Infection-related external resorptions Extraction – for very severe resorptions. Implant after extraction Root apex resection (surgical procedure in which the root apex of a previously root-treated tooth and the inflamed surrounding area of the root apex are removed) – in combination with endodontic therapy (“therapy of the inside of the tooth”) in the case of … Root Resorption: Surgical Therapy
The following symptoms and complaints may indicate root resorption: Main symptoms Trauma-related resorptions External transient (temporary) resorption Asymptomatic Without clinical significance External replacement absorption Loss of physiological intrinsic mobility/anklosis (“fusion of the teeth with the jawbone“). Bright percussion sound (knocking sound) No percussion dolence (knocking sound) In growing patients infraposition (malposition of the teeth) possible. … Root Resorption: Symptoms, Complaints, Signs
Pathogenesis (development of disease) Resorption can occur within a dentition on one or more teeth. Mechanisms and causes of root resorption have not been definitively determined. Quite a few possible triggers are under discussion. Root cementum or dentin is degraded by odontoclasts (somatic cells that degrade dentin), which are of the same cell type as … Root Resorption: Causes
The following curative measures can be used for root resorption: Counseling/education The patient should be educated about the symptoms of root resorption and motivated to actively cooperate. Orthodontic therapy Extrusion (“lengthening of teeth”) – timely therapy for progressive cervical resorption. Gap closure after resorption-related tooth extraction (tooth removal). General measures Attendance at regular follow-up appointments.
Conventional nonsurgical therapeutic procedures Prophylaxis of infection-related resorptions. After severe dental trauma (dental accident)/dislocation (displacement): endodontic treatment (treatment of the tooth interior) as promptly as possible within the first few days to prevent germ invasion – starting from infected pulp necrosis (death of the pulp/tooth pulp) – via the dentinal tubules (“tubules in the dentin”) … Root Resorption: Dental Therapy
The anamnesis (medical history) represents an important component in the diagnosis of root resorption, in addition to the findings. Current anamnesis / systemic anamnesis (somatic and psychological complaints). What complaints do you have? Where are the complaints localized? Have you had any previous complaints? Are you in pain? Do your teeth show pain reactions to … Root Resorption: Medical History
Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Disorders of tooth development and eruption. Cementaplasia (“non-formation of cementum”). Cement hypoplasia (“reduced formation of tooth cementum”). Disturbance of odontogenesis (tooth development). Dental caries (K02) Dental caries (carious destruction of the enamel extending into the dentin/dentine). Cement caries (dental caries of the root cementum). Other diseases … Root Resorption: Or something else? Differential Diagnosis
The most important diseases or complications that may be contributed to by root resorption: Infectious and parasitic diseases (A00-B99). Dissemination of pathogenic (disease-causing) bacteria in the blood and lymphatic circulation. Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Ankylosis (“fusion of the teeth with the jawbone“), dentoalveolar. Fistula formation Gingivitis (inflammation of the gums) … Root Resorption: Complications
A comprehensive clinical examination is the basis for selecting further diagnostic and therapeutic steps. Extraoral examination Inspection (viewing) Fistulae Swellings Parafunctions (lip/cheek sucking or pressing, etc.) Palpation (palpation) Bony facial skull [after trauma step formation or abnormal mobility]. Temporomandibular joints [trauma] Lymph nodes Nerves, nerve exit points [innervation disorder after trauma]. Intraoral examination Dental findings … Root Resorption: Examination
Root resorption is usually diagnosed on the basis of history, clinical course, and physical examination. Further medical device diagnostics may be required for differential diagnosis. Mandatory medical device diagnostics. Radiographs in various planes Dental film Panoramic slice image (overview image) Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory … Root Resorption: Diagnostic Tests
