Kök Rezorpsiyonları ve Tedavi Yaklaşımları
Özet
Kök rezorpsiyonları, diş kök dokularında meydana gelen ve patogenezi farklı biyolojik mekanizmalara dayanan rezorptif süreçler olarak tanımlanmaktadır. Bu lezyonlar, klinik ve radyografik özelliklerine göre çeşitli sınıflandırma sistemleri altında ele alınmakta olup, doğru sınıflandırma tanı sürecinin standardizasyonu ve uygun tedavi yaklaşımının belirlenmesi açısından temel bir gereklilik oluşturmaktadır. Özellikle internal ve eksternal kök rezorpsiyonları arasındaki ayırım, tedavi stratejisinin yönlendirilmesinde kritik rol oynamaktadır.
Kök rezorpsiyonlarının değerlendirilmesinde kullanılan tanı yöntemleri, lezyonun lokalizasyonu ve yayılım derecesinin ortaya konulmasını amaçlamaktadır. Konvansiyonel görüntüleme teknikleri belirli sınırlılıklar içerirken, konik ışınlı bilgisayarlı tomografi (CBCT) rezorpsiyonların üç boyutlu olarak analiz edilmesine olanak sağlayarak sınıflandırma doğruluğunu artırmaktadır. Tedavi yaklaşımları, rezorpsiyon tipine ve patolojik sürecin biyolojik davranışına göre farklılık göstermektedir.
Referanslar
Patel S, Ford TP. Is the resorption external or internal? Dent Update. 2007;34(4):218-29. doi:10.12968/denu.2007.34.4.218
Darcey J, Qualtrough A. Resorption: part 1. Pathology, classification and aetiology. Br Dent J. 2013;214(9):439-51. doi:10.1038/sj.bdj.2013.434
Trope M. Root resorption due to dental trauma. Endod Topics. 2002;1(1):79-100. doi:10.1034/j.1601-1546.2002.10106.x
Vier FV, Figueiredo JAPd. Prevalence of different periapical lesions associated with human teeth and their correlation with the presence and extension of apical external root resorption. 2002.
Weltman B, Vig KW, Fields HW, Shanker S, Kaizar EE. Root resorption associated with orthodontic tooth movement: a systematic review. Am J Orthod Dentofacial Orthop. 2010;137(4):462-76.doi:10.1016/j.ajodo.2009.06.021
Friedman S, Rotstein I, Libfeld H, Stabholz A, Heling I. Incidence of external root resorption and esthetic results in 58 bleached pulpless teeth. Dent Traumatol. 1988;4(1):23-6. doi:10.1111/j.1600-9657.1988.tb00271.x
Andreasen JO. External root resorption: its implication in dental traumatology, paedodontics, periodontics, orthodontics and endodontics. Int Endod J. 1985;18(2):109-18.
doi:10.1111/j.1365-2591.1985.tb00442.x
Adaki RV, Adaki R, Agrwal JM, Nanjannawar LG. External apical root resorption: an unusual case report. IOSR J Dent Med Sci. 2014;13(1):60-2.
Al-Momani Z, Nixon PJ. Internal and external root resorption: aetiology, diagnosis and treatment options. Dent Update. 2013;40(2):102-12. doi:10.12968/denu.2013.40.2.102
Andreasen JO. Luxation of permanent teeth due to trauma: a clinical and radiographic follow-up study of 189 injured teeth. Eur J Oral Sci. 1970;78(1-4):273-86.
Aidos H, Diogo P, Santos JM. Root resorption classifications: a narrative review and a clinical aid proposal for routine assessment. Eur Endod J. 2018;3(3):134. doi:10.14744/eej.2018.134
Patel S, Saberi N. The ins and outs of root resorption. Br Dent J. 2018;224(9):691-9. doi:10.1038/sj.bdj.2018.317
Tronstad L. Root resorption—etiology, terminology and clinical manifestations. Dent Traumatol. 1988;4(6):241-52. doi:10.1111/j.1600-9657.1988.tb00245.x
Patel S, Ricucci D, Durak C, Tay F. Internal root resorption: a review. J Endod. 2010;36(7):1107-21. doi:10.1016/j.joen.2010.03.014
Pierce AM. Experimental basis for the management of dental resorption. Dent Traumatol. 1989;5(6):255-65. doi:10.1111/j.1600-9657.1989.tb00372.x
Trope M. Root resorption of dental and traumatic origin: classification based on etiology. Pract Periodontics Aesthet Dent. 1998;10(4):515-22.
Patel S, Saberi N, Pimental T, Teng PH. Present status and future directions: root resorption. Int Endod J. 2022;55:892-921. doi:10.1111/iej.13785
18.Haapasalo M, Endal U. Internal inflammatory root resorption: the unknown resorption of the tooth. Endod Topics. 2006;14(1):60-79. doi:10.1111/j.1601-1546.2006.00142.x
Walton RE, Leonard LA. Cracked tooth: an etiology for “idiopathic” internal resorption? J Endod. 1986;12(4):167-9. doi:10.1016/S0099-2399(86)80027-9
Wedenberg C, Lindskog S. Evidence for a resorption inhibitor in dentin. Eur J Oral Sci. 1987;95(3):205-11. doi:10.1111/j.1600-0722.1987.tb01803.x
Ricucci D. Apical limit of root canal instrumentation and obturation. Part 1. Literature review. Int Endod J. 1998;31(6):384-93. doi:10.1046/j.1365-2591.1998.00165.x
Heithersay GS. Management of tooth resorption. Aust Dent J. 2007;52(Suppl 1):S105-21. doi:10.1111/j.1834-7819.2007.tb00519.x
Abbott PV, Lin S. Tooth resorption—Part 2: a clinical classification. Dent Traumatol. 2022;38(4):267-85. doi:10.1111/edt.12770
Wedenberg C, Zetterqvist L. Internal resorption in human teeth: a histological, scanning electron microscopic, and enzyme histochemical study. J Endod. 1987;13(6):255-9. doi:10.1016/S0099-2399(87)80056-1
Ne RF, Witherspoon DE, Gutmann JL. Tooth resorption. Quintessence Int. 1999;30(1):9-25.
Heboyan A, Avetisyan A, Karobari MI, Marya A, Khurshid Z, Rokaya D, et al. Tooth root resorption: a review. Sci Prog. 2022;105(3):00368504221109217. doi:10.1177/00368504221109217
Thomas P, Krishna Pillai R, Pushparajan Ramakrishnan B, Palani J. An insight into internal resorption. ISRN Dent. 2014;2014:759326. doi:10.1155/2014/759326
Wedenberg C, Lindskog S. Experimental internal resorption in monkey teeth. Dent Traumatol. 1985;1(6):221-7. doi:10.1111/j.1600-9657.1985.tb00631.x
Silveira FF, Nunes E, Soares JA, Ferreira CL, Rotstein I. Double “pink tooth” associated with extensive internal root resorption after orthodontic treatment: a case report. Dent Traumatol. 2009;25(3):e43-7. doi:10.1111/j.1600-9657.2009.00778.x
Heithersay GS. Clinical endodontic and surgical management of tooth and associated bone resorption. Int Endod J. 1985;18(2):72-92. doi:10.1111/j.1365-2591.1985.tb00440.x
Sweet A. Internal resorption: a chronology. Dent Radiogr Photogr. 1965;38(4):75-81.
Pierce AM. Pathophysiological and therapeutic aspects of dentoalveolar resorption. Aust Dent J. 1989;34(5):437-48. doi:10.1111/j.1834-7819.1989.tb04674.x
Gartner AH, Mack T, Somerlott RG, Walsh LC. Differential diagnosis of internal and external root resorption. J Endod. 1976;2(11):329-34. doi:10.1016/S0099-2399(76)80138-1
Chogle S, Zuaitar M, Sarkis R, Saadoun M, Mecham A, Zhao Y. Recommendation of cone-beam computed tomography and its effect on endodontic diagnosis and treatment planning. J Endod. 2020;46(2):162-8. doi:10.1016/j.joen.2019.10.020
Lee A. Endodontic management of internal inflammatory resorption: report of a case. Aust Endod J. 1999;25(3):140-3. doi:10.1111/j.1747-4477.1999.tb00269.x
European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report. Int Endod J. 2006;39(12):921-30. doi:10.1111/j.1365-2591.2006.01180.x
Zehnder M. Root canal irrigants. J Endod. 2006;32(5):389-98. doi:10.1016/j.joen.2005.09.014
Siqueira JF Jr, Rôças IN, Santos SR, Lima KC, Magalhães FA, de Uzeda M. Efficacy of instrumentation techniques and irrigation regimens in reducing the bacterial population within root canals. J Endod. 2002;28(3):181-4. doi:10.1097/00004770-200203000-00009
McMullin A, Fleming PS, DiBiase AT. Idiopathic generalized apical root resorption: a report of three cases. Int J Paediatr Dent. 2008;18(4):312-6. doi:10.1111/j.1365-263X.2007.00873.x
Ricucci D, Siqueira JF Jr. Anatomic and microbiologic challenges to achieving success with endodontic treatment: a case report. J Endod. 2008;34(10):1249-54. doi:10.1016/j.joen.2008.07.003
Gencoglu N, Yildirim T, Garip Y, Karagenc B, Yilmaz H. Effectiveness of different gutta-percha techniques when filling experimental internal resorptive cavities. Int Endod J. 2008;41(10):836-42. doi:10.1111/j.1365-2591.2008.01429.x
Verstraeten J, Jacquet W, De Moor RJG, Meire M. Hard tissue debris removal from the mesial root canal system of mandibular molars with ultrasonically and laser-activated irrigation: a micro-computed tomography study. Lasers Med Sci. 2017;32(9):1965-70. doi:10.1007/s10103-017-2296-2
Jacobovitz M, De Lima R. Treatment of inflammatory internal root resorption with mineral trioxide aggregate: a case report. Int Endod J. 2008;41(10):905-12. doi:10.1111/j.1365-2591.2008.01441.x
Nilsson E, Bonte E, Bayet F, Lasfargues JJ. Management of internal root resorption on permanent teeth. Int J Dent. 2013;2013:929486. doi:10.1155/2013/929486
Bergmans L, Van Cleynenbreugel J, Verbeken E, Wevers M, Van Meerbeek B, Lambrechts P. Cervical external root resorption in vital teeth: X-ray microfocus tomographical and histopathological case study. J Clin Periodontol. 2002;29(6):580-5. doi:10.1034/j.1600-051X.2002.290614.x
Cholia S, Wilson P, Makdissi J. Multiple idiopathic external apical root resorption: report of four cases. Dentomaxillofac Radiol. 2005;34(4):240-6. doi:10.1259/dmfr/13522702
Gulabivala K, Searson L. Clinical diagnosis of internal resorption: an exception to the rule. Int Endod J. 1995;28(5):255-60. doi:10.1111/j.1365-2591.1995.tb00298.x
Borg E, Källqvist A, Gröndahl K, Gröndahl HG. Film and digital radiography for detection of simulated root resorption cavities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;86(1):110-4. doi:10.1016/S1079-2104(98)90159-8
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:10.1111/iej.13187
Moze G, Seehra J, Fanshawe T, Davies J, McDonald F, Bister D. In vitro comparison of contemporary radiographic imaging techniques for measurement of tooth length: reliability and radiation dose. J Orthod. 2013;40(3):225-33. doi:10.1179/1465313313Y.0000000050
Andreasen JO, Hjørting-Hansen E. Replantation of teeth. II. Histological study of 22 replanted anterior teeth in humans. Acta Odontol Scand. 1966;24(3):287-306.
Lin S, Moreinos D, Kaufman AY, Abbott PV. Tooth resorption – Part 1: the evolvement, rationales and controversies of tooth resorption. Dent Traumatol. 2022;38(4):253-66. doi:10.1111/edt.12769
Yoon H, Song M. Long-term retention of avulsed maxillary incisors with replacement root resorption: a 9-year follow-up. Case Rep Dent. 2021;2021:8872859. doi:10.1155/2021/8872859
Salamati A, Chen J, Herring SW, Liu ZJ. Functional tooth mobility in young pigs. J Biomech. 2020;104:109716. doi:10.1016/j.jbiomech.2020.109716
Abbott PV. Pulp, root canal and peri-radicular conditions: the need for re-classification. Iran Endod J. 2024;19(3):158-66.
Özdemir O, Hazar E, Koçak S, Koçak MM, Sağlam BC. Kök rezorpsiyonları. J Int Dent Sci. 2019;5(2):38-44.
Finucane D, Kinirons MJ. External inflammatory and replacement resorption of luxated and avulsed replanted permanent incisors: a review and case presentation. Dent Traumatol. 2003;19(3):170-4. doi:10.1034/j.1600-9657.2003.00104.x
Andersson L, Bodin I, Sörensen S. Progression of root resorption following replantation of human teeth after extended extraoral storage. Dent Traumatol. 1989;5(1):38-47. doi:10.1111/j.1600-9657.1989.tb00341.x
Andersson L, Malmgren B. The problem of dentoalveolar ankylosis and subsequent replacement resorption in the growing patient. Aust Endod J. 1999;25(2):57-61. doi:10.1111/j.1747-4477.1999.tb00247.x
Malmgren B. Ridge preservation/decoronation. Pediatr Dent. 2013;35(2):164-9.
Malmgren B, Malmgren O, Andreasen JO. Alveolar bone development after decoronation of ankylosed teeth. Endod Topics. 2006;14(1):35-40. doi:10.1111/j.1601-1546.2006.00140.x
McNamara T, O'Shea D, McNamara C, Foley T. The management of traumatic ankylosis during orthodontics: a case report. J Clin Pediatr Dent. 2000;24(4):265-7.
Yoshpe M, Einy S, Ruparel N, Lin S, Kaufman AY. Regenerative endodontics: a potential solution for external root resorption (case series). J Endod. 2020;46(2):192-9. doi:10.1016/j.joen.2019.11.002
Laux M, Abbott P, Pajarola G, Nair PN. Apical inflammatory root resorption: a correlative radiographic and histological assessment. Int Endod J. 2000;33(6):483-93. doi:10.1046/j.1365-2591.2000.00341.x
Sak M, Radecka M, Karpiński TM, Wędrychowicz-Welman A, Szkaradkiewicz AK. Tooth root resorption: etiopathogenesis and classification. MicroMedicine. 2016;4(1):21-31.
Bhuva B, Barnes J, Patel S. The use of limited cone beam computed tomography in the diagnosis and management of a case of perforating internal root resorption. Int Endod J. 2011;44(8):777-86.
doi:10.1111/j.1365-2591.2011.01880.x
Fuss Z, Tsesis I, Lin S. Root resorption—diagnosis, classification and treatment choices based on stimulation factors. Dent Traumatol. 2003;19(4):175-82. doi:10.1034/j.1600-9657.2003.00192.x
Abbott PV. Prevention and management of external inflammatory resorption following trauma to teeth. Aust Dent J. 2016;61(Suppl 1):82-94. doi:10.1111/adj.12389
Mavridou AM, Hauben E, Wevers M, Schepers E, Bergmans L, Lambrechts P. Understanding external cervical resorption in vital teeth. J Endod. 2016;42(12):1737-51. doi:10.1016/j.joen.2016.09.014
Mavridou AM, Bergmans L, Barendregt D, Lambrechts P. Descriptive analysis of factors associated with external cervical resorption. J Endod. 2017;43(10):1602-10. doi:10.1016/j.joen.2017.05.019
Heithersay GS. Invasive cervical resorption. Endod Topics. 2004;7(1):73-92. doi:10.1111/j.1601-1546.2004.00067.x
Von Arx T, Schawalder P, Ackermann M, Bosshardt DD. Human and feline invasive cervical resorptions: the missing link? Presentation of four cases. J Endod. 2009;35(6):904-13. doi:10.1016/j.joen.2009.03.020
Patel S, Mavridou A, Lambrechts P, Saberi N. External cervical resorption—Part 1: histopathology, distribution and presentation. Int Endod J. 2018;51(11):1205-23. doi:10.1111/iej.12942
Liang H, Burkes EJ, Frederiksen NL. Multiple idiopathic cervical root resorption: systematic review and report of four cases. Dentomaxillofac Radiol. 2003;32(3):150-5. doi:10.1259/dmfr/22378914
Patel S, Kanagasingam S, Ford TP. External cervical resorption: a review. J Endod. 2009;35(5):616-25. doi:10.1016/j.joen.2009.01.015
Ghazi RF, Khalifa FA, Khalifa F. Sub-clinical cervical root resorption: a case report. Cureus. 2022;14(7):e26592. doi:10.7759/cureus.26592
Estevez R, Aranguren J, Escorial A, de Gregorio C, De La Torre F, Vera J, Cisneros R. Invasive cervical resorption class III in a maxillary central incisor: diagnosis and follow-up by means of cone-beam computed tomography. J Endod. 2010;36(12):2012-4. doi:10.1016/j.joen.2010.08.031
Heithersay GS. Clinical, radiologic, and histopathologic features of invasive cervical resorption. Quintessence Int. 1999;30(1):27-37.
Patel S, Foschi F, Mannocci F, Patel K. External cervical resorption: a three-dimensional classification. Int Endod J. 2018;51(2):206-14. doi:10.1111/iej.12808
Aeinehchi M, Eslami B, Ghanbariha M, Saffar AS. Mineral trioxide aggregate and calcium hydroxide as pulp-capping agents in human teeth: a preliminary report. Int Endod J. 2003;36(3):225-35. doi:10.1046/j.1365-2591.2003.00652.x
Andreasen FM. Transient apical breakdown and its relation to color and sensibility changes after luxation injuries to teeth. Dent Traumatol. 1986;2(1):9-19. doi:10.1111/j.1600-9657.1986.tb00109.x
Cohenca N, Karni S, Rotstein I. Transient apical breakdown following tooth luxation. Dent Traumatol. 2003;19(5):289-91. doi:10.1034/j.1600-9657.2003.00170.x
Boyd K. Transient apical breakdown following subluxation injury: a case report. Dent Traumatol. 1995;11(1):37-40. doi:10.1111/j.1600-9657.1995.tb00456.x