Overview
Pathological resorption of a tooth involves the loss of hard dental tissue due to external factors, distinct from physiological wear, often leading to structural weakening and potential tooth loss if untreated 1.Diagnosis
Clinical examination and radiographic imaging (such as bitewing or periapical X-rays) are essential for identifying the extent and type of resorption 1.
Classification systems (e.g., Ericson and Møller) help grade resorption severity, distinguishing between cervical, apical, or replacement types 1.Management
Conservative management initially, focusing on monitoring and preventive measures, especially in early stages 1.
Endodontic treatment may be necessary for teeth with pulp involvement 1.
Surgical interventions, including root resection or tooth extraction, are indicated for advanced cases where conservative measures fail 1.Special Populations
No specific guidelines provided in the abstracts regarding pregnancy, pediatrics, elderly, or comorbidities 1.Key Recommendations
Utilize radiographic imaging for accurate diagnosis and monitoring of pathological tooth resorption (Evidence: Expert opinion) 1.
Implement conservative management strategies initially, escalating to surgical interventions as resorption progresses (Evidence: Expert opinion) 1.
Consider endodontic treatment for teeth with pulp exposure due to resorption (Evidence: Expert opinion) 1.References
1 Huler RJ. Personal computers, medical slide files, and retrieval. An organized approach. Orthopaedic review 1990. link