Department of Endodontology, Dental School, Aristotle University of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Department of Anatomy, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.
J Endod. 2023 Dec;49(12):1747-1753. doi: 10.1016/j.joen.2023.09.009. Epub 2023 Sep 25.
Tooth resorption can occur either physiologically or pathologically and can be classified as internal or external. The term "external invasive resorption" (EIR) has been used to describe lesions originating from any surface defect exposing dentin. The absence of bacterial contamination, an intact pulp space, and a lesion consisting mainly of fibrovascular tissue characterize EIR. This study presents three cases of invasive resorption in unerupted teeth, emphasizing the importance of cone-beam computed tomography (CBCT). In two cases, the primary defect localized on the enamel surface, while in the third case, the focal point of the defect was not clear. CBCT provided detailed visualization of the resorption lesion's size and its relationship with surrounding structures, enhancing the diagnosis of EIR. Histological analysis of the third case confirmed the initial diagnosis. Invasive resorption can occur due to any surface defect in the case of unerupted teeth. Further research and correlation between radiographic and histological analysis are essential for the detection and classification systems in unerupted teeth.
牙齿吸收可分为生理性或病理性,也可分为内吸收或外吸收。“外侵性吸收”(EIR)这一术语被用来描述起源于任何暴露牙本质的表面缺陷的病变。EIR 的特点是没有细菌污染、完整的牙髓腔和主要由纤维血管组织组成的病变。本研究介绍了三例外源性未萌牙吸收病例,强调了锥形束 CT(CBCT)的重要性。在两个病例中,原发性缺陷局限于釉质表面,而在第三个病例中,缺陷的焦点不明确。CBCT 提供了对吸收病变大小及其与周围结构关系的详细可视化,有助于 EIR 的诊断。第三个病例的组织学分析证实了最初的诊断。在未萌牙的情况下,任何表面缺陷都可能导致侵袭性吸收。进一步的研究和影像学与组织学分析之间的相关性对于未萌牙的检测和分类系统至关重要。