Atypical root resorptions and impact of early deciduous tooth loss: a clinical case report
DOI:
https://doi.org/10.33448/rsd-v11i13.35714Keywords:
Ectopic eruption; Root Resorption; Tooth Loss; RANK Ligand.Abstract
The root resorption of deciduous teeth is characterized by the loss of part of the tooth structure and is determined physiologically by the eruption of the successor tooth or pathologically by external or internal injury. It affects the cementum, dentin, and sometimes even the alveolar bone. The atypia seen in root resorption can derive from an inflammatory process subsequent to trauma or caused by pressure from some injurious agent, such as an ectopic erupting tooth, and almost invariably complicate the chronology and sequence of normal eruption. Early losses of deciduous teeth usually generate problems in clinical practice, allowing arch length reduction, inclinations and rotations of the succeeding tooth and its neighbors. The aim of this article is to report a case of early tooth 75 loss due to external root resorption followed by infection and pulp necrosis as a consequence of tooth 34 eruption, as well as to briefly discuss ectopic eruptions and the impact of early deciduous tooth loss. Based on the case report and discussion, it is concluded that it is necessary that dental surgeons have knowledge about atypical root resorption and be qualified for early diagnosis and appropriate intervention. It is also understood that further studies on the condition are needed for a better understanding of the pathophysiological mechanisms involved in these root resorptions that deviate from the physiological pattern
References
Aldowsari, M. K., Alsaidan, M., Alaqil, M., BinAjian, A., Albeialy, J., Alraawi, M., & Al Moaleem, M. M. (2021). Ectopic Eruption of First Permanent Molars for Pediatric Patients Attended King Saud University, Riyadh, Saudi Arabia: A Radiographic Study. Clinical, cosmetic and investigational dentistry, 13, 325–333. https://doi.org/10.2147/CCIDE.S320441
Ambriss, B., Moukarzel, C., & Noueiri, B. (2019). Management of bilateral ectopically erupting maxillary molars: A case report. International Journal of Clinical Pediatric Dentistry, 12(2), 153.
Arboleya, L., & Castañeda, S. (2013). Osteoimmunology: the study of the relationship between the immune system and bone tissue. Reumatología Clínica (English Edition), 9(5), 303-315.
Barberia-Leache, E., Suarez-Clúa, M. C., & Saavedra-Ontiveros, D. (2005). Ectopic eruption of the maxillary first permanent molar: characteristics and occurrence in growing children. The Angle Orthodontist, 75(4), 610-615.
Chintakanon, K., & Boonpinon, P. (1998). Ectopic eruption of the first permanent molars: prevalence and etiologic factors. The Angle Orthodontist, 68(2), 153-160.
Consolaro, A. (2011). O conceito de reabsorções dentárias ou As reabsorções dentárias não são multifatoriais, nem complexas, controvertidas ou polêmicas! Dental Press Journal of Orthodontics, 16, 19-24.
Fux-Noy, A. (2019). Distal Migration and Ectopic Eruption of the Mandibular First Premolar: A Case Report. Journal of Clinical Pediatric Dentistry, 43(5), 364-366.
Galler, K. M., Grätz, E. M., Widbiller, M., Buchalla, W., & Knüttel, H. (2021). Pathophysiological mechanisms of root resorption after dental trauma: a systematic scoping review. BMC oral health, 21(1), 1-14.
Garrocho-Rangel A, Benavídez-Valadez P, Rosales-Berber M, Pozos-Guillén A. (2022). Treatment of ectopic eruption of the maxillary first permanent molar in children and adolescents: A scoping review. Eur J Paediatr Dent, 23(2):94-100.
Gonçalves, R. A., Vargas, I. A., & Ruschel, H. C. (2012). Clinical management of the ectopic eruption of a maxillary first permanent molar-Case report. Stomatos, 18(35), 16-25.
Guder, C., Gravius, S., Burger, C., Wirtz, D. C., & Schildberg, F. A. (2020). Osteoimmunology: a current update of the interplay between bone and the immune system. Frontiers in Immunology, 11, 58.
Guedes-Pinto, A. C. (2016). Odontopediatria, 9ª edição. Grupo GEN.
Güven, Y. (2018). Prevalence of ectopic eruption of first permanent molars in a Turkish population. European Oral Research, 52(1), 1-5.
Ho, C. L. J., Lee, Y. C. J., Chiang, C. P., & Lee, M. S. (2019). Halterman appliance used for uprighting ectopically erupted bilateral permanent mandibular first molars. Journal of Dental Sciences, 14(2), 206.
Karsdal, M. A., Neutzsky-Wulff, A. V., Dziegiel, M. H., Christiansen, C., & Henriksen, K. (2008). Osteoclasts secrete non-bone derived signals that induce bone formation. Biochemical and biophysical research communications, 366(2), 483-488.
Lang, N. P., & Lindhe, J. (2018). Tratado de Periodontia Clínica e Implantologia Oral, 6ª edição. Grupo GEN.
Lechner, J., Rudi, T., & von Baehr, V. (2018). Osteoimmunology of tumor necrosis factor-alpha, IL-6, and RANTES/CCL5: a review of known and poorly understood inflammatory patterns in osteonecrosis. Clinical, cosmetic and investigational dentistry, 10, 251.
Lerner, U. H. (2004). New molecules in the tumor necrosis factor ligand and receptor superfamilies with importance for physiological and pathological bone resorption. Critical Reviews in Oral Biology & Medicine, 15(2), 64-81.
Ne, R. F., Witherspoon, D. E., & Gutmann, J. L. (1999). Tooth resorption. Quintessence international-english edition-, 30, 9-26.
Pereira, A. S et al. (2018). Metodologia da pesquisa científica. [e-book]. SantaMaria. Ed. UAB/NTE/UFSM.
Santos, B. Z., Bosco, V. L., da Silva, J. Y. B., & Cordeiro, M. M. R. (2010). Mecanismos e fatores fisiológicos e patológicos no processo de reabsorção radicular de dentes decíduos. RSBO Revista Sul-Brasileira de Odontologia, 7(3), 332-339.
Schoppet, M., Preissner, K. T., & Hofbauer, L. C. (2002). RANK ligand and osteoprotegerin: paracrine regulators of bone metabolism and vascular function. Arteriosclerosis, thrombosis, and vascular biology, 22(4), 549-553.
Silva, B. R., Vargas Jr, C. S., & Pizzol, K. E. D. C. (2019). Reabsorção radicular relacionada às técnicas e aparelhos ortodônticos. Revista Brasileira Multidisciplinar, 22(2), 35-46.
Thomas, P., Krishna Pillai, R., Pushparajan Ramakrishnan, B., & Palani, J. (2014). An insight into internal resorption. International Scholarly Research Notices, 2014.
Topkara, A., Karaman, A. I., & Kau, C. H. (2012). Apical root resorption caused by orthodontic forces: A brief review and a long-term observation. European journal of dentistry, 6(04), 445-453.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Júlia Fonseca Martins; Heitor Menezes Dias; Eduarda Mello de Oliveira; Luana Alves Costa; Antônio Afonso Sommer; Denise de Souza Matos
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
