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Shimabukuro K, Konishi M, Wongratwanich P, Nagasaki T, Ohtsuka M, Suei Y, Nakamoto T, Kakimoto N. Cone-beam computed tomography-based investigation of pre-eruptive intracoronal resorption prevalence. Odontology 2024; 112:256-263. [PMID: 37248355 DOI: 10.1007/s10266-023-00824-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Accepted: 05/19/2023] [Indexed: 05/31/2023]
Abstract
This retrospective study aimed to investigate the prevalence of pre-eruptive intracoronal resorption (PEIR) using cone-beam computed tomography (CBCT) and to explore the mechanism and characteristics of PEIR development. CBCT images of patients aged ≤ 20 years with unerupted teeth at Hiroshima University Hospital were collected. We examined 1530 patients with 10,576 unerupted teeth. Teeth with PEIR were identified for the detailed location and size of the PEIR in the crown using multiplanar reconstruction. The subject and tooth prevalence rates of PEIR were 1.96% and 0.31%, respectively. The teeth that were the most commonly affected by PEIR were mandibular third molars (3.09%). The prevalence of PEIR was significantly higher in females than in males, and higher in the mandible than in the maxilla. No significant difference between in the position of PEIR within the crown was observed. Moreover, CBCT imaging revealed the onset of PEIR in one case. This study demonstrated the prevalence of PEIR and identified statistically significant sex- and location-based differences. Furthermore, one case of CBCT imaging supports the hypothesis that the onset of PEIR was due to resorption after completion of the crown.
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Affiliation(s)
- Kiichi Shimabukuro
- Department of Oral and Maxillofacial Radiology, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8553, Japan.
| | - Masaru Konishi
- Department of Oral and Maxillofacial Radiology, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8553, Japan
| | - Pongsapak Wongratwanich
- Department of Oral Biomedical Sciences, Division of Oral Diagnosis, Khon Kaen University, Khon Kaen, Thailand
| | - Toshikazu Nagasaki
- Department of Oral and Maxillofacial Radiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Masahiko Ohtsuka
- Department of Oral and Maxillofacial Radiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Yoshikazu Suei
- Department of Oral and Maxillofacial Radiology, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8553, Japan
| | - Takashi Nakamoto
- Department of Oral and Maxillofacial Radiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
| | - Naoya Kakimoto
- Department of Oral and Maxillofacial Radiology, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8553, Japan
- Department of Oral and Maxillofacial Radiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan
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Mazinis E, Thomaidis V. A Cone-beam Computed Tomography Evaluation of External Invasive Resorption of Unerupted Teeth. Report of Three Cases. J Endod 2023; 49:1747-1753. [PMID: 37758063 DOI: 10.1016/j.joen.2023.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 09/16/2023] [Accepted: 09/18/2023] [Indexed: 10/03/2023]
Abstract
Tooth resorption can occur either physiologically or pathologically and can be classified as internal or external. The term "external invasive resorption" (EIR) has been used to describe lesions originating from any surface defect exposing dentin. The absence of bacterial contamination, an intact pulp space, and a lesion consisting mainly of fibrovascular tissue characterize EIR. This study presents three cases of invasive resorption in unerupted teeth, emphasizing the importance of cone-beam computed tomography (CBCT). In two cases, the primary defect localized on the enamel surface, while in the third case, the focal point of the defect was not clear. CBCT provided detailed visualization of the resorption lesion's size and its relationship with surrounding structures, enhancing the diagnosis of EIR. Histological analysis of the third case confirmed the initial diagnosis. Invasive resorption can occur due to any surface defect in the case of unerupted teeth. Further research and correlation between radiographic and histological analysis are essential for the detection and classification systems in unerupted teeth.
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Affiliation(s)
- Emmanuel Mazinis
- Department of Endodontology, Dental School, Aristotle University of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, Greece.
| | - Vasilios Thomaidis
- Department of Anatomy, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
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Yüksel HT, Türkmenoğlu A, Çelikkol B, Evirgen Ş, Gulsahi K, Gulsahi A. Pre-eruptive intracoronal resorption of permanent dentition: A new classification and a multidisciplinary study. AUST ENDOD J 2023; 49 Suppl 1:162-169. [PMID: 36317538 DOI: 10.1111/aej.12706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 10/10/2022] [Accepted: 10/17/2022] [Indexed: 11/05/2022]
Abstract
The aims of this study were to develop a new classification for pre-eruptive intracoronal resorption(PIR) with different resorption areas and sizes and to compare the new classification scores among observers from different specialities and professional experience. The PIR was evaluated according to the new classification by two dentomaxillofacial radiologists and two endodontists. Information regarding the patient's age, gender, systemic diseases, the number of PIR, the affected tooth area and the size of the PIR was recorded. The new classification system showed that PIR six and seven defects were the most detected. Regarding jaw regions, the highest reliability was seen in the maxillary central teeth between observers I and IV, and maxillary premolar-molar teeth between observers II and III. This study revealed that PIR can be found in both root and crown dentine. Professional experience and specialty and awareness of the PIR defect may affect the diagnosis.
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Affiliation(s)
- Halil Tolga Yüksel
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Usak University, Uşak, Turkey
| | - Ayşegül Türkmenoğlu
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Usak University, Uşak, Turkey
| | - Berk Çelikkol
- Department of Endodontics, Faculty of Dentistry, Usak University, Uşak, Turkey
| | - Şehrazat Evirgen
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Usak University, Uşak, Turkey
| | - Kamran Gulsahi
- Department of Endodontics, Faculty of Dentistry, Baskent University, Ankara, Turkey
| | - Ayşe Gulsahi
- Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Baskent University, Ankara, Turkey
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4
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Ambriss B, Moukarzel C, Ezzeddine M, Bacho R. Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case. Int J Clin Pediatr Dent 2021; 14:161-166. [PMID: 34326604 PMCID: PMC8311761 DOI: 10.5005/jp-journals-10005-1881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Aim and objective The present article aims to describe and discuss the preventive clinical management of a pre-eruptive intracoronal resorption (PEIR) defect on a maxillary right second premolar of an 11-year, 5-month-old girl. Background Pre-eruptive intracoronal resorption is described as an abnormal, well-circumscribed, radiolucent area, occurring within the coronal dentinal tissue close to the dentinoenamel junction of unerupted teeth and extending into various depths of the dentin. It is a rare anomaly occurring in primary and permanent dentitions. In the past, these defects were misdiagnosed as caries, and were therefore called “pre-eruptive caries” or “hidden caries”. Currently, the most acceptable etiological hypothesis for PEIR is intracoronal resorption by the invasion of resorptive cells into the dentine through breakdowns in the enamel during crown formation. These lesions are often detected accidentally during routine dental radiographic examination. Case description A fissure sealant was applied to the affected tooth shortly after its eruption. Clinical and radiographical assessments were scheduled every 6 months for a period of 5 years and 5 months. Conclusion The preventive approach proved to be effective in preserving the tooth vital and asymptomatic with normal root development for the entire follow-up period. Clinical significance This article raises awareness about misdiagnosed PEIR in primary and permanent dentitions. A close inspection of radiographs, taken during routine visits and orthodontic check-ups, is important for early detection and proper management of such defects. How to cite this article Ambriss B, Moukarzel C, Ezzeddine M, et al. Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case. Int J Clin Pediatr Dent 2021;14(1):161–166.
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Affiliation(s)
- Bourane Ambriss
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon
| | - Carla Moukarzel
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon
| | - Mohamed Ezzeddine
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon
| | - Riad Bacho
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon
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Le VNT, Kim JG, Yang YM, Lee DW. Treatment of pre-eruptive intracoronal resorption: A systematic review and case report. J Dent Sci 2020; 15:373-382. [PMID: 32952895 PMCID: PMC7486503 DOI: 10.1016/j.jds.2020.02.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Revised: 02/10/2020] [Indexed: 12/02/2022] Open
Abstract
Background/purpose Pre-eruptive intracoronal resorption (PEIR) is usually detected accidently in radiographs. However, treatment modality is still not reported systematically. The current study aimed to conduct a systematic review of the treatment modality of PEIR case reports and to report a case on the preservation of a vital pulp with surgical exposure in permanent maxillary canine. Materials and methods We systematically searched case reports from PubMed/MEDLINE, EMBASE, and Web of science databases. The treatment modality, suspected etiology, and follow up periods were collected from each study and reviewed by two authors independently. Results The initial search identified 100 studies. After the title/abstract screening, 37 articles received a full-text reading; and finally, 24 articles (29 patients and 37 affected teeth) were selected for the final review. Among the 24 unerupted teeth, surgical opening and restoration treatment of PEIR was chosen as a high priority for treatment options (n = 9, 36%). Among the 13 erupted teeth, restoration was applied for the prevention such as developing in size and fracture (n = 4, 31%). Conclusion According to this systematic review, treatment modalities were based on the progressive nature of the lesion size and eruption state to establish the optimal approach for each patient. Clinicians should take into account the eruption status, lesion progression, the size of the lesion, and the degree of pulp involvement.
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Affiliation(s)
- Van Nhat Thang Le
- Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University, Jeonju, Republic of Korea.,Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju, Republic of Korea.,Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Republic of Korea
| | - Jae-Gon Kim
- Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University, Jeonju, Republic of Korea.,Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju, Republic of Korea.,Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Republic of Korea
| | - Yeon-Mi Yang
- Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University, Jeonju, Republic of Korea.,Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju, Republic of Korea.,Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Republic of Korea
| | - Dae-Woo Lee
- Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University, Jeonju, Republic of Korea.,Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju, Republic of Korea.,Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Republic of Korea
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Pre-eruptive intra-coronal resorption of dentine: a review of aetiology, diagnosis, and management. Eur Arch Paediatr Dent 2019; 21:1-11. [PMID: 31414395 DOI: 10.1007/s40368-019-00470-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Accepted: 08/02/2019] [Indexed: 02/06/2023]
Abstract
AIM To discuss prevalence, characteristics, aetiology and pathophysiology, diagnosis and management of pre-eruptive intra-coronal radiolucency/resorption (PEIR) defects, and to highlight the clinical significance of PEIR. METHODS A literature research from Pubmed Medline database was adopted to identify the relevant published articles related to PEIR using keyword search strategy; other papers were obtained through searching the reference lists. Significant findings were summarised and presented in this review. RESULTS Subject prevalence was (0.2-27.3%) and tooth prevalence was (0.2-3.5%); depending on factors such as type of radiograph used for assessment, demographic factors, age range included, and dentition stage. Currently, the most acceptable etiologic theory for PEIR is intra-coronal resorption by invasion of resorptive cells into forming dentine via an interruption of crown formation; most likely to be caused by local factors such as ectopic position of affected tooth or adjacent tooth next to it. Diagnosis of PEIR lesions occurs, as they are noted incidentally on routine dental radiographs of unerupted teeth. A management protocol for PEIR defects has been suggested based on the literature. The clinical significance of these lesions is that they could constitute a large proportion of occult caries, and can be associated with developmental defects, ectopic positioning and supernumerary teeth, and a delay in dental development. CONCLUSIONS Early diagnosis of PEIR defects by careful viewing of radiographs of unerupted teeth is important as part of clinical examinations to allow early treatment.
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Kane G, Cash A, Seehra J. Pre-eruptive coronal resorption of unerupted molar teeth in orthodontic patients. J Orthod 2019; 46:155-161. [PMID: 31056027 DOI: 10.1177/1465312519838555] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Pre-eruptive coronal resorption (PCR) is a rare phenomenon affecting unerupted permanent teeth. The aetiology of PCR is unknown and is often detected as an incidental finding. The prognosis of affected teeth can be extremely variable and may involve multidisciplinary management. The lower second permanent molars are commonly affected. The following is a description of three clinical cases of PCR affecting lower permanent molars in orthodontic patients.
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Affiliation(s)
- Georgina Kane
- 1 King's College London Dental Institute, Kings College Hospital NHS Foundation Trust, London, UK
| | - Alex Cash
- 2 Queen Victoria Hospital NHS Foundation Trust, West Sussex, UK
| | - Jadbinder Seehra
- 3 Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, Guy's Hospital, Guy's and St Thomas NHS Foundation Trust, London, UK
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Koc N, Boyacioglu Dogru H, Cagirankaya LB, Dural S, van der Stelt PF. CBCT assessment of gubernacular canals in relation to eruption disturbance and pathologic condition associated with impacted/unerupted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 127:175-184. [PMID: 30482737 DOI: 10.1016/j.oooo.2018.09.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Revised: 08/19/2018] [Accepted: 09/06/2018] [Indexed: 11/17/2022]
Abstract
OBJECTIVES The aim of this study was to demonstrate the imaging characteristics of gubernacular canals (GCs) in impacted/unerupted permanent teeth and to determine whether these characteristics differ as a result of the presence of eruption disturbances or pathologic conditions associated with impacted/unerupted teeth. STUDY DESIGN GCs were retrospectively analyzed by using cone beam computed tomography in 250 patients with 753 impacted/unerupted permanent teeth (105 males, 145 females; mean age, 21.09 ± 14.45 years; range 6-70 years). RESULTS The rate of detection of GCs was significantly lower in cases with eruption disturbances than in those without eruption disturbances. An inverse correlation was observed between age and detection of GCs. Similarly, root resorption of adjacent teeth and resorption of impacted/unerupted teeth were associated with lower rates of detection of GCs. However, no association was found for widening of the follicular space. Regression analysis determined disturbed eruption pattern as the most important factor for the absence of GCs. CONCLUSIONS The absence of GC may indicate a disturbed eruption pattern of the tooth and may increase the risk of complications related to impaction resulting in a tooth that is more likely to remain unerupted.
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Affiliation(s)
- Nagihan Koc
- Research Assistant, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey. Present address: Department of Oral and Maxillofacial Radiology, Academic Centre for Dentistry Amsterdam (ACTA), Vrije Universiteit and University of Amsterdam, Amsterdam, The Netherlands.
| | - Hatice Boyacioglu Dogru
- Research Assistant, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| | - L Berna Cagirankaya
- Associate Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| | - Sema Dural
- Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| | - Paul F van der Stelt
- Professor, Department of Oral and Maxillofacial Radiology, Academic Centre for Dentistry Amsterdam (ACTA), Vrije Universiteit and University of Amsterdam, Amsterdam, The Netherlands
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Konde S, Sri Darshini CS, Agarwal M, Peethambar P. Unrevealed Caries in Unerupted Teeth: A Prevalence Study. Contemp Clin Dent 2018; 9:S305-S308. [PMID: 30294162 PMCID: PMC6169283 DOI: 10.4103/ccd.ccd_291_18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background: Preeruptive caries are an abnormal, well-circumscribed, radiolucent area, occurring within the coronal dentinal tissue close to the dentinoenamel junction of unerupted teeth. OPGs are commonly taken in children for assessing the dental age and eruption sequence. It can be used as a good diagnostic source for detection of PEIR defects. Aim: The aim of this study is to determine the prevalence of Preeruptive intracoronal dentin radiolucencies in unerupted permanent teeth from orthopantomogram. Settings and Design: A total of 1000 standard orthopantomographs of children below 12 years of age were collected and examined. Methodology: The OPGs were examined for PIER defects in the unerupted teeth. The prevalence of PEIR defects was assessed with respect to age, sex, tooth, and the arch involved. Statistical Analysis: The data obtained were tabulated and analyzed. The prevalence was calculated in percentage. Results: The participant prevalence was 13.6%. The teeth prevalence was 1.20%. The majority (38.9%) of defects were seen in the in the mandibular first premolar. Almost half of the lesions were located on the mesial side (52.3%), with a size less than one-third of dentine thickness (53%). Conclusion: PIER defects constitutes an important part of anomalies associated with unerupted teeth and thus needs a proper understanding of its prevalence, etiology, manifestations, and complications. These defects are usually overlooked by clinicians while interpreting radiographs; however, it is of utmost importance to promptly diagnose these defects thus preventing further complications.
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Affiliation(s)
- Sapna Konde
- Department of Pedodontics and Preventive Dentistry, AECS Maaruti College of Dental Sciences and Research Institute, Bengaluru, Karnataka, India
| | - C S Sri Darshini
- Department of Pedodontics and Preventive Dentistry, AECS Maaruti College of Dental Sciences and Research Institute, Bengaluru, Karnataka, India
| | - Manisha Agarwal
- Department of Pedodontics and Preventive Dentistry, AECS Maaruti College of Dental Sciences and Research Institute, Bengaluru, Karnataka, India
| | - Preetha Peethambar
- Department of Pedodontics and Preventive Dentistry, AECS Maaruti College of Dental Sciences and Research Institute, Bengaluru, Karnataka, India
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Preeruptive Intracoronal Radiolucencies: Detection and Nine Years Monitoring with a Series of Dental Radiographs. Case Rep Dent 2017; 2017:6261407. [PMID: 29279779 PMCID: PMC5723957 DOI: 10.1155/2017/6261407] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Revised: 10/02/2017] [Accepted: 10/18/2017] [Indexed: 11/18/2022] Open
Abstract
Preeruptive intracoronal radiolucencies (PEIRs) are mostly incidentally found by routine radiographic examination of unerupted teeth. PEIRs are classified into two types according to the nature of the lesion: progressive and nonprogressive. A case report of a 17-year-old boy with a nonprogressive PEIR on the permanent mandibular left second molar is presented. The lesion was initially detected on an unerupted tooth at age eight years, eight months. It was clinically and radiographically assessed yearly. Cone beam computed tomography (CBCT) was used to evaluate the lesion's size and location when the patient was 11 and 14 years old. The assessments confirmed that the lesion was nonprogressive and had no connection to the pulp or oral cavity. Due to the static nature of the detected PEIR during the nine-year follow-up period, the patient's low caries-risk status, and high patient and parental cooperation in periodic dental care, it was decided to place resin sealant on the affected tooth and monitor the lesion without any operative treatment.
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BARRA SG, VILLALOBOS MIDOEB, PENIDO CVDSR, RECCHIONI ACB, VISCONTI MAPG. Pre-interruptive intracoronal resorption: clinical and radiographic follow-up. ACTA ACUST UNITED AC 2017. [DOI: 10.1590/1981-863720170002000163430] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
ABSTRACT Pre-interruptive intracoronal resorption is a radiolucent lesion localized in dentin, immediately below the amelodentin junction of unerupted teeth. It is rare, asymptomatic, and of idiopathic etiology, generally diagnosed in routine radiographs or in those for orthodontic purposes. A conservative approach, with radiographic follow-up is the treatment recommended until the tooth erupts, and then the intervention is made. However, in cases with symptoms or progression of the lesion, surgical intervention is advisable. To report a case of pre-interruptive intracoronal resorption, with a conservative approach, showing the clinical and radiographic follow-up of this condition. The patient, a nine-year-old Caucasian girl, presented to the Dental Clinic for routine examination. An initial panoramic radiograph was requested, which showed an intracoronal radiolucence in tooth 45 that had not yet erupted. Clinical and radiographic follow-up was made until the affected tooth was completely established in the oral cavity. The treatment recommended for pre-interruptive intracoronal resorption is to have knowledge of the phenomenon, associate its probable etiology and radiographic aspect, as well as its prevalence, occurrence and treatment options, by considering a conservative approach when there are no symptoms.
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12
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Demirtas O, Dane A, Yildirim E. A comparison of the use of cone-beam computed tomography and panoramic radiography in the assessment of pre-eruptive intracoronal resorption. Acta Odontol Scand 2016; 74:636-641. [PMID: 27669814 DOI: 10.1080/00016357.2016.1235227] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
OBJECTIVE This study aimed to investigate the prevalence of pre-eruptive intracoronal resorption (PIR) using cone beam computed tomography (CBCT) and panoramic radiography and to compare the findings of these imaging techniques. METHODS This retrospective study consisted of 733 patients who had at least one unerupted tooth and had undergoneimaging with both three-dimensional (3D) CBCT and two-dimensional (2D) panoramic radiography. In all the images, the number of teeth with intracoronal resorption, affected tooth type and number, and size and location of the PIR defects were recorded. The McNemar test was used to compare the prevalence of PIR in the CBCT and panoramic images. RESULTS Fewer PIR defects were detected in the panoramic images (3.1% of the patients) than in the CBCT images (9.5% of the patients) (p< .001). According to the CBCT images, the distribution of PIR defects was as follows: third molars (59.5%), canine teeth (11.4%), second molars and premolars (7.6% for both), supernumerary teeth (5.1%), second molars (3.8%), central incisors (2.5%), and first premolar and primary second molar teeth (1.5% for both). According to the scoring classification system for PIR defects, PIR 1 defects were the most common (65.8%), followed by PIR 3 (24.1%) and PIR 2 (10.1%). Of these defects, 69.6% were located in the central aspect of the crown. Ectopically positioned teeth showing intracoronal resorption accounted for 51.9% of the cases of PIR. CONCLUSIONS CBCT detected more cases of PIR than panoramic radiography. The mandibular third permanent molar was the most commonly affected tooth.
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Demirtas O, Tarim Ertas E, Dane A, Kalabalik F, Sozen E. Evaluation of pre-eruptive intracoronal resorption on cone-beam computed tomography: A retrospective study. SCANNING 2016; 38:442-447. [PMID: 26752617 DOI: 10.1002/sca.21294] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/13/2015] [Accepted: 12/17/2015] [Indexed: 06/05/2023]
Abstract
OBJECTIVES This retrospective study aimed to investigate the prevalence of pre-eruptive intracoronal resorption (PIR) in unerupted permanent teeth in a Turkish population using cone beam computed tomography (CBCT). METHOD A total of 1,317 CBCT images were screened. In all the images, the following were recorded: the number of unerupted teeth, number of teeth with intracoronal resorption, affected tooth type and number, and location of radiolucent defects. Demographic data were also obtained. RESULTS The prevalence of intracoronal resorption in the study group was 15.1%, with a prevalence in teeth of 3.5%. The prevalence of intracoronal resorption using CBCT was much higher than that recorded previously using panoramic or bitewing radiographs intracoronal resorption was more common in males (57%) than females (43%). Twenty-three cases were located in the maxilla (48%), and 25 were located in the mandible (52%). The mandibular third molar was the most affected tooth type, followed by maxillary third molars and supernumerary teeth. CONCLUSION CBCT can be useful for diagnosing PIR defects because it provides an accurate representation of internal dental anatomy. SCANNING 38:442-447, 2016. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Omer Demirtas
- Faculty of Dentistry, Department of Oral and Maxillofacial Radiology, İzmir Katip Çelebi University, İzmir, Turkey
| | - Elif Tarim Ertas
- Faculty of Dentistry, Department of Oral and Maxillofacial Radiology, İzmir Katip Çelebi University, İzmir, Turkey
| | - Asim Dane
- Faculty of Dentistry, Department of Pediatric Dentistry, İzmir Katip Çelebi University, İzmir, Turkey.
| | - Fahrettin Kalabalik
- Faculty of Dentistry, Department of Oral and Maxillofacial Radiology, İzmir Katip Çelebi University, İzmir, Turkey
| | - Emre Sozen
- Faculty of Dentistry, Department of Oral and Maxillofacial Radiology, İzmir Katip Çelebi University, İzmir, Turkey
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14
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Bhatia SK, Hunter ML, Ashley PF. Amelogenesis Imperfecta with Coronal Resorption: Report of Three Cases. ACTA ACUST UNITED AC 2016; 42:945-8, 950. [PMID: 26856001 DOI: 10.12968/denu.2015.42.10.945] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Intracoronal resorption of the permanent dentition in cases of amelogenesis imperfecta (AI) is a rare finding which poses an added complication to the already complex management of this condition. This paper presents three cases of AI associated with delayed eruption of permanent teeth in which asymptomatic intracoronal resorption occurred. CPD/Clinical Relevance: This paper highlights the fact that teeth affected with amelogenesis imperfecta may undergo asymptomatic intracoronal resorption which is only identifiable radiographically.
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Uzun İ, Gunduz K, Canitezer G, Avsever H, Orhan K. A retrospective analysis of prevalence and characteristics of pre-eruptive intracoronal resorption in unerupted teeth of the permanent dentition: a multicentre study. Int Endod J 2014; 48:1069-76. [DOI: 10.1111/iej.12404] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2014] [Accepted: 10/24/2014] [Indexed: 11/29/2022]
Affiliation(s)
- İ. Uzun
- Department of Endodontics; Faculty of Dentistry; Ondokuz Mayıs University; Samsun Turkey
| | - K. Gunduz
- Department of Dentomaxillofacial Radiology; Faculty of Dentistry; Ondokuz Mayıs University; Samsun Turkey
| | - G. Canitezer
- Department of Dentomaxillofacial Radiology; Faculty of Dentistry; Ondokuz Mayıs University; Samsun Turkey
| | - H. Avsever
- Department of Dentomaxillofacial Radiology; Dentistry Center; GATA; Ankara Turkey
| | - K. Orhan
- Department of DentoMaxilloFacial Radiology; Faculty of Dentistry; Ankara University; Besevler Ankara Turkey
- Department of DentoMaxilloFacial Radiology; Faculty of Dentistry; Near East University; Mersin Turkey
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Al-Batayneh OB, AlJamal GA, AlTawashi EK. Pre-eruptive intracoronal dentine radiolucencies in the permanent dentition of Jordanian children. Eur Arch Paediatr Dent 2013; 15:229-36. [PMID: 24353075 DOI: 10.1007/s40368-013-0104-x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2013] [Accepted: 12/04/2013] [Indexed: 02/06/2023]
Abstract
PURPOSE To determine the prevalence of pre-eruptive intracoronal dentine radiolucencies (PEIR) and subject factors or dental conditions associated with PEIR from orthopantograms (OPGs) in unerupted permanent teeth of children. METHODS OPGs were evaluated for 1,571 subjects (807 males, 764 females) with mean age (8.72 ± 2.5) years. Unerupted permanent teeth prior to emergence into the oral cavity were assessed. The Chi square test was used to determine statistical differences between the group showing and the group not showing the defect with regards to sex, stage of dental development, presence of developmental anomalies, and condition of primary predecessor teeth. RESULTS Prevalence was (8.1%) by subject and (0.62%) by teeth. All subjects showed only one affected tooth per subject with no significant gender differences. The highest prevalence was in mandibular first premolars (3.02%). Most defects were noted in the mixed dentition stage (89.06%), mainly in the mandible (79.7%) as single lesions at a mesial location intracoronally, and a size of less than one-third of dentine thickness in (50%). Among all variables examined, PEIR defects were significantly associated with mixed dentition stage (p = 0.000) and decayed/filled primary predecessor teeth (p = 0.028). CONCLUSIONS PEIR defects occur at a significant prevalence rate in unerupted teeth. Increased awareness and careful radiographic examination of unerupted teeth may improve early detection and treatment of PEIR defects in children.
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Affiliation(s)
- O B Al-Batayneh
- Department of Preventive Dentistry, Jordan University of Science and Technology, Irbid, 22110, Jordan,
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Manan NM, Mallineni SK, King NM. Idiopathic pre-eruptive coronal resorption of a maxillary permanent canine. Eur Arch Paediatr Dent 2012; 13:98-101. [DOI: 10.1007/bf03262853] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Counihan KP, O’Connell AC. Case Report: Pre-eruptive intra-coronal radiolucencies revisited. Eur Arch Paediatr Dent 2012; 13:221-6. [DOI: 10.1007/bf03262874] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Prevalence and characteristics of intracoronal resorption in unerupted teeth in the permanent dentition: a retrospective study. Oral Radiol 2009. [DOI: 10.1007/s11282-009-0003-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Korbmacher HM, Lemke R, Kahl-Nieke B. Progressive pre-eruptive crown resorption in autosomal recessive generalized hypoplastic amelogenesis imperfecta. ACTA ACUST UNITED AC 2007; 104:540-4. [PMID: 17142066 DOI: 10.1016/j.tripleo.2006.08.022] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2006] [Revised: 08/18/2006] [Accepted: 08/28/2006] [Indexed: 11/21/2022]
Affiliation(s)
- Heike M Korbmacher
- Department of Orthodontics, University Hospital Hamburg-Eppendorf, Hamburg, Germany
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