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DEFINITION
root of tooth.
CLASSIFICATION OF RESORPTION
a. Internal Resorption
b. External Resorption
• Surface Resorption
• Inflammatory Resorption
• Replacement Resorption
• Dentoalveolar ankylosis
Resorption of hard tissue takes place as two events. First, there is the
polarize de proton pump which is produced within the ruffled border of the
occur.
H2CO3 ↔ H+ + HCO3 –
Three main enzymes involved in this process are collagenase, matrix metallo
1. collagenase
3. Cysteine proteinases
They are found more towards the resorbing bone surfaces where the pH is
near neutral, because of the presence of the buffering capacity of the resorbing
proteinases are secreted directly into the osteoclasts into the clear zone via the
ruffled border. Cysteine proteinases work more in an acidic pH and near the
Cementum
calcified layer, acts as a barrier between the dentinal tubules and the
Dentin
signaling molecules which may affect the healing and resorption of dental
Systemic factors
Local Factors
themselves.
TNF – alpha
Prostaglandin – PGE 2
Internal Resorption
resorption that begins centrally within the tooth, apparently initiated in most
Etiology
• Traumatic injuries
a. Luxation injuries
• Iatrogenic injuries
• Idiopathic
with periodontium.
crown of tooth.
Radiographic Features
wall.
(Metaplastic Resorption)
found that resembles bone or cementum or osteodentin, but not dentin. They
represent areas of destruction and repair. This occurs mainly due to low
Radiographic features:
Histopathology;
tooth with smooth well defined margins. The defect does not change its
• With perforation
b. Surgical
i. Surgical flap
a. Non-Surgical Repair
Indications
site. After the barrier is formed, the canal is obturated with gutta-percha as in
b. Surgical repair
i. Surgical flap
1. Surgical Flap:
Here the defect is exposed to allow good access. The resorptive defect
is curetted, cleaned and restored. The restoration of the defect can be done
2. Root resection:
4. Intentional replantation:
Classification:
• Surface resorption
• Replacement resorption
Etiopathology
• Injury of irritation to the periodontal tissues where the inflammation is
beyond repair
Clinical Features
formation.
Radiographic Features
Bowl like radiolucency with ragged irregular areas on the root surface
bone.
Treatment
If the sustaining infection is pulpal, root canal therapy has been shown
Replacement Resorption
genesis
Clinically
percussion.
Diagnosis
observation.
Treatment
may be possible to slow the resorptive process by treating the root surface
Dentoalveolar Ankylosis
Etiopathology
Clinical features:
• Lack of mobility
process.
• Lack of mesial drift.
Radiogr
aphic Features
Treatment of ankylosis.
Prevention
• Immediate replantation
• Orthodontic treatment
• Trauma
• Periodontal treatment
• Bruxism
• Idiopathic
• Initially asymptomatic
• Pulp vital in most cases
• In due course, it spreads laterally along the root, i.e., apical and
RADIOGRAPHIC FEATURES
TREATMENT
external one.
Another treatment is surgically exploring the resorbed lacuna and
curetting the soft tissue from the defect which can then be prepared for
ETIOLOGY
-Subluxation
-Extrusion
-Lateral luxation
-Infections
-Orthodontic treatment
TREATMENT
No treatment is recommended.
CONCLUSION
Vague and less clearly defined. Early diagnosis and prompt treatment are the