Resorption Flashcards
For resorption to occur, _______ to the protective unmineralized layers must occur
Author
damage
Tronstad
Clasts cannot adhere to ________ such as ______ or ________
unmineralized tissue such as predentin or precementum
Internal root resorption process
Pulpal injury causes some degree of coronal pulp necrosis
induced inflammation in the apical tissue
area of exposed dentinal tubules (loss of predentin and odontoblastic layer)
_______% success rate for non-perforating IRR lesions, ______% for perforating
100%
25%
ICRR requires
PDL in direct contact with dentin (loss of cementum)
In ICRR, the outline of the pulp spaces usually remains _____
well defined
Histology of ICRR
Fibro-osseous and fibro-vascular tissue associated with clastic cells
True etiology of ICRR is likely _______
multifactorial
Top etiological factors of ICRR
Orthodontics
Trauma
Internal bleaching
Intracoronal bleaching often follows ______, which could have resulted in _______ at the CEJ
trauma
cemental defects
Viral etiology for ICRR may invovle
Feline herpes virus
Von Arx
Class I and II ICRR remain ______
localized to the cervical area
Class III ICRR extends into the
coronal third of the root
Class IV ICRR extends
beyond the coronal third of the root
Treatment of ICRR includes
debridement of the defect
placement of glycerol on the gingival tissues
application of 90% trichloroacetic acid for 1-4 minutes
restoration of a GI cement
TCA deactivates the resorptive tissue via ______
coagulative necrosis
GI cements are indicated for resorption repair due to
ability of periodontal tissue to reattach
Treatment of ICRR lesions classes _______ only is recommended
Classes 1-3
ICRR treatment success rates
Author
1 and 2 – 100%
3 – 78%
4 – 12.5%
Heithersay
EIRR is either _____ or ______ in origin
endodontic or orthodontic
Tronstad
________% of apical periodontitis will have EIRR
86%
EIRR will typically arrest when ______ or _______
RCT initiated
orthodontic movement ceases
Extensive EIRR can result following _____
trauma
Pathognomonic for replacement resorption
metallic tone on percussion
EIRR results with loss of
protective precementum and cementoblastic layer
Following resolution of inflammatory component of EIRR, _______ may occur
Replacement resorption
Pressure resorption occurs in response to
direct damage to the precementum
Pressure resorption is generally limited to the ______
apical third
Pressure resorption often occurs secondary to (3)
Orthodontics
misaligned tooth eruption
slow-growing tumors or cysts