Multiple Idiopathic Cervical Resorption: A Case Report

Roy, Deepak Kumar; Sharma, Sanjeev; Suwal, Pramita; Singh, Vimmi; Iyer, Arjun

doi:10.3329/bjms.v11i2.8680

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…The condition may go unnoticed until pink discoloration is observed in the cervical region of the involved teeth (Figure 4), and some patients seek medical advice due to biting pain and loosening of the teeth (Arora et al, 2012; Liang et al, 2003; Wu et al, 2016). Sharp edges at the cavity border are often detected during probing (Dobroś et al, 2018; Hata et al, 2007; Roy et al, 2012). The gingivae are pale pink and slightly swollen.…”

Section: Resultsmentioning

confidence: 99%

“…MICRR mostly frequently affects premolars in the early phase, and newly involved teeth may be found in a quadrant without any previously affected teeth. A few patients (13/47) reported clinical symptoms, including pain on biting, loose teeth, sharp edges at the cavity border during clinical examination, and the apple‐core resorption lesion located at the CEJ by radiological examination seem to be hallmarks of MICRR (Dobroś et al, 2018; Hata et al, 2007; Moody et al, 1990; Roy et al, 2012; Sharma et al, 2019; von Arx et al, 2009). Liang et al (2003) have reviewed the literature and found that all cases were asymptomatic and were usually discovered as an incidental finding on radiographic examination.…”

Section: Discussionmentioning

confidence: 99%

“…Sharp edges at the cavity border are often detected during probing (Dobroś et al, 2018;Hata et al, 2007;Roy et al, 2012). The gingivae are pale pink and slightly swollen.…”

Section: Involved Teeth At the Initial Visitmentioning

confidence: 99%

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Multiple idiopathic cervical root resorption: A systematic review

et al. 2022

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The current literature on multiple idiopathic cervical root resorption (MICRR), a rare and aggressive form of external root resorption, is limited to case reports and series. Therefore, we performed a systematic review of this condition. A comprehensive search of PubMed, Embase, Web of science, Cochrane Library, CNKI, and WANFANG was conducted using key terms relevant to MICRR, supplemented by a grey literature search. Risk of bias was assessed using Cochrane's and Joanna Briggs Institute's tools. A total of 36 studies with 47 cases were included. MICRR is more common among younger females and may be related to hormonal changes and denosumab use. Initially, the premolars are usually affected but all permanent teeth may eventually be involved. Cone‐beam computed tomography is recommended for diagnosis and assessment of resorptive lesions. The management is focused on complete removal and restoration of the resorptive tissue to maintain the tooth's structural integrity. However, MICRR usually has a poor prognosis. Due to its invasive and aggressive behavior, MICRR requires greater attention.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Multiple idiopathic cervical root resorption: A systematic review

et al. 2022

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“…After reading the 70 articles selected, 39 were excluded for reasons listed in Figure 1 . The remaining 31 studies were screened for data on medical, clinical, and radiographic factors [ 5 , 7 , 8 , 9 , 10 , 11 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ].…”

Section: Resultsmentioning

confidence: 99%

The Medical, Clinical, and Radiographic Aspects of Multiple Idiopathic Tooth Resorption: A Systematic Review

Richert

Santamaria

Laforest

et al. 2022

JPM

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Background: Many causes of resorption remain unclear and are thus identified as idiopathic. In such cases, management is difficult, especially when multiple teeth are involved. The aim of the present study was to assess the literature regarding the medical, clinical, and radiographic aspects of multiple idiopathic resorptions (MIR) and to examine the factors associated with the risk of extraction. Methods: The title and protocol were registered a priori in PROSPERO (CRD42020191564), and the study followed the PRISMA methodology. Four electronic databases were searched to include reviews and case reports on MIR in permanent dentition. Results: Among the 1035 articles identified, 31 case reports were included. The mean age of the patients was 32 years (SD = 16.4). MIR were consistently diagnosed after radiographic evaluation and were undetected during intra-oral examination in 62% of cases. The treatment involved extraction in 77% of cases. The risk of extraction increased in the presence of periodontal inflammation. Conclusions: MIR are aggressive forms of resorption requiring routine visits. MIR mostly involve extraction and lead to a challenging prosthetic rehabilitation due to severely damaged abutment teeth. However, the current knowledge on MIR remains fragmental and based on a limited number of case reports.

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Multiple idiopathic cervical root resorption: a case report

et al. 2015

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A healthy 27-year-old Chinese female, with no significant associated factors, presented with MICRR. Resorption progressed quickly and lesions varied in severity, involving 29 teeth and leading to the loss of 23 teeth over a period of only 3 years. The inner surface of the crown showed extensive areas with worm-eaten lacunar resorption, and the resorptive lesions had abundant lysosomes throughout their cytoplasm. Further, heavy deposits of reaction products were shown in variously sized lysosomes.

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Multiple Idiopathic Cervical Resorption: A Case Report

Cited by 4 publications

References 7 publications

Multiple idiopathic cervical root resorption: A systematic review

Multiple idiopathic cervical root resorption: A systematic review

The Medical, Clinical, and Radiographic Aspects of Multiple Idiopathic Tooth Resorption: A Systematic Review

Multiple idiopathic cervical root resorption: a case report

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