Background
Multiple idiopathic cervical root resorption (MICRR) is a rare entity distinct from pathological root resorption that occurs as a result of several local and systemic factors.
Methods
This report describes a familial pattern of MICRR, including a recently identified case and a 30-year follow-up on previously described cases.
Results
The previously reported father (95-years) and son (64-years), and the recently affected daughter (61-years), presented noncontributory medical history. The resorptive lesions were asymptomatic, unassociated with any predisposing factors, and were first identified during the fourth to sixth decades of life. All tooth types were affected, with posterior teeth being affected earlier and with greater frequency, however, distal root surfaces were never affected. The resorptive lesions were progressive in nature with additional teeth becoming involved as the condition was followed over time. In many instances, surrounding alveolar bone extended into the existing resorptive defects, but without clinical evidence of ankylosis. Gingival tissues, periodontal probing, and tooth mobility were within normal limits. Micro-computed tomography of extracted teeth demonstrated that the lesions were more extensive than clinically evident and rarely invaded the pulp chamber. Histologically, many resorptive lesions were noted along the cementum surface, with evidence of isolated cemental repair. Management of MICRR focused on restoring damaged root surfaces and extracting teeth with extensive root resorption.
Conclusions
MICRR is a challenging entity with unknown etiology, and a lack of well-established preventative and management strategies. The familial pattern noted in this report necessitates future studies to investigate the role of genetic components in MICRR development.