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"

1 Patel S, Ricucci D, Durak C, et al. Internal root resorption: a review[J]. J Endod, 2010, 36(7): 1107-1121.
2 Calişkan MK, Türkün M. Prognosis of permanent teeth with internal resorption: a clinical review[J]. Endod Dent Traumatol, 1997, 13(2): 75-81.
3 de Araujo LCG, Lins CV, de Lima GA, et al. Study of prevalence of internal resorption in periapical radiography of anteriors permanents tooth[J]. Int J Morphol, 2009, 27(1): 227-230.
4 Marinescu IR, Bănică AC, Mercuţ V, et al. Root resorption diagnostic: role of digital panoramic radio-graphy[J]. Curr Health Sci J, 2019, 45(2): 156-166.
5 Endal U, Shen Y, Knut A, et al. A high-resolution computed tomographic study of changes in root canal isthmus area by instrumentation and root filling[J]. J Endod, 2011, 37(2): 223-227.
6 Koehne T, Zustin J, Amling M, et al. Radiological and histopathological features of internal tooth resorption[J]. In Vivo, 2020, 34(4): 1875-1882.
7 Nilsson E, Bonte E, Bayet F, et al. Management of internal root resorption on permanent teeth[J]. Int J Dent, 2013, 2013: 929486.
8 Liu HM, Peng XX, Sun HC, et al. Clinical and histopathological characterization of root resorption in replanted teeth: two case reports[J]. Medicine, 2020, 99(3): e18869.
9 Darcey J, Qualtrough A. Resorption: part 1. Pathology, classification and aetiology[J]. Br Dent J, 2013, 214(9): 439-451.
10 Souza BDM, Dutra KL, Kuntze MM, et al. Incidence of root resorption after the replantation of avulsed teeth: a meta-analysis[J]. J Endod, 2018, 44(8): 1216-1227.
11 Kalender A, Oztan MD, Basmaci F, et al. CBCT evaluation of multiple idiopathic internal resorptions in permanent molars: case report[J]. BMC Oral Heal, 2014, 14: 39.
12 Urban D, Mincik J. Monozygotic twins with idiopathic internal root resorption: a case report[J]. Aust Endod J, 2010, 36(2): 79-82.
13 Levy DH, Rozenfeld S, Itzhak JB, et al. A rare case of multiple internal root resorption after the delayed treatment of a traumatic injury: a case report[J]. J Contemp Dent Pract, 2021, 22(2): 194-198.
14 Duan XH, Yang T, Zhang YL, et al. Odontoblast-like MDPC-23 cells function as odontoclasts with RANKL/M-CSF induction[J]. Arch Oral Biol, 2013, 58(3): 272-278.
15 Zheng Y, Chen M, He L, et al. Mesenchymal dental pulp cells attenuate dentin resorption in homeostasis[J]. J Dent Res, 2015, 94(6): 821-827.
16 Fernandes M, de Ataide I, Wagle R. Tooth resorption part Ⅰ-pathogenesis and case series of internal resorption[J]. J Conserv Dent, 2013, 16(1): 4-8.
17 Wedenberg C, Zetterqvist L. Internal resorption in human teeth: a histological, scanning electron microscopic, and enzyme histochemical study[J]. J Endod, 1987, 13(6): 255-259.
18 Ne RF, Witherspoon DE, Gutmann JL. Tooth resorption[J]. Quintessence Int, 1999, 30(1): 9-25.
19 Aidos H, Diogo P, Santos JM. Root resorption classifications: a narrative review and a clinical aid proposal for routine assessment[J]. Eur Endod J, 2018, 3(3): 134-145.
20 Gartner AH, Mack T, Somerlott RG, et al. Differential diagnosis of internal and external root resorption[J]. J Endod, 1976, 2(11): 329-334.
21 Cohen RG, Razzano MV. Immediate dentin sealing using an antibacterial self-etching bonding system[J]. Pract Proced Aesthet Dent, 2006, 18(9): 561-566.
22 Nascimento EHL, Gaêta-Araujo H, Galvão NS, et al. Effect of brightness and contrast variation for detectability of root resorption lesions in digital intraoral radiographs[J]. Clin Oral Investig, 2019, 23(8): 3379-3386.
23 Patel S, Saberi N. The ins and outs of root resorption[J]. Br Dent J, 2018, 224(9): 691-699.
24 Al-Momani Z, Nixon PJ. Internal and external root resorption: etiology, diagnosis and treatment options[J]. Dent Update, 2013, 40(2): 102-104, 107-108, 111-112.
25 Madani Z, Moudi E, Bijani A, et al. Diagnostic accuracy of cone-beam computed tomography and periapical radiography in internal root resorption[J]. Iran Endod J, 2016, 1(1): 51-56.
26 Lima TF, Gamba TO, Zaia A, et al. Evaluation of cone beam computed tomography and periapical radiography in the diagnosis of root resorption[J]. Aust Dent J, 2016, 61(4): 425-431.
27 Mehra N, Yadav M, Kaushik M, et al. Clinical ma-nagement of root resorption: a report of three cases[J]. Cureus, 2018, 10(8): e3215.
28 Sharma V, Tanwar R, Gupta V, et al. Impacted stapler pin in fractured maxillary central incisor with open apex: advanced endodontic management using biodentine as innovative apical matrix[J]. Indian J Dent Res, 2015, 26(6): 637-640.
29 Umashetty G, Hoshing U, Patil S, et al. Management of inflammatory internal root resorption with biodentine and thermoplasticised gutta-percha[J]. Case Rep Dent, 2015, 2015: 452609.
30 Aktemur Türker S, Uzunoğlu E, Deniz Sungur D, et al. Fracture resistance of teeth with simulated perforating internal resorption cavities repaired with different calcium silicate-based cements and backfil-ling materials[J]. J Endod, 2018, 44(5): 860-863.
31 Ulusoy Öİ, Paltun YN. Fracture resistance of roots with simulated internal resorption defects and obturated using different hybrid techniques[J]. J Dent Sci, 2017, 12(2): 121-125.
32 Aslan T, Üstün Y, Esim E. Stress distributions in internal resorption cavities restored with different materials at different root levels: a finite element analysis study[J]. Aust Endod J, 2019, 45(1): 64-71.
33 Yıldırım S, Elbay M. Multidisciplinary treatment approach for perforated internal root resorption: three-year follow-up[J]. Case Rep Dent, 2019, 2019: 5848272.
34 Torabinejad M, Parirokh M, Dummer PMH. Mine-ral trioxide aggregate and other bioactive endodontic cements: an updated overview-part Ⅱ: other clinical applications and complications[J]. Int Endod J, 2018, 51(3): 284-317.
35 Esnaashari E, Pezeshkfar A, Fazlyab M. Nonsurgical management of an extensive perforative internal root resorption with calcium-enriched mixture cement[J]. Iran Endod J, 2015, 10(1): 75-78.
36 Subay RK, Subay MO, Tuzcu SB. Endodontic ma-nagement of root perforating internal replacement resorption[J]. Eur J Dent, 2018, 12(3): 450-453.
37 Pereira da Costa R, Quaresma SA, Lopes FC, et al. Management of a perforating internal root resorption using mineral trioxide aggregate: a case report with 5-year follow-up[J]. Aust Endod J, 2020, 46(3): 452-457.
38 Küçükkaya Eren S, Aksel H, Askerbeyli Örs S, et al. Obturation quality of calcium silicate-based cements placed with different techniques in teeth with perforating internal root resorption: a micro-compu-ted tomographic study[J]. Clin Oral Investig, 2019, 23(2): 805-811.
39 Tek V, Türker SA. A micro-computed tomography evaluation of voids using calcium silicate-based materials in teeth with simulated internal root resorption[J]. Restor Dent Endod, 2020, 45(1): e5.
40 王密, 尹世海, 王奇, 等. iRoot BP修复磨牙髓室底穿孔的研究[J]. 华西口腔医学杂志, 2013, 31(3): 257-259, 266.
Wang M, Yin SH, Wang Q, et al. Study of molar furcal perforation repaired with iRoot BP[J]. West China J Stomatol, 2013, 31(3): 257-259, 266.
41 Jacobovitz M, de Lima RKP. Treatment of inflammatory internal root resorption with mineral trioxide aggregate: a case report[J]. Int Endod J, 2008, 41(10): 905-912.
42 Li FC, Hung WC. Repair of a perforating internal resorption: two case reports[J]. J Dent Sci, 2016, 11(3): 338-342.
43 Altundasar E, Demir B. Management of a perfora-ting internal resorptive defect with mineral trioxide aggregate: a case report[J]. J Endod, 2009, 35(10): 1441-1444.
44 Saoud TMA, Mistry S, Kahler B, et al. Regenerative endodontic procedures for traumatized teeth after horizontal root fracture, avulsion, and perfora-ting root resorption[J]. J Endod, 2016, 42(10): 1476-1482.
45 Arnold M. Reparative endodontic treatment of a perforating internal inflammatory root resorption: a case report[J]. J Endod, 2021, 47(1): 146-155.
46 Yang Y, Zhang B, Huang C, et al. Intentional replantation of a second premolar with internal resorption and root fracture: a case report[J]. J Contemp Dent Pract, 2021, 22(5): 562-567.
47 Krupp C, Bargholz C, Brüsehaber M, et al. Treatment outcome after repair of root perforations with mineral trioxide aggregate: a retrospective evaluation of 90 teeth[J]. J Endod, 2013, 39(11): 1364-1368.
48 Estrela C, Decurcio DDA, Rossi-Fedele G, et al. Root perforations: a review of diagnosis, prognosis and materials[J]. Braz Oral Res, 2018, 32(): e73.
49 Gorni FG, Andreano A, Ambrogi F, et al. Patient and clinical characteristics associated with primary healing of iatrogenic perforations after root canal treatment: results of a long-term Italian study[J]. J Endod, 2016, 42(2): 211-215.
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