Pre-eruptive coronal resorption of unerupted molar teeth in orthodontic patients

Kane, Georgina; Cash, Alex; Seehra, Jadbinder

doi:10.1177/1465312519838555

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…Based on previous studies, there appears to be no correlation between PEIR and systemic factors, such as race, gender, or fluoride supplementation. 23 – 25 , 43 However, Al-Tuwirqi and Seow found that this condition was associated with the ectopic position of the affected tooth or with delayed dental development of at least 6 months 5 , 23 , 32 , 43 Özden and Acikgoz also stated a correlation with supernumerary teeth. 11 , 40 In addition, Uzun et al reported two clinical cases presenting simultaneously herpes zoster virus and PEIR defects.…”

Section: Discussionmentioning

confidence: 99%

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Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case

Ambriss¹,

Moukarzel²,

Ezzeddine³

et al. 2021

International Journal of Clinical Pediatric Dentistry

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A bstract Aim and objective The present article aims to describe and discuss the preventive clinical management of a pre-eruptive intracoronal resorption (PEIR) defect on a maxillary right second premolar of an 11-year, 5-month-old girl. Background Pre-eruptive intracoronal resorption is described as an abnormal, well-circumscribed, radiolucent area, occurring within the coronal dentinal tissue close to the dentinoenamel junction of unerupted teeth and extending into various depths of the dentin. It is a rare anomaly occurring in primary and permanent dentitions. In the past, these defects were misdiagnosed as caries, and were therefore called “pre-eruptive caries” or “hidden caries”. Currently, the most acceptable etiological hypothesis for PEIR is intracoronal resorption by the invasion of resorptive cells into the dentine through breakdowns in the enamel during crown formation. These lesions are often detected accidentally during routine dental radiographic examination. Case description A fissure sealant was applied to the affected tooth shortly after its eruption. Clinical and radiographical assessments were scheduled every 6 months for a period of 5 years and 5 months. Conclusion The preventive approach proved to be effective in preserving the tooth vital and asymptomatic with normal root development for the entire follow-up period. Clinical significance This article raises awareness about misdiagnosed PEIR in primary and permanent dentitions. A close inspection of radiographs, taken during routine visits and orthodontic check-ups, is important for early detection and proper management of such defects. How to cite this article Ambriss B, Moukarzel C, Ezzeddine M, et al. Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case. Int J Clin Pediatr Dent 2021;14(1):161–166.

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Section: Discussionmentioning

confidence: 99%

“…No association has been reported between PEIR and race, gender, medical conditions, systemic diseases, systemic factors, or the use of fluoride supplementation. 23 – 25 However, a significant correlation was found between the ectopic position of teeth and PEIR. 11 , 23 …”

Section: B Ackgroundmentioning

confidence: 94%

Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case

Ambriss¹,

Moukarzel²,

Ezzeddine³

et al. 2021

International Journal of Clinical Pediatric Dentistry

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Pre-eruptive intracoronal resorption: a familial clinical case and review

McIlvanna

2024

Dent Update

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Pre-eruptive intracoronal resorption (PEIR) is a rare condition usually detected incidentally on radiographs. The radiographic appearance resembles dental caries; however, the aetiology is not fully understood. The prognosis of affected teeth is highly variable, and management may involve input from multiple specialties. CPD/Clinical Relevance: The present report describes the clinical management of PEIR-affected molars in two family members and discusses the alternatives for treatment.

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Coronal Resorption in Unerupted Anterior Permanent Teeth: Cases with Different Aetiologies? A Review

Makwana

Murray

2022

Orthodontic Update

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Two case reports are described along with differential diagnoses and management strategies from the literature for teeth discovered with intra-coronal resorption prior to their eruption. Our cases feature impacted maxillary anterior teeth. In both instances, significant coronal resorption presented itself mid-way through fixed appliance treatment, prior to full eruption of the involved teeth. This was detected radiographically and not through patient-reported symptoms. Once sufficiently erupted, root canal therapy was carried out in both cases and orthodontic treatment was successfully completed. CPD/Clinical Relevance: Orthodontists are often first to identify pathological lesions in unerupted teeth and should be equipped with differential diagnoses in order to manage and refer patients appropriately.

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Pre-eruptive coronal resorption of unerupted molar teeth in orthodontic patients

Cited by 4 publications

References 21 publications

Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case

Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case

Pre-eruptive intracoronal resorption: a familial clinical case and review

Coronal Resorption in Unerupted Anterior Permanent Teeth: Cases with Different Aetiologies? A Review

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