Management of external pressure resorption associated with dentigerous cyst: A case report

Authors

  • Noppadol Sittithanaworakul chulalongkorn university

Keywords:

External pressure resorption, External root resorption, Dentigerous cyst, Endodontic treatment

Abstract

Pressure from cysts or tumors exerted on neighboring teeth may cause external surface resorption. Surgical removal of a cyst can compromise the vitality of the teeth by severing the nerve and blood supplies at the apices of the roots. In this case, a 60-year-old female  presented with dull pain at the base of her nose and mobility of her anterior teeth. Teeth 11 and 21 were found to be associated with a dentigerous cyst of the embedded tooth (mesiodens) in the area. Tooth 21 exhibited clinical symptoms and a negative response to sensibility tests after the removal of embedded tooth and enucleation of the cyst, necessitating endodontic intervention. In contrast, the sensibility tests of tooth 11 recovered approximately two months after the surgical procedure. A follow-up appointment for sensibility testing and evaluation of clinical symptoms is suggested to determine the necessity of endodontic intervention for the tooth related to the temporary loss of sensibility resulting from the surgical procedures.

References

Endodontists AAo. Glossary of Endodontic Terms https://www.aae.org/specialty/clinical-resources/glossary-endodontic-terms/2020 [

Gunraj MN. Dental root resorption. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(6):647-53.

Wedenberg C. Evidence for a dentin-derived inhibitor of macrophage spreading. Scand J Dent Res. 1987;95(5):381-8.

Wedenberg C, Lindskog S. Evidence for a resorption inhibitor in dentin. Scand J Dent Res. 1987;95(3):205-11.

Abbott PV, Lin S. Tooth resorption—Part 2: A clinical classification. Dental Traumatology. 2022;38(4):267-85.

Bourguignon C, Cohenca N, Lauridsen E, Flores MT, O'Connell AC, Day PF, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. Dent Traumatol. 2020;36(4):314-30.

Endodontics Aao. The Recommended Guidelines of the American Association of Endodontists for

The Treatment of Traumatic Dental Injuries. 2013.

Patel S, Krastl G, Weiger R, Lambrechts P, Tjäderhane L, Gambarini G, et al. ESE position statement on root resorption. Int Endod J. 2023;56(7):792-801.

Colak C, Aras B, Cheng LL, Elekdag-Turk S, Turk T, Darendeliler MA. Effects of rapid and slow maxillary expansion on root resorption: a micro-computed tomography study. Eur J Orthod. 2021;43(6):682-9.

Feller L, Khammissa RA, Thomadakis G, Fourie J, Lemmer J. Apical External Root Resorption and Repair in Orthodontic Tooth Movement: Biological Events. Biomed Res Int. 2016;2016:4864195.

Kimura R, Anan H, Matsumoto A, Noda D, Maeda K. Dental root resorption and repair: histology and histometry during physiological drift of rat molars. J Periodontal Res. 2003;38(5):525-32.

Teo KW, Shi AH, Teh LY, Lee AMH. External root resorption in common odontogenic cysts and ameloblastomas of the jaw: A retrospective radiographic study in an Asian population. Oral Surgery. 2021;14(4):335-41.

Andreasen JO. External root resorption: its implication in dental traumatology, paedodontics, periodontics, orthodontics and endodontics. Int Endod J. 1985;18(2):109-18.

Andreasen JO, Hjorting-Hansen E. Replantation of teeth. I. Radiographic and clinical study of 110 human teeth replanted after accidental loss. Acta Odontol Scand. 1966;24(3):263-86.

Andreasen JO, Hjorting-Hansen E. Replantation of teeth. II. Histological study of 22 replanted anterior teeth in humans. Acta Odontol Scand. 1966;24(3):287-306.

Tronstad L. Root resorption--etiology, terminology and clinical manifestations. Endod Dent Traumatol. 1988;4(6):241-52.

Alharbi MA, Alghamdi A, Kattan SA, Austah O, Othman B, Haddad S, et al. The Incidence of Devitalization of Vital Teeth Associated with Pathologies of the Jaws Following Surgical Intervention: A Mixed-case Study. J Contemp Dent Pract. 2023;24(10):750-6.

Cardoso Tarallo AM, de Souza Matos F, Ferreira de Souza V, Renato Paranhos L, Moreira Herval Á, Carneiro Valera M, et al. Odontogenic Keratocyst: A Case Report Emphasizing on Root Canal Treatment after Surgical Intervention. Iran Endod J. 2019;14(2):160-5.

Ramana Reddy BV, Kiran Kumar K, Rajendra Santosh AB. Benign and Malignant Lesions of Jaw. Dent Clin North Am. 2020;64(1):39-61.

Ruslin M, van Trikt KN, Yusuf AS, Tajrin A, Fauzi A, Rasul MI, et al. Epidemiology, treatment, and recurrence of odontogenic and non-odontogenic cysts in South Sulawesi, Indonesia: A 6-year retrospective study. J Clin Exp Dent. 2022;14(3):e247-e53.

Trope M, Moshonov J, Nissan R, Buxt P, Yesilsoy C. Short vs. long-term calcium hydroxide treatment of established inflammatory root resorption in replanted dog teeth. Endod Dent Traumatol. 1995;11(3):124-8.

Abbott P. Prevention and management of external inflammatory resorption following trauma to teeth. Australian Dental Journal. 2016;61(S1):82-94.

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Published

2024-12-20

How to Cite

Sittithanaworakul, N. (2024). Management of external pressure resorption associated with dentigerous cyst: A case report. Thai Endodontic Journal, 3(2), 119–130. Retrieved from https://he03.tci-thaijo.org/index.php/thaiendod/article/view/3436

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Case report