Tooth root resorption is multifactorial, and its etiology and pathogenesis are poorly understood. Tooth root resorption is often incidentally revealed on radiographic examination. Here, we report a case of root resorption in multiple teeth of unknown etiology. Radiographic examination revealed root resorption in the cervical region of the left lateral incisor, canine, first and second premolars, and first and second molars of the mandible. Panoramic radiographs revealed no mandibular lesions that could cause tooth resorption. The patient did not wish to undergo any treatment and is currently under observation. Tooth root resorption with unknown etiology is rare, and further case collection is needed to determine the cause and treatment.
References
[1]
American Association of Endodontists (2020) Glossary of Endodontic Terms Tenth Edition. Chicago. http://www.aae.org/glossary/
[2]
Tronstad, L. (1988) Root Resorption—Etiology, Terminology and Clinical Manifestations. Dental Traumatology, 4, 241-252. https://doi.org/10.1111/j.1600-9657.1988.tb00642.x
[3]
Al-Badri, S., Kinirons, M., Cole, B. and Welbury, R. (2002) Factors Affecting Resorption in Traumatically Intruded Permanent Incisors in Children. Dental Traumatology, 18, 73-76. https://doi.org/10.1034/j.1600-9657.2002.180205.x
[4]
Heboyan, A.G., Avetisyan, A.A. and Margaryan, M.M. (2018) Clinical Case of a Rarely Diagnosed Tooth Root Internal Resorption. The New Armenian Medical Journal, 12, 87-92.
[5]
Consolaro, A. (2019) Extreme Root Resorption in Orthodontic Practice: Teeth Do Not Have to Be Replaced with Implants. Dental Press Journal of Orthodontics, 24, 20-28. https://doi.org/10.1590/2177-6709.24.5.020-028.oin
[6]
Patel, S. and Ford, T.P. (2007) Is the Resorption External or Internal? Dental Update, 34, 218-229. https://doi.org/10.12968/denu.2007.34.4.218
[7]
Mavridou, A.M., Bergmans, L., Barendregt, D. and Lambrechts, P. (2017) Descriptive Analysis of Factors Associated with External Cervical Resorption. Journal of Endodontics, 43, 1602-1610. https://doi.org/10.1016/j.joen.2017.05.026
[8]
Heithersay, G.S. (1999) Invasive Cervical Resorption: An Analysis of Potential Predisposing Factors. Quintessence International, 30, 83-95.
[9]
Mueller, E. and Rony, H.R. (1930) Laboratory Studies of a Usual Case of Resorption. The Journal of the American Dental Association, 17, 326-334.
[10]
Patel, S. and Saberi, N. (2018) The Ins and Outs of Root Resorption. British Dental Journal, 224, 691-699. https://doi.org/10.1038/sj.bdj.2018.352
[11]
Trope, M. (2002) Root Resorption Due to Dental Trauma. Endodontic Topics, 1, 79-100. https://doi.org/10.1034/j.1601-1546.2002.10106.x
[12]
Mavridou, A.M., Bergmans, L., Barendregt, D. and Lambrechts, P. (2017) Descriptive Analysis of Factors Associated with External Cervical Resorption. Journal of Endodontics, 43, 1602-1610. https://doi.org/10.1016/j.joen.2017.05.026
[13]
Harrington, G.W. and Natkin, E. (1979) External Resorption Associated with the Bleaching of Pulpless Teeth. Journal of Endodontics, 5, 344-338. https://doi.org/10.1016/S0099-2399(79)80091-6
[14]
Gunst, V., Huybrechts, B., De Almeida, N.A, Bergmans, L., Van Meerbeek, B. and Lambrechts, P. (2011) Playing Wind Instruments as a Potential Aetiologic Cofactor in External Cervical Resorption: Two Case Reports. International Endodontic Journal, 44, 268-282. https://doi.org/10.1111/j.1365-2591.2010.01822.x
George, D.I. and Miller, R.L. (1986) Idiopathic Resorption of Teeth A Report of Three Cases. American Journal of Orthodontics, 89, 13-20. https://doi.org/10.1016/0002-9416(86)90108-9
Moody, A.B., Speculand, B., Smith, A.J. and Basu, M.K. (1990) Multiple Idiopathic External Resorptions of Teeth. International Journal of Oral & Maxillofacial Surgery, 19, 200-202. https://doi.org/10.1016/S0901-5027(05)80389-3
[19]
Liang, H., Burkes, E.J. and Frederiksen, N.L. (2003) Multiple Idiopathic Cervical Root Resorption: Systematic Review and Report of Four Cases. Dentomaxillofacial Radiology, 32, 150-155. https://doi.org/10.1259/dmfr/12925020
[20]
Iwamatsu-Kobayashi, Y., Satoh-Kuriwada, S., Yamamoto, T., Hirata, M., Toyoda, J., Endo, H., Kindaichi, K. and Komatsu, M. (2005) A Case of Multiple Idiopathic External Root Resorption: A 6-Year Follow-Up Study. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, 100, 772-779. https://doi.org/10.1016/j.tripleo.2004.11.047
[21]
Coyle, M., Toner, M. and Barry. H. (2006) Multiple Teeth Showing Invasive Cervical Resorption—An Entity with Little Known Histologic Features. Journal of Oral Pathology & Medicine, 35, 55-57. https://doi.org/10.1111/j.1600-0714.2005.00371.x
[22]
Neely, A.L. and Gordon, S.C. (2007) A Familial Pattern of Multiple Idiopathic Cervical Root Resorption in a Father and Son: A 22-Year Follow-Up. Journal of Periodontology, 78, 367-371. https://doi.org/10.1902/jop.2007.060155
[23]
Mattar, R., De Lima, S.A.P., Rodor, R.C. and Rodrigues, D.B.R. (2008) External Multiple Invasive Cervical Resorption with Subsequent Arrest of the Resorption. Dental Traumatology, 24, 556-559. https://doi.org/10.1111/j.1600-9657.2007.00553.x
[24]
von Arx, T., Schawalder, P., Ackermann, M. and Bosshardt, D.D. (2009) Human and Feline Invasive Cervical Resorptions: The Missing Link? —Presentation of Four Cases. Journal of Endodontics, 35, 904-913. https://doi.org/10.1016/j.joen.2009.03.044
[25]
Yu, V.S.H., Messer, H.H. and Tan, K.B. (2011) Multiple Idiopathic Cervical Resorption: Case Report and Discussion of Management Options. International Endodontic Journal, 44, 77-85. https://doi.org/10.1111/j.1365-2591.2010.01820.x
[26]
Arora, A., Acharya, S.R., Muliya, V.S. and Sharma, P. (2012) Multiple Idiopathic Cervical Resorption: A Diagnostic Dilemma. Quintessence International, 3, 187-190
[27]
Roy, D.K., Sharma, S., Suwal, P., Singh, V.P. and Ayer, A. (2012) Multiple Idiopathic Cervical Resorption: A Case Report. Bangladesh Journal of Medical Science, 11, 151-153. https://doi.org/10.3329/bjms.v11i2.8680
[28]
Kjaer, I., Strom, C. and Worsaae, N. (2012) Regional Aggressive Root Resorption Caused by Neuronal Virus Infection. Case Reports in Dentistry, 2012, Article ID: 693240. https://doi.org/10.1155/2012/693240
[29]
Haeberle, C.B. (2013) Prosthodontic Rehabilitation of a Patient Diagnosed with Multiple Idiopathic Root Resorption. The Journal of Prosthetic Dentistry, 110, 442-446. https://doi.org/10.1016/j.prosdent.2013.08.002
[30]
Ge, Y.N. and Wang, X.M. (2013) A Case of Multiple Root and Neck Resorption. Journal of Oral Science, 29, 98-99.
[31]
Chowdhury, S.S. and Bashar, A.K.M. (2014) Progressive Idiopathic External Root Resorption in Multiple Teeth: A 6-Year Follow-Up Study. Update Dental College Journal, 4, 14-19. https://doi.org/10.3329/updcj.v4i2.24042
[32]
Lu, H. and Li, S.J. (2014) A Case of Multiple External Tooth Neck Absorption. Chinese Journal of Conservative Dentistry, 24, 567.
[33]
Jiang, Y.H., Lin, Y., Ge, J., Zheng, J.W., Zhang, L. and Zhang, C.Y. (2014) Multiple Idiopathic Cervical Root Resorptions: Report of One Case with 8 Teeth Involved Successively. International Journal of Clinical and Experimental Medicine, 7, 1155-1159.
[34]
Kesary, S., Mengji, A.K., Yaga, U.S. and Panta, P. (2014) An Unusual Case of Idiopathic Multiple Invasive Cervical Resorption. Journal of Indian Academy of Oral Medicine & Radiology, 26, 229-232. https://doi.org/10.4103/0972-1363.143713
[35]
Wu, J., Lin, L.Y., Yang, J., Chen, X.F., Ge, J.Y., Wu, J.R. and Sun, W.B. (2016) Multiple Idiopathic Cervical Root Resorption: A Case Report. International Endodontic Journal, 49, 189-202. https://doi.org/10.1111/iej.12440
[36]
Neely, A.L., Thumbigere-Math, V., Somerman, M.J. and Foster, B.L. (2016) A Familial Pattern of Multiple Idiopathic Cervical Root Resorption with a 30-Year Follow-Up. Journal of Periodontology, 87, 426-433. https://doi.org/10.1902/jop.2015.150536
[37]
Kumar, V., Chawla, A. and Kaur, A. (2018) Multiple Idiopathic Cervical Root Resorptions in Patients with Hepatitis B Virus Infection. Journal of Endodontics, 44, 1575-1577. https://doi.org/10.1016/j.joen.2018.06.017
[38]
Dobros, K., Myciński, P., Borowy, P. and Zarzecka, J. (2018) Multiple Invasive Cervical Resorption and Celiac Disease: A Case Report. Quintessence International, 49, 407-412.
[39]
Shashidara, R., Sudheendra, U.S., Aparna, H.G. and Kavita, A.P. (2018) Multiple Idiopathic Cervical Resorption a Case Report. Journal of Multidisciplinary Dental Research, 4, 34-38.
[40]
Li, S.S., Lin, J.J., Shi, N.L. and Zheng, Y. (2019) One Case of Multiple Idiopathic Root and Neck Absorption Preservation Treatment. Beijing Journal of Stomatology, 27, 342-344.
[41]
Llavayol, M., Pons, M., Ballester, M.L. and Berástegui, E. (2019) Multiple Cervical Root Resorption in a Young Adult Female Previously Treated with Chemotherapy: A Case Report. Journal of Endodontics, 45, 349-353. https://doi.org/10.1016/j.joen.2018.12.012
[42]
Sharma, S., Kumar, P., Jain, V. and Logani, A. (2019) Multiple Idiopathic Cervical Root Resorption: Diagnosis, Clinical/Radiographical/Histological Presentation and Rehabilitation—A 7-Year Follow-Up Case Report. Journal of Conservative Dentistry, 22, 313-317. https://doi.org/10.4103/JCD.JCD_445_18
[43]
Deeb, J.G., Azarnoush, K., Laskin, D.M. and Deeb, G.R. (2019) Discontinuation of Denosumab as a Potential Cause of Generalized External Cervical Root Resorption: A Case Report. Journal of Endodontics, 45, 640-644. https://doi.org/10.1016/j.joen.2019.02.013
[44]
Chen, X., Yu, X., Yan, K., Liu, S., Sun, Z. and Li, S. (2020) Multiple Idiopathic Cervical Root Resorption Involving All Permanent Teeth. Australian Endodontic Journal, 46, 263-271. https://doi.org/10.1111/aej.12398
[45]
Macaraeg, K., Lee, S.M., Kalra, L., Velasco, M. and Hajishengallis, E. (2020) Multiple External Root Resorption in a Pediatric Patient with Familial Expansile Osteolysis. Pediatric Dentistry, 42, 62-65.
[46]
Samara, E., Kelly, E., Walker, R. and Borumandi, F. (2021) Multiple Idiopathic Cervical Root Resorption: Case Report of an Unusual Presentation. Special Care in Dentistry, 41, 98-102. https://doi.org/10.1111/scd.12539
[47]
Yilmaz, B., Diker, E., Ovchinnik, V. and Abou-Ayash, S. (2022) Management of a Partially Edentulous Patient with Idiopathic Root Resorption by Using Digital and Conventional Implant Planning Technologies. The Journal of Prosthetic Dentistry, 127, 15-21. https://doi.org/10.1016/j.prosdent.2021.01.011
[48]
Mikusková, K., Vaňuga, P., Adamicová, K., Statelová, D., Janícková, M., Malachovsky, I. and Siebert, T. (2022) Multiple Idiopathic External Cervical Root Resorption in Patient Treated Continuously with Denosumab: A Case Report. BMC Oral Health, 22, Article No. 129. https://doi.org/10.1186/s12903-022-02165-7
[49]
Beaumont, S., Angel, C.M. and Dawson, S.J. (2022) Denosumab and Invasive Cervical Root Resorption: A Case Report. Australian Dental Journal, 67, 183-189. https://doi.org/10.1111/adj.12897
[50]
Wang, N., Zhang, M., Zhu, J., Zhu, Y. and Wu, J. (2022) Multiple Idiopathic Cervical Root Resorption: A Systematic Review. Oral Diseases. https://doi.org/10.1111/odi.14406
