Multiple impacted third molars with pre-eruptive intracoronal resorption in geriatric patients: Two case reports
Downloads
Background: Pre-eruptive intracoronal resorption (PEIR) is a rare condition usually detected through an incidental radiographic finding. The etiology and pathogenesis of this phenomenon are not fully understood. Purpose: To describe two cases in which multiple impacted third molars with PEIR defects were identified. Cases: Female patients aged 77 and 82 years, respectively, were presented with dental issues. Radiolucencies in the dental crown areas of the impacted maxillary and mandibular third molars were initially detected on the panoramic radiographs. Cone-beam computed tomography (CBCT) was performed to better evaluate the impacted teeth.The results showed that the intracoronal defects extended through more than two-thirds of the thickness of the coronal dentin. Case Managements: Considering the patients' age and their asymptomatic status, a conservative approach with radiographic follow-up was considered most appropriate. Four-year follow-up checks revealed that the teeth remained asymptomatic in both patients. Conclusion: This case report confirms that PEIR can affect impacted third molars, even in elderly patients. CBCT images are preferred for diagnosing PEIR defects because this method provides an accurate assessment of internal tooth anatomy. With an accurate diagnosis of asymptomatic PEIR, the lesion can be monitored.
Downloads
Umansky M, Tickotsky N, Friedlander-Barenboim S, Faibis S, Moskovitz M. Age related prevalence of pre-eruptive intracoronal radiolucent defects in the permanent dentition. J Clin Pediatr Dent. 2016; 40(2): 103–6. doi: https://doi.org/10.17796/1053-4628-40.2.103
Uzun I, Gunduz K, Canitezer G, Avsever H, Orhan K. A retrospective analysis of prevalence and characteristics of pre-eruptive intracoronal resorption in unerupted teeth of the permanent dentition: a multicentre study. Int Endod J. 2015; 48(11): 1069–76. doi: https://doi.org/10.1111/iej.12404
Lenzi R, Marceliano-Alves MF, Alves F, Pires FR, Fidel S. Pre-eruptive intracoronal resorption in a third upper molar: clinical, tomographic and histological analysis. Aust Dent J. 2017; 62(2): 223–7. doi: https://doi.org/10.1111/adj.12444
Le VNT, Kim J-G, Yang Y-M, Lee D-W. Treatment of pre-eruptive intracoronal resorption: A systematic review and case report. J Dent Sci. 2020; 15(3): 373–82. doi: https://doi.org/10.1016/j.jds.2020.02.001
Demirtas O, Dane A, Yildirim E. A comparison of the use of cone-beam computed tomography and panoramic radiography in the assessment of pre-eruptive intracoronal resorption. Acta Odontol Scand. 2016; 74(8): 636–41. doi: https://doi.org/10.1080/00016357.2016.1235227
Demirtas O, Tarim Ertas E, Dane A, Kalabalik F, Sozen E. Evaluation of pre-eruptive intracoronal resorption on cone-beam computed tomography: A retrospective study. Scanning. 2016; 38(5): 442–7. doi: https://doi.org/10.1002/sca.21294
Counihan KP, O'Connell AC. Case report: pre-eruptive intra-coronal radiolucencies revisited. Eur Arch Paediatr Dent. 2012; 13(4): 221–6. doi: https://doi.org/10.1007/BF03262874
Al-Batayneh OB, AlTawashi EK. Pre-eruptive intra-coronal resorption of dentine: a review of aetiology, diagnosis, and management. Eur Arch Paediatr Dent. 2020; 21(1): 1–11. doi: https://doi.org/10.1007/s40368-019-00470-4
Chouchene F, Hammami W, Ghedira A, Masmoudi F, Baaziz A, Fethi M, Ghedira H. Treatment of pre-eruptive intracoronal resorption: A scoping review. Eur J Paediatr Dent. 2020; 21(3): 227–34. doi: https://doi.org/10.23804/ejpd.2020.21.03.13
Spierer WA, Fuks AB. Pre-eruptive intra-coronal resorption: controversies and treatment options. J Clin Pediatr Dent. 2014; 38(4): 326–8. doi: https://doi.org/10.17796/jcpd.38.4.dm7652634h12705v
Vaz de Souza D, Schirru E, Mannocci F, Foschi F, Patel S. External cervical resorption: A comparison of the diagnostic efficacy using 2 different cone-beam computed tomographic units and periapical radiographs. J Endod. 2017; 43(1): 121–5. doi: https://doi.org/10.1016/j.joen.2016.09.008
Manmontri C, Mahasantipiya PM, Chompu-Inwai P. Preeruptive intracoronal radiolucencies: Detection and nine years monitoring with a series of dental radiographs. Case Rep Dent. 2017; 2017: 6261407. doi: https://doi.org/10.1155/2017/6261407
Manolagas SC, O'Brien CA, Almeida M. The role of estrogen and androgen receptors in bone health and disease. Nat Rev Endocrinol. 2013; 9(12): 699–712. doi: https://doi.org/10.1038/nrendo.2013.179
Udagawa N, Koide M, Nakamura M, Nakamichi Y, Yamashita T, Uehara S, Kobayashi Y, Furuya Y, Yasuda H, Fukuda C, Tsuda E. Osteoclast differentiation by RANKL and OPG signaling pathways. J Bone Miner Metab. 2021; 39(1): 19–26. doi: https://doi.org/10.1007/s00774-020-01162-6
Macari S, Duffles LF, Queiroz-Junior CM, Madeira MFM, Dias GJ, Teixeira MM, Szawka RE, Silva TA. Oestrogen regulates bone resorption and cytokine production in the maxillae of female mice. Arch Oral Biol. 2015; 60(2): 333–41. doi: https://doi.org/10.1016/j.archoralbio.2014.11.010
Nishida D, Arai A, Zhao L, Yang M, Nakamichi Y, Horibe K, Hosoya A, Kobayashi Y, Udagawa N, Mizoguchi T. RANKL/OPG ratio regulates odontoclastogenesis in damaged dental pulp. Sci Rep. 2021; 11(1): 4575. doi: https://doi.org/10.1038/s41598-021-84354-y
Duan X, Yang T, Zhang Y, Wen X, Xue Y, Zhou M. Odontoblast-like MDPC-23 cells function as odontoclasts with RANKL/M-CSF induction. Arch Oral Biol. 2013; 58(3): 272–8. doi: https://doi.org/10.1016/j.archoralbio.2012.05.014
American Association of Endodontics. AAE and AAOMR joint position statement”Use of cone beam computed tomography in endodontics”2015/2016 Update. Cone beam computed tomography. 2016. p. 1–6. Available from: https://www.aae.org/specialty/wp-content/uploads/sites/2/2017/06/conebeamstatement.pdf. Accessed 2022 Jun 21.
Patel S, Brown J, Semper M, Abella F, Mannocci F. European Society of Endodontology position statement: Use of cone beam computed tomography in endodontics. Int Endod J. 2019; 52(12): 1675–8. doi: https://doi.org/10.1111/iej.13187
Da Silveira PF, Fontana MP, Oliveira HW, Vizzotto MB, Montagner F, Silveira HL, Silveira HE. CBCT-based volume of simulated root resorption - influence of FOV and voxel size. Int Endod J. 2015; 48(10): 959–65. doi: https://doi.org/10.1111/iej.12390
Pauwels R, Araki K, Siewerdsen JH, Thongvigitmanee SS. Technical aspects of dental CBCT: state of the art. Dentomaxillofac Radiol. 2015; 44(1): 20140224. doi: https://doi.org/10.1259/dmfr.20140224
Copyright (c) 2023 Dental Journal
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- Every manuscript submitted to must observe the policy and terms set by the Dental Journal (Majalah Kedokteran Gigi).
- Publication rights to manuscript content published by the Dental Journal (Majalah Kedokteran Gigi) is owned by the journal with the consent and approval of the author(s) concerned.
- Full texts of electronically published manuscripts can be accessed free of charge and used according to the license shown below.
- The Dental Journal (Majalah Kedokteran Gigi) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License
