Int J Stomatol

Int J Stomatol ›› 2022, Vol. 49 ›› Issue (5): 561-568.doi: 10.7518/gjkq.2022094

• Reviews • Previous Articles     Next Articles

Research progress on diagnosis and treatment of root resorption

Zeng Yanglin(),Tan Xuelian,Song Dongzhe,Huang Dingming.()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-01-15 Revised:2022-05-26 Online:2022-09-01 Published:2022-09-16
  • Contact: Dingming. Huang E-mail:2623850641@qq.com;dingminghuang@163.com
  • Supported by:
    Key Research and Development Program of Sichuan Province(2021YFS0031);Research and Develop Program, West China Hospital of Stomatology, Sichuan University(LCYJ2019-6)

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Abstract:

Internal root resorption is the loss of dentin from the root canal wall as a result of clastic activities caused by odontoclasts when the dental pulp is under inflammation. It has a low incidence and is closely related to trauma and infection. Its pathogenesis is not clear enough now. Internal root resorption is usually asymptomatic and often checked out by radiographic appearance, which is easily confused with external root resorption. However, it should be treated as soon as possible after diagnosis to prevent more dentin loss. At present, the common treatment for it is root canal therapy. So far, no review concerning internal root resorption is available. This review summarizes the progress of the etiology and pathogenesis, classification, diagnosis, differential diagnosis, treatment, and prognosis of internal root resorption to clarify the diagnosis and treatment of internal root resorption.

Key words: internal root resorption, etiology, diagnosis, treatment

CLC Number: 

  • R 781.05

TrendMD: 

Fig 1

The classification of internal root resorption"

Fig 2

Radiographs of internal root resorption"

Fig 3

CBCT of 21 internal root resorption"

Tab 1

Differential diagnosis of internal root resorption"

检查方式鉴别要点牙根内吸收

牙根外

吸收

根面龋
临床检查能否查见病损否部分能多数能
根尖片病损边缘清晰模糊模糊
病损影像对称对称不对称不一定
病损影叠加于正常根管否是是
根管轮廓扩大正常正常
多角度投射病损位置不变变化变化
CBCT提供准确的位置及性质，明确诊断

Fig 4

Path of clinical diagnosis and treatment of internal root resorption"

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