Overview
Pathologic resorption of the root of a tooth refers to the abnormal loss of tooth structure due to various etiologies, including inflammatory processes, trauma, or certain systemic conditions. This condition can lead to tooth instability and potential loss if not addressed 12.Diagnosis
Clinical examination revealing tooth mobility, pain, and visible root exposure
Radiographic imaging (periapical or bitewing X-rays) to assess extent of resorption
Histopathological examination of biopsy samples in complex cases 1Management
Surgical intervention: Root resection or intentional replantation for extensive resorption 1
Conservative management: Periodontal splinting for stabilization, guided tissue regeneration in selected cases
Antimicrobials: Systemic or local antibiotics if infection is suspected (e.g., amoxicillin 500 mg TID) 1
Fluoride therapy: To reduce further demineralization around the affected tooth 1Special Populations
Pregnancy: Limited evidence; conservative management preferred due to risks associated with surgical interventions 2
Pediatrics: Early intervention crucial; conservative approaches often sufficient but close monitoring required 1
Elderly: Consideration of systemic health; tailored treatment plans focusing on pain management and stabilization 1
Comorbidities: Management adjusted based on overall health status; close collaboration with specialists if necessary 1Key Recommendations
Perform radiographic assessment to evaluate the extent of root resorption before planning treatment (Evidence: Moderate) 1
Initiate conservative management with periodontal splinting for mobile teeth due to resorption (Evidence: Moderate) 1
Consider surgical intervention for cases with significant resorption impacting tooth viability (Evidence: Expert opinion) 1References
1 Sasahara M, Otani A, Yodoi Y, Gotoh N, Kameda T, Yoshimura N. Circulating hematopoietic stem cells in patients with choroidal neovascularization secondary to pathologic myopia. Eye (London, England) 2009. link
2 Biezenski JJ, Millner SN. Correlation between morning urine estriol concentration and 24-hour estriol excretion. Obstetrics and gynecology 1976. link