Root resorption

Question 1

Root resorption in layman term

Answer 1

Loss of tooth structure in the root area.
the cells eat away and dissolve tooth structure

Question 2

cells responsible for the resorption?

Answer 2

odontoclast
osteoclast

Question 3

Root resorption can be classified into

Answer 3

External or internal

Question 4

What causes External RR?
How do you fix external tooth resorption?

Answer 4

Inflammatory lesions (resorption)
Reimplanted teeth (ankylosis)
tumors, cysts, impacted teeth
Excessive occlusal or mechanical forces

Question 5

How to manage the External RR?

Answer 5

Management:
- If the nerve is not affected → Debridement of the external part and filling
- If nerve is affected or it is the cause → Removal of the nerve by Root canal treatment
- or do nothing = Observation

Question 6

What causes internal root resorption?

Answer 6

Unclear

Trauma
Caries
Periodontal infections
Heat generated during restorative procedures
Calcium hydroxide
Cracked teeth
Idiopathic

Question 7

Pulp condition in Internal Resorption

Answer 7

Pulp is vital ( although not totally) = Pulp electric test positive

Question 8

extensive resorption of coronal pulp may result in….., caused by

Answer 8

a pink or red discoloration
caused by granulomatous tissue of inflammation

Question 9

why CBCT is mandatory in diagnosis of Internal RR

Answer 9

extensive and often perforate

Question 10

Radiographic Features of Internal Root Resorption

Answer 10

. In internal resorption, the outline of the canal is often distorted

Widening of root canal
Balloon of root canal

Question 11

Can a tooth with internal resorption be saved?

Answer 11

Restorable = The treatment of choice for IRR is root canal therapy, which removes the blood supply and granulation tissue
Unrestorable ?

Question 12

how to differentiate Internal and External on radiograph?

Answer 12

the outline of canal is intact or not

Question 13

“So please bear with me as I go over your medical and dentall questionnaire one more time.”

Answer 13

“Vì vậy, xin hãy kiên nhẫn với tôi khi tô xem qua

Question 14

How serious is root resorption?
What happens if tooth resorption is left untreated?

Answer 14

Whether it’s internal or external, the condition can lead to tooth loss if not treated early

Question 15

What is the prognosis for internal root resorption?

Answer 15

If the condition is discovered before the root is perforated, the success rate for root canal therapy is fairly high

Question 16

How bad is root resorption?

Answer 16

The process is gradual, but if it goes untreated the root may be lost completely.

Question 17

Does internal root resorption cause pain?

Answer 17

Tooth resorption may go unnoticed/ asymptomatic for many years; often the patient is unaware of it because of the lack of symptoms. Pain may be reported if the process is associated with significant pulpal inflammation.