Imaging Sci Dent.  2014 Dec;44(4):315-320. 10.5624/isd.2014.44.4.315.

Multiple idiopathic external and internal resorption: Case report with cone-beam computed tomography findings

Affiliations
  • 1Department of Endodontics, Faculty of Dentistry, Ankara University, Ankara, Turkey. berkancelikten@yahoo.com.tr
  • 2Department of Dento-Maxillo-Facial Radiology, Faculty of Dentistry, Ankara University, Ankara, Turkey.

Abstract

Root resorption is loss of dental hard tissue as a result of clastic activities. The dental hard tissue of permanent teeth does not normally undergo resorption, except in cases of inflammation or trauma. However, there are rare cases of tooth resorption of an unknown cause, known as "idiopathic root resorption." This report would discuss a rare case of multiple idiopathic resorption in the permanent maxillary and mandibular teeth of an otherwise healthy 36-year-old male patient. In addition to a clinical examination, the patient was imaged using conventional radiography and cone-beam computed tomography (CBCT). The examinations revealed multiple external and internal resorption of the teeth in all four quadrants of the jaws with an unknown cause. Multiple root resorption is a rare clinical phenomenon that should be examined using different radiographic modalities. Cross-sectional CBCT is useful in the diagnosis and examination of such lesions.

Keyword

Cone-Beam Computed Tomography; Endodontics; Tooth Resorption

MeSH Terms

Adult
Cone-Beam Computed Tomography*
Diagnosis
Endodontics
Humans
Inflammation
Jaw
Male
Radiography
Root Resorption
Tooth
Tooth Resorption

Figure

  • Fig. 1 Panoramic image shows multiple instances of idiopathic internal and external root resorption.

  • Fig. 2 Axial cone-beam computed tomographic images show sites of idiopathic resorption of the teeth. B. Panoramic reconstructed image clearly demonstrates the resorptive areas.

  • Fig. 3 Cross-sectional cone-beam computed tomographic images show external resorption in molar teeth (arrows).

  • Fig. 4 Cross-sectional cone-beam computed tomographic images show internal resorption in molar teeth (arrows).

  • Fig. 5 Three-dimensional conebeam computed tomographic volume rendering images clearly show external and internal resorption (arrows).


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