Case Report: Pre-eruptive intra-coronal radiolucencies revisited

Counihan, Kate; O’Connell, Anne

doi:10.1007/bf03262874

Cited by 29 publications

(61 citation statements)

References 13 publications

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“…11,15 In contrast to our case, Holan et al found yellowishbrown soft tissue in the resorptive area of the tooth in their first case, but their second case had yellowwhite soft tissue similar to our case. 4 Any systemic disturbance or local trauma that injures the odontoblasts during dentin formation can cause an interruption or an arrest in matrix apposition, which results in hypoplasia.…”

Section: Discussionsupporting

confidence: 50%

Pre-eruptive Intracoronal Resorption of Dentin in a Permanent Molar: Case Report

Sahin¹,

Yıldız²,

Özbudak³

2015

Turkiye Klinikleri J Dental Sci Cases

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re-eruptive intracoronal resorption (PEIR) is an idiopathic lesion in the crown of an unerupted tooth. 1 PEIR has been described in the literature in sporadic case reports of unerupted teeth with radiolucency in the crown. [2][3][4] In articles, this type of lesion is also called an intracoronal radiolucent lesion, pre-eruptive caries, pre-eruptive intracoronal resorptive lesion, or pre-eruptive intracoronal defect.5-7 PEIR of a tooth looks like a caries lesion. PEIRs are often found within the dentin, adjacent to the amelodentinal junction in the occlusal aspects of the crown. 8,9 These defects have been found generally in a mandibular permanent molar or a maxillary permanent molar during radiographic examination. Pre-eruptive Intracoronal Resorption of Dentin in a Permanent Molar: Case Report A AB BS S T TR RA AC CT T Pre-eruptive coronal resorption (PEIR) appears as a radiolucent lesion in the coronal dentin, under the enamel-dentin junction of unerupted teeth and as caries on radiographs. This case report represents a rare case of PEIR of a semierupted second permanent molar, which was determined by chance on a radiograph of a young patient who was refered to our clinic for the pain complaint of another tooth. Semi-erupted permanent second molar's enamel structure was sound and abnormal pink color was realized. Panoramic and periapical radiographies were examined. The lesion was removed from the tooth after gingival tissue corresponding to the occlusal surface of the tooth was cauterized under regional anesthesia. The soft tissue and enamel fragments were histopathologically examined. This case report contains the diagnosis, histopathologic analysis, management of the lesion, and discussion of the probable etiology.K Ke ey y W Wo or rd ds s: : Tooth Resorption; dentin; dentition Ö ÖZ ZE ET T Sürme öncesinde görülen koronal rezorpsiyon (SÖKR), sürmemiş dişin mine-dentin sınırının altında, koronal dentinde görülen radyolusent lezyonlardır. Radyografik muayenede çürük olarak görülmektedir. Bu olgu raporunda, başka bir dişindeki ağrı şikayeti ile kliniğimize başvuran genç bir hastada radyografik muayenede rastlanan, nadir görülen SÖKR sunulmuştur. Yarı sürmüş daimi ikinci molar dişin mine dokusu sağlam olmakla birlikte anormal pembe renk dikkat çekmiştir. Hastadan ponoramik ve periapikal radyografiler çekilerek değerlendirilmiştir. Dişin distalden oklüzal yüzeyini saran gingival doku bölgesel anestezi altında koterize edilerek kaldırılmıştır. Sağlam mine dokusunun kaldırılmasının ardından lezyon çıkartılarak histopatolojik değerlendirme için gönde-rilmiştir. Bu olgu sunumunda, vakanın teşhisi, histopatolojik analizi, lezyonun tedavisi ve olası etiyolojik faktörler anlatılmıştır.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Diş rezorpsiyonu; dentin; diş çıkarma T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J D De en nt ta al l S Sc ci i C Ca as se es s 2 20 01 15 5; ;1 1( (4 4) ): :2 23 37 7--4 41 1

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Section: Discussionsupporting

confidence: 50%

Pre-eruptive Intracoronal Resorption of Dentin in a Permanent Molar: Case Report

Sahin¹,

Yıldız²,

Özbudak³

2015

Turkiye Klinikleri J Dental Sci Cases

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“…Treatments such as pulp protection or pulpectomy are performed in cases in which the pulp is affected. In the literature there are reports of rare cases in which the lesion progressed rapidly, and extraction of the tooth was indicated [1][2][4][5][6][7]10 .…”

Section: Discussionmentioning

confidence: 99%

“…This lesion is generally localized on the occlusal, distal or mesial surfaces of the coronal portion, extending into various depths of dentin, rarely involves the pulp and preserves the healthy crown [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] . It may be confused with caries, and mistakenly The best treatment option in this case was followup to minimize the risk of caries, and obtain stabilization of the lesion.…”

Section: Introductionmentioning

confidence: 99%

“…after complete coronal development, with the result of etiological factors of resorptions, such as periapical lesions of primary teeth, coronal resorption, abnormal local pressure, (due to the ectopic position of the tooth germ) or even dental caries. Few histopathological and microbiological results have sustained the hypothesis that these lesions were of a carious nature while the teeth remain unerupted 1,[6][7][8][9]12 . No association has been found between pre-eruptive intracoronal radiolucence and gender, racial predilection, medical conditions, systemic factors and the use of fluoride 6,9. The teeth most frequently involved are the mandibular second premolars and third molars, with the molars being the most affected 2,5-9,13 .…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, in the majority of cases lesion progression is minimal, and it is possible to perform conservative treatment, preserving the tooth until the time of its complete eruption [1][2][3][4][5][10][11]13 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pre-interruptive intracoronal resorption: clinical and radiographic follow-up

Barra

Villalobos

Penido

et al. 2017

RGO, Rev. Gaúch. Odontol.

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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 RESUMOA reabsorção intracoronária pré-eruptiva é uma lesão radiolúcida localizada na dentina, logo abaixo da junção amelo-detinária de dentes não irrompidos. É rara, assintomática e de etiologia idiopática, geralmente diagnosticada em exames radiográficos de rotina ou com fins ortodônticos. Uma abordagem conservadora com acompanhamento radiográfico é o tratamento recomendado até que o dente erupcione para ser feita a intervenção. Porém, em casos de sintomatologia ou progressão da lesão, aconselha-se a intervenção cirúrgica. Objetivo: Relatar o caso de reabsorção intracoronária pré-eruptiva, com uma abordagem conservadora mostrando a o acompanhamento clínico e radiográfico periódico desta condição. Paciente, sexo feminino, nove anos de idade, caucasiana, que compareceu a Clínica Odontológica para exame de rotina. Foi solicitada uma radiografia panorâmica inicial, sendo evidenciada uma radioluscência intracoronária no dente 45 ainda não erupcionado. Foi feito uma acompanhamento clínico e radiográfico até na total estabelecimento do dente acometido na cavidade oral. Conhecer a reabsorção intracoronária pré-eruptiva, associando sua provável etiologia e aspecto radiográfico, bem como sua prevalência e ocorrência e opções de tratamento, considerando uma abordagem conservadora, quando não houver sintomatologia, como tratamento recomendado.Termos de indexação: Cárie dentária. Radiografia dentária. Dentição permanente. Dente não erupcionado. Reabsorção de dente.

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Pre-eruptive intracoronal dentine radiolucencies in the permanent dentition of Jordanian children

Al‐Batayneh

Al-Jamal

AlTawashi

2013

Eur Arch Paediatr Dent

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Case Report: Pre-eruptive intra-coronal radiolucencies revisited

Abstract: Early detection and classification of the PEIR lesion allows an array of individualised treatments to be provided for successful outcome.

Cited by 29 publications

References 13 publications

Pre-eruptive Intracoronal Resorption of Dentin in a Permanent Molar: Case Report

Pre-eruptive Intracoronal Resorption of Dentin in a Permanent Molar: Case Report

Pre-interruptive intracoronal resorption: clinical and radiographic follow-up

Pre-eruptive intracoronal dentine radiolucencies in the permanent dentition of Jordanian children

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