Sub-clinical Cervical Root Resorption: A Case Report

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2022 Aug 31

PMID 36043004

Authors

Ruba F A Ghazi

Fahad A Khalifa

Affiliations

Soon will be listed here.

Abstract

External cervical resorption (ECR) is a dynamic pathological process characterized by its cervical position on the root and arises below the epithelial attachment and the coronal part of the bone. This report will highlight a case of ECR in an asymptomatic patient. A radiolucent area was noted during a routine dental follow-up examination on the bitewings at the mesial surface of the upper right second premolar. Persistently, the radiolucency had multiple radiographic views indicating a true form of a lesion that could be diagnosed as external cervical resorption. The patient did not report any complaints since dental treatment was completed in 2016. After a series of radiographs and conducting further diagnostic measures, a diagnosis of ECR was confirmed. The best treatment of choice for this case was extraction and restoring the missing tooth with an implant-supported crown. The size and the extent of such a defect could affect the strategy for implant placement. This paper aimed to report that ECR can be asymptomatic for a long time with advanced cervical root resorption in some cases.

References

Chen Y, Huang Y, Deng X . External cervical resorption-a review of pathogenesis and potential predisposing factors. Int J Oral Sci. 2021; 13(1):19. PMC: 8192751. DOI: 10.1038/s41368-021-00121-9. View

Chu E, Deeb J, Foster B, Hajishengallis E, Somerman M, Thumbigere-Math V . Multiple Idiopathic Cervical Root Resorption: A Challenge for a Transdisciplinary Medical-Dental Team. Front Dent Med. 2021; 2. PMC: 8340576. DOI: 10.3389/fdmed.2021.652605. View

Heithersay G . Management of tooth resorption. Aust Dent J. 2007; 52(1 Suppl):S105-21. DOI: 10.1111/j.1834-7819.2007.tb00519.x. View

Tronstad L . Root resorption--etiology, terminology and clinical manifestations. Endod Dent Traumatol. 1988; 4(6):241-52. DOI: 10.1111/j.1600-9657.1988.tb00642.x. View

Neely A, Thumbigere-Math V, Somerman M, Foster B . A Familial Pattern of Multiple Idiopathic Cervical Root Resorption With a 30-Year Follow-Up. J Periodontol. 2015; 87(4):426-33. PMC: 4902003. DOI: 10.1902/jop.2015.150536. View

Patel S, Mavridou A, Lambrechts P, Saberi N . External cervical resorption-part 1: histopathology, distribution and presentation. Int Endod J. 2018; 51(11):1205-1223. DOI: 10.1111/iej.12942. View

Heithersay G . Invasive cervical resorption: an analysis of potential predisposing factors. Quintessence Int. 1999; 30(2):83-95. View

Patel S, Dawood A, Wilson R, Horner K, Mannocci F . The detection and management of root resorption lesions using intraoral radiography and cone beam computed tomography - an in vivo investigation. Int Endod J. 2009; 42(9):831-8. DOI: 10.1111/j.1365-2591.2009.01592.x. View

Patel S, Kanagasingam S, Pitt Ford T . External cervical resorption: a review. J Endod. 2009; 35(5):616-25. DOI: 10.1016/j.joen.2009.01.015. View

10.

Talpos-Niculescu R, Nica L, Popa M, Talpos-Niculescu S, Rusu L . External cervical resorption: Radiological diagnosis and literature (Review). Exp Ther Med. 2021; 22(4):1065. PMC: 8353645. DOI: 10.3892/etm.2021.10499. View

11.

Mavridou A, Bergmans L, Barendregt D, Lambrechts P . Descriptive Analysis of Factors Associated with External Cervical Resorption. J Endod. 2017; 43(10):1602-1610. DOI: 10.1016/j.joen.2017.05.026. View