Pre-eruptive intra-coronal resorption of dentine: a review of aetiology, diagnosis, and management

Al‐Batayneh, Ola B.; AlTawashi, E K

doi:10.1007/s40368-019-00470-4

Cited by 23 publications

(59 citation statements)

References 32 publications

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“…Pre-eruptive intracoronal radiolucency (PEIR) is a condition where unerupted teeth demonstrate radiographic coronal radiolucency within the dentin layer and underneath the dentino-enamel junction (DEJ) [1,2]. Most PEIR lesions are located in the middle of the crown.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…It has been reported that the prevalence of PEIR in the permanent dentition ranges from 0.5 % to 3.5 % depending on the type of radiographs used for detection [1,2]. Moreover, the most commonly affected teeth are the lower permanent second molars [2]. There is no clear link between PEIR and the child's gender, medical conditions, fluoride supplementation or systemic factors [1,2,4].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, the most commonly affected teeth are the lower permanent second molars [2]. There is no clear link between PEIR and the child's gender, medical conditions, fluoride supplementation or systemic factors [1,2,4]. Despite this, some studies showed a strong association between PEIR and other developmental defects such as ectopic positioning and delay in dental development [2].…”

Section: Introductionmentioning

confidence: 99%

“…However, the most acceptable theory is an idiopathic resorption by penetration of resorptive cells from the surrounding connective tissue [2,3]. Although PEIR defects are not carious in nature, once the tooth has emerged into the oral cavity, these defects are prone to bacterial colonization and development of dental caries [1,2,5,6]. Thus, Fissure sealant application was recommended by many authors to protect the tooth from bacterial colonization [5,6].…”

Section: Introductionmentioning

confidence: 99%

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Detection, five-year monitoring, and management of a nonprogressive lesion of pre-eruptive intracoronal radiolucency

Alfarraj¹,

Alhelal²

2020

Oral Health Care

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Objectives: To report a case of pre-eruptive intracoronal radiolucency (PEIR) in the right mandibular second permanent molar of a young female patient, and to promote awareness of early detection of PEIR. It is a condition where unerupted teeth exhibit radiographic caries like radiolucency within the dentin and underneath the enamel.Study design: This report describes an incidental finding of an asymptomatic REIR seen in a panoramic radiograph. When the tooth was partially erupted, it was sealed to prevent bacterial colonization. After the tooth became fully erupted, conservative restorative treatment was performed and the patient was followed up for another year. Results:The detected lesion was monitored for five years and found to be nonprogressive. Conclusion:It is critical to monitor the progression of asymptomatic PEIR lesions by periodic radiographic examination. For the nonprogressive type of PEIR, we support following a conservative approach by monitoring until the tooth is fully erupted.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Detection, five-year monitoring, and management of a nonprogressive lesion of pre-eruptive intracoronal radiolucency

Alfarraj¹,

Alhelal²

2020

Oral Health Care

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Developmental Defects of the Teeth and Their Hard Tissues

Kotsanos

Papagerakis

Sarnat

et al. 2022

Pediatric Dentistry

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Pre-eruptive intramural resorption in unerupted teeth: a cone-beam computed tomography evaluation of prevalence and related factors

Ngamsom,

Arayapisit,

Asavanamuang

et al. 2024

Clin Oral Invest

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Objective Pre-eruptive intramural resorption (PEIR) is defined as an abnormal, well-circumscribed radiolucency within the coronal dentin of the tooth, which is often overlooked in plain radiographs. This study aimed to investigate the prevalence of PEIR and its related factors using cone-beam computed tomography (CBCT). Methods CBCT images of 590 unerupted teeth were evaluated for the presence of PEIR, location of PEIR, number of lesions in the affected tooth, PEIR score, tooth angulation, tooth position, and pericoronal space. Binary logistic tests were used to analyze the association between the characteristics of PEIR and the patient’s demographic data and related factors. Results The tooth prevalence of PEIR was 13.6% among unerupted teeth. However, it was noteworthy that 19.2% of the unerupted teeth with PEIR were planned to be kept. PEIR was significantly associated with transverse (p = 0.020), inverted-angulated (p = 0.035), and centrally-positioned teeth (p = 0.043). The severity of PEIR was more pronounced in teeth with distal (p = 0.019), lingual (p = 0.023), or inverted-angulated (p = 0.040) positions, and in the absence of pericoronal space (p = 0.036). Conclusion PEIR should be suspected in transverse, inverted-angulated, centrally positioned unerupted teeth, particularly in molars, with no pericoronal space. Further monitoring through CBCT is recommended in such cases. Clinical relevance The management of unerupted teeth does not always involve surgical removal. Instead, they could be utilized for artificial eruption or tooth transplantation. The present study emphasizes the significance of early detection of PEIR. Clinical recommendations for screening PEIR in unerupted teeth are also proposed, which can be applied to routine plain radiographs.

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Pre-eruptive intra-coronal resorption of dentine: a review of aetiology, diagnosis, and management

Cited by 23 publications

References 32 publications

Detection, five-year monitoring, and management of a nonprogressive lesion of pre-eruptive intracoronal radiolucency

Detection, five-year monitoring, and management of a nonprogressive lesion of pre-eruptive intracoronal radiolucency

Developmental Defects of the Teeth and Their Hard Tissues

Pre-eruptive intramural resorption in unerupted teeth: a cone-beam computed tomography evaluation of prevalence and related factors

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