Warnsinck C J, Shemesh H
Ned Tijdschr Tandheelkd. 2018 Feb;125(2):109-115. doi: 10.5177/ntvt.2018.02.17203.
External cervical root resorption begins at the root surface as result of odontoclastic activity in the cervical area and is progressive in character. The pulp is only affected at a later stage of the process. The aetiology and pathogenesis of external cervical root resorption is not fully understood. Possible predisposing factors are, among others, orthodontic treatment, trauma, internal bleaching, damaged cemento-enamel junction, bruxism and hypoxia. A 'pink spot' often is the first clinical sign and a two-dimensional radiograph usually presents an amorphous radiolucency with undefined borders. Cone-beam computed tomography is an emerging technique aiding the diagnosis of and prognosis and treatment plans for external root resorption. An external or internal treatment approach can be chosen, depending on the size of the defect.
外部颈缘牙根吸收始于颈部区域破牙细胞活动导致的牙根表面,具有进行性特点。牙髓仅在该过程的后期受到影响。外部颈缘牙根吸收的病因和发病机制尚未完全明确。可能的诱发因素包括正畸治疗、外伤、内漂白、牙骨质-釉质界受损、磨牙症和缺氧等。“粉红色斑点”通常是首个临床体征,二维X线片通常显示边界不清的无定形透射区。锥形束计算机断层扫描是一种有助于外部牙根吸收诊断、预后评估及治疗计划制定的新兴技术。根据缺损大小可选择外部或内部治疗方法。