors orthodontics was the most common sole factor
constituting 21.2% of patients and 24.1% of teeth examined. Successful
treatment
of invasive cervical resorption is dependent on the extent of the resorptive
process. Teeth with invasive cervical resorption have been divided into four
classes. Whilst several treatment modalities are possible, a clinical
evaluation
of the treatment of this condition by the topical application of a 90% aqueous
solution of trichloracetic acid, curettage, endodontic therapy where necessary

and restoration with a glass ionomer cement has been evaluated on 94 patients
with a total of 101 teeth with a minimum follow-up period of three years.
Results indicate a satisfactory treatment outcome can be anticipated in Class
1,
2 and 3 cases. In Class 4 resorption no treatment or alternative therapy is
recommended. Diagnosis of lesions at an early stage of development is highly
desirable and therefore the patients who have a potential for the development
of
this condition by virtue of a history such as trauma should be monitored
radiographically at intervals throughout life.
PMID: 11411085 [PubMed - indexed for MEDLINE]

3: Rev Belge Med Dent

1998;53(3):105-51

[Injuries to the permanent teeth. Periodontal lesions]


[Article in French]
Vinckier F, Declerck D, Verhaeghe V, Vanassche K.
Afdeling conserverende tandheelkunde Eenheid kindertandheelkunde en bijzondere
tandheelkunde School voor Tandheelkunde, Mondziekten en Kaakchirurgie
U.Z.Leuven-K.U.Leuven.
Tooth luxations are relatively common. In case of concussion or subluxation
the
tooth is not displaced. The treatment will consist of relief of the tooth.
Most
frequent complications are pulp necrosis and obliteration of pulpal tissues.
In
case of extrusive luxation pulpal tissues and the periodontal ligament are
injured. When tooth mobility is increased flexible splinting should be
considered. Endodontic treatment is necessary after extrusive luxation of a
tooth with completed root formation. Teeth with open apex often show pulpal
obliteration after extensive luxation. Lateral luxation is more complex than
extrusive luxation since the alveolar bone is also damaged. Repositioning and
splinting of the tooth are necessary. When the apical foramen in closed,
endodontic treatment will be necessary. Teeth with incomplete root formation
will develop pulp obliteration. Following lateral luxation, external root
resorption and loss of marginal bone are not infrequent. Intrusive luxation is
the type of trauma with most unfavorable prognosis. All intruded teeth will
become necrotic and external root resorption and marginal bone loss are
frequent. There is no consensus regarding the therapeutic approach.
Orthodontic
extrusion or surgical mobilisation are possible options. In case of avulsion,
both the pulpal tissues and the periodontal ligament are disrupted.
Preservation
of the vitality of the periodontal ligament covering the root will determine
the
prognosis of the reimplanted tooth. Therefore the tooth will be repositioned
as
soon as possible. When this is not possible, milk or a specific solution are
most appropriate for tooth conservation. When the reimplanted tooth has
complete

root formation, devitalization will be performed one week after after


repositioning. In case of a tooth with open apex revascularisation can be
awaited. Healing of the periodontal ligament will determine prognosis. When a
normal ligament is obtained during healing or when surface resorption is
obtained, the tooth can be preserved for a long period. When progressive
replacement resorption (ankylosis) develops, most teeth can remain in position
for about 10 years. When inflammatory resorption develops, the tooth will be
lost within a short time.
Publication Types:
Review
Review, Tutorial
PMID: 9951347 [PubMed - indexed for MEDLINE]

4: Endod Dent Traumatol

1998 Oct;14(5):225-31

Susceptibility of Nd:YAG laser-irradiated root surfaces in replanted teeth to


external inflammatory resorption.
Friedman S, Komorowski R, Maillet W, Nguyen HQ, Torneck CD.
Department of Endodontics, Faculty of Dentistry, University of Toronto,
Ontario,
Canada.
Nd:YAG laser-induced modification of the root surface may inhibit development
of
external inflammatory resorption in replanted teeth. This study tested this
hypothesis in vivo. The pulp chambers of six mandibular premolars in each of
two
dogs were accessed, inoculated with plaque, and sealed (Groups 1, 2). Two
additional premolars in each dog were endodontically treated without
inoculation
(Groups 3, 4). After 2 weeks, teeth were hemisected and extracted. Each root
had
a 2 x 3 mm surface area denuded of cementum on the buccal and lingual surface.
In Groups 1 (n = 12 roots) and 3 (n = 4), the denuded surfaces were wiped with
15% EDTA, coated with black ink, and irradiated with Nd:YAG laser (0.75 W, 15
pps, 300 microns tip, 20 s). In Groups 2 (n = 12) and 4 (n = 4), the surfaces
were wiped with 15% EDTA, and rinsed with sterile saline for 20 s. Roots were
replanted within 5 min. The dogs were perfusion-euthanised 10 weeks after
replantation. Block specimens were removed, decalcified, embedded and
horizontally sectioned (6 microns) at 180-microns intervals, resulting in 10
to
14 cross-sections of each root. From these, the middle five consecutive
sections
were stained with hematoxylin and eosin, and observed by light microscopy for
occurrence of surface, inflammatory and replacement resorption on the denuded
surfaces. No obvious differences were noted between the laser-irradiated and
non-irradiated surfaces. Inflammatory resorption was frequent in Groups 1 and
2,
and absent in Groups 3 and 4. Replacement resorption was minimal in Groups 1
and
2, and frequent in Groups 3 and 4. Differences between Groups 1 and 2, and

between Groups 3 and 4 were not significant, whereas the differences between
the
two pairs of groups were statistically significant (chi-square and two-way
ANOVA, P < 0.006). These results did not support the hypothesis, and
questioned
the clinical validity of the surface modification in Nd:YAG laser-irradiated
dentin. Therefore, the clinical application of Nd:YAG laser to the root
surfaces
of replanted teeth is not warranted.
PMID: 9855802 [PubMed - indexed for MEDLINE]

5: J Periodontol

1998 Aug;69(8):941-7

A new approach in restorative treatment of external root resorption. A case


report.
Dumfahrt H, Moschen I.
Clinical Department of Prosthetic Dentistry, University of Innsbruck, School
of
Medicine, Austria.
This case report describes the treatment of an external root resorption with
extensive loss of tooth structure and bone at the labial surface of an upper
left central incisor. The area of bone loss and root resorption was surgically
exposed and an impression was taken using curing silicone. An individual
ceramic
insert was fabricated, allowing endodontic retreatment through an artificial
root canal. The insert was incorporated using a dentin bonding system and a
dual
curing luting composite. Following endodontic retreatment and internal
bleaching, a ceramic veneer was bonded to the tooth to obtain good esthetics
and
to improve stability. Twenty months after surgical treatment no further root
resorption could be detected radiographically. A shallow residual pocket but
no
bleeding on probing was found.
PMID: 9736378 [PubMed - indexed for MEDLINE]

6: J Periodontal Res

1996 Jul;31(5):337-44

Influence of conventional forceps extraction and extraction with an extrusion


instrument on cementoblast loss and external root resorption of replanted
monkey
incisors.
Oikarinen KS, Stoltze K, Andreasen JO.
Department of Oral and Maxillofacial Surgery, University of Oulu, Finland.
Cementoblast loss and root resorption on the root surface was registered

histologically after removal and immediate replantation of maxillary central


incisors in monkeys (Cecropithecus aethiops). Incisors were removed with
either
a conventional extraction technique using forceps or with a special designed
extrusion instrument and in both cases teeth were immediately replanted.
Altogether 18 monkeys were used for the experiments in which 9 monkeys were
sacrificed after 3 d and 9 animals after 8 wk. Histological analysis was made
in
horizontal sections perpendicular to the long axis of the tooth using either
24
measuring points or 12 sections. Histometric analysis showed extensive
cementoblast loss in the periodontal ligament (PDL) and with a maximum of
damage
occurring on the corner surfaces of the root. Extracted teeth showed
significantly more extensive cementoblast loss than extruded teeth. Root
resorption was also found in the corner locations and was significantly more
frequent in extracted than in extruded teeth. There was a similarity in the
distribution of cementoblast loss and root resorption indicating that root
resorption develops in the same areas where cementoblast loss takes place,
i.e.
locations that are more compressed during removal of the tooth and must have
caused by mechanical damage to the PDL exerted on the root surface during
tooth
removal.
PMID: 8858538 [PubMed - indexed for MEDLINE]

7: J Can Dent Assoc

1994 Jun;60(6):503-7, 510

A case report of severe external resorption.


Ford GS, Baisden M, Hoen M, Quigley N, Camp L.
Canadian Forces Dental Services.
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.


PMID: 8032993 [PubMed - indexed for MEDLINE]

8: Endod Dent Traumatol

1992 Oct;8(5):219-22

A case of progressive external root resorption treated with surgical exposure


and composite restoration.
Isidor F, Stokholm R.
Department of Prosthetic Dentistry and Stomatognathic Physiology, Royal Dental
College, Aarhus, Denmark.
Progressive external, root resorption was observed apical to the alveolar
crest
on the buccal surface of a tooth. The area of root resorption was surgically
exposed. To gain access to the root resorption cavity osteoectomy was
performed.
The soft tissue in the resorption cavity was removed and a composite filling
(Retroplast) was placed in the cavity using a dentine bonding system (Gluma).
The pulp was removed and the root canal was obturated with gutta-percha points
and root canal sealer (AH26). Eight months after treatment no further root
resorption was observed. Increased pocket depth and slight bleeding on probing
in the area of resorption were evident.
PMID: 1302684 [PubMed - indexed for MEDLINE]

9: Int Endod J

1990 Sep;23(5):268-74

In vivo findings associated with heat generation during thermomechanical


compaction of gutta-percha. 2. Histological response to temperature elevation
on
the external surface of the root.
Saunders EM.
Dental School, The University, Dundee, Scotland, UK.
An in vivo investigation is described and a histological evaluation made of
the
effect of canal obturation by thermomechanical compaction of gutta-percha and
sealer on the cementum on the lateral surface of the root and adjacent
periodontal membrane and alveolar bone of the ferret canine after time
intervals
of 24 hours, 20 days and 40 days. These tissue reactions were compared with
those in the roots of control teeth filled by lateral condensation of cold
gutta-percha and sealer. Iatrogenic damage was apparent in a minority of the
experimental specimens 20 and 40 days after obturation.
PMID: 2098344 [PubMed - indexed for MEDLINE]

10: Acta Odontol Scand

1981;39(1):15-25

Relationship between cell damage in the periodontal ligament after


replantation
and subsequent development of root resorption. A time-related study in
monkeys.
Andreasen JO.
The etiology of root resorption subsequent to replantation of incisors was
examined in green Vervet monkeys. Cell damage to the root surface due to the
extraction procedures was registered histologically 1 week after replantation.
The topographical distribution of cell damage was then related to the
development of root resorption in similar replanted teeth with longer
observation periods. Histometric analysis showed that surface-, inflammatoryand replacement resorption was significantly related to certain topographical
locations on the root surface. These surfaces represented the "corner"
surfaces
of the root, where the maximum damage presumably would occur during the
extraction procedure. A positive and highly significant correlation between
cell
damage in the cementoblast layer and the presence of surface-, inflammatoryand
replacement resorption was found: replacement resorption was associated with
the
greatest loss of vital cementoblasts per unit root surface length.
Furthermore,
the distance from a potential resorption site to the nearest location on the
root surface with a normal number of cementoblasts was found to be related to
the type of root resorption. Thus, replacement resorption was found to be
significantly related to the greatest distance from a site with normal numbers
of cementoblasts compared to sites with no resorption or inflammatory
resorption. Based on these findings, as well as previous experiments, a theory
is presented for the etiology and pathogenesis of external root resorption
after
immediate replantation of mature teeth.
PMID: 6943905 [PubMed - indexed for MEDLINE]

11: J Am Dent Assoc

1980 Aug;101(2):269-72

Bilateral external root resorption.


Sussman HI.
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.
PMID: 6931164 [PubMed - indexed for MEDLINE]

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