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PubMed1986

Idiopathic resorption of teeth. A report of three cases.

External resorption of teeth is a condition typically associated with etiologic factors within the adjacent alveolar bone, such as chronic periapical or periodontal infections, neoplasms, erupting permanent teeth, orthodontic movement, or trauma to the jaws. When none of these causes are present, resorption of teeth at the cementoenamel junction has been termed "idiopathic resorption of teeth." Three cases of idiopathic resorption of teeth are reported, the literature on previous cases is reviewed, and hypotheses as to causes and a new theory are postulated regarding the possible mechanism for osteoclastic resorption of teeth.

Adult↗
PubMed2000

Prevalence of odontoclastic resorption lesions and periapical radiographic lucencies in cats: 265 cases (1995-1998).

OBJECTIVE: To determine whether odontoclastic resorption lesions were associated with radiographic evidence of periapical lucencies in cats. DESIGN: Retrospective study. ANIMALS: 265 feline dental patients. PROCEDURE: Full-mouth radiographs were examined for evidence of odontoclastic resorption lesions, periapical lucencies, periodontitis, and fractured teeth. RESULTS: Odontoclastic resorption lesions affecting 567 teeth were identified in 161 (60.8%) cats. Periapical lucencies were identified in 53 teeth in 35 cats. Periapical lucencies were most commonly associated with fractured teeth (25 teeth with periapical lucencies) and severe periodontitis (21 teeth). None of the periapical lucencies appeared to be specifically associated with resorption lesions. Prevalence of periapical lucencies in cats with resorption lesions was not significantly different from prevalence in cats without. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that although odontoclastic resorption lesions are common in cats, pulpal involvement associated with these lesions does not appear to be associated with development of radiographically detectable periapical lucencies. Crown amputation with intentional root retention may, therefore, be a suitable alternative to extraction in selected cats with odontoclastic resorption lesions.

Animals↗
PubMed2001

Scanning electron microscopic description of cellular activity and mineral changes in feline odontoclastic resorptive lesions.

The cellular activity and changes in mineral composition of dental tissues involved in feline odontoclastic resorptive lesions were investigated. Teeth with at least 1 lesion (n = 10) were extracted from 10 different cats that were presented primarily for chronic gingivostomatitis and/or severe periodontal disease. Scanning electron microscopic methods were used to determine the presence of resorptive cells in 8 teeth while 2 teeth were evaluated for pathologic changes in dental mineral composition. Observations were complicated by the presence of organic wear on the dental surfaces, however resorptive cells could be clearly identified in feline odontoclastic resorptive lesions. Resorptive cells had morphologic features indicative of "osteoclast-like" cells or odontoclasts. Resorptive cell activity created a resorption area of darker dentin continuous with physiologic dentin. The darker dentin area seemed poorly mineralized and showed a significantly lower calcium/phosphorous ratio compared with adjacent physiologic denting in 1 tooth. A significantly higher level of magnesium combined with available carbonate ions may have increased the solubility in areas of darker dentin.

Animals↗
PubMed1998

Effect of CSF-1 on in vivo expression of c-fos in the dental follicle during tooth eruption.

It has been demonstrated that both colony-stimulating factor-one (CSF-1) and the transcription factor, c-fos are required for tooth eruption. Osteopetrotic mutant rats deficient in CSF-1 activity have unerupted teeth which can be induced to erupt by injections of CSF-1, and osteopetrotic mice deficient in c-fos, have unerupted teeth. Both CSF-1 and c-fos are expressed and translated in the dental follicle, the tissue that is required for eruption. Recent in vitro studies indicate that CSF-1 can enhance the expression of the c-fos gene in cultured dental follicle cells, but the effects in vivo are not known. In the present studies. postnatal rats were injected with 10(6) units of CSF-1 at different ages from birth to day 10 and sacrificed 30 min after injection. Isolation of total RNA from the follicle and reverse transcription PCR showed that CSF-1 injection enhanced the expression of c-fos over the non-injected controls. Chronologically, day 3 postnatally appeared to show the greatest increase of c-fos mRNA following CSF-1 injection. These results suggest that one of the functions of CSF-1 in tooth eruption is to enhance the early expression of c-fos. In turn, c-fos might act to promote fusion of monocytes into the osteoclasts needed for alveolar bone resorption and tooth eruption.

Animals↗
PubMed1989

Scanning electron microscopic study of apical and intracanal resorption.

Apical radicular and intracanal surfaces of extracted teeth with apical lesions were examined by means of scanning electron microscopy. The distribution of apical and intracanal resorption areas varied with the presence of a granuloma or a cyst. Teeth bearing granulomas showed an apical resorption centered on the main foramina whereas the hard tissue underlying a cyst showed little or no resorption. Intracanal resorption was always marked in the apical third and more scattered in the middle and cervical third. The resorption disrupted the anatomical structures.

Adult↗
PubMed1982

Treatment of avulsed permanent teeth: an update.

Every dental practitioner should be familiar with the current treatment recommendations for avulsed teeth. This article has attempted to update the practitioner in both the collection of data and treatment modalities for such traumatic injuries. The long-term prognosis of avulsed teeth has improved both because of the decrease in splinting time, which decreases the incidence of replacement resorption and the use of calcium hydroxide, which produces a better apical seal and decreases the incidence and severity of inflammatory resorption.

Child↗
PubMed2005

Cell biology in orthodontic tooth movement: the known and the unknown.

This review is aimed at providing, at the cellular level, a concise and complete overview of the important knowledge on the mechanism of orthodontic tooth movement to orthodontists and postgraduates who are involved or interested in basic research. The construction of this article was oriented to the following key questions: Where an osteoclast starts to its first resorption site? When the cascade of a resorption cycle starts? What are the factors involved in bone remodeling and how they orchestrate? What happens before and after the formation of a resorption pit? Major findings in these aspects were summarized and discussed. In addition, related biological phenomenon such as orthodontically induced root resorption was intensively reviewed. By means of an updated and systematic review, the author intended to introduce more biological evidence to orthodontic intervention and to encourage evidence-based treatment in daily orthodontic practice.

Cell Biology↗
PubMed2004

Radiographic examination of dentigerous cysts in the transitional dentition.

OBJECTIVES: To examine radiographically the relationship between the deciduous tooth and dentigerous cyst of the permanent successor during the transitional dentition. METHODS: From a retrospective review of all patients who visited our institution from April 1988 to August 2001, 70 patients under 16 years of age who had histologically confirmed dentigerous cysts that had developed from the central incisor to the second premolar were identified. These 70 patients were investigated using panoramic and periapical radiographs. RESULTS: In most cases (54 cases; 77.1%) the cyst was in the premolar region. Of the 54 premolars with dentigerous cysts, the overlying deciduous tooth had already been lost in 7 cases. Of the 47 remaining premolars with associated deciduous tooth, 35 (74.5%) had bone resorption of the periapical or bifurcation region, or irregular resorption of the associated deciduous tooth. Of the remaining 12 deciduous teeth with no periapical lesions, 9 had been treated with root canal therapy. Thus, 44 of these 47 cases (93.6%) had the possibility of inflammation at the deciduous tooth associated with the dentigerous cyst. Evidence from one case in the present study suggesting the process by which cyst development occurs is also given. CONCLUSION: Inflammatory change at the apex of the deciduous tooth may bring on a dentigerous cyst of the permanent successor.

Adolescent↗