Pre-eruptive intracoronal resorption and its management: case report

Year 2020, Volume: 37 Issue: 1, 24 - 28, 01.01.2020

Selin Eriş Çağdaş Çınar , Emre Barış , Gülay Kip

https://doi.org/10.17214/gaziaot.614609

Abstract

Introduction: Pre-eruptive
intra-coronal resorption (PEIR) is a defect located in the dentin of an
unerupted tooth, just beneath the dentin-enamel junction. The prevalence of
PEIR is 3-6% in patients and 0.5-2% in teeth. In some case reports, it is
suggested that the unerupted tooth should be surgically exposed, and the lesion
should be restored to prevent the further destruction of the coronal structure.
The aim of this case report was to describe the management of a mandibular
permanent molar tooth with PEIR.

Case Report: A
6-year-old boy patient was referred to the Pediatric Dentistry Clinic with a
complaint of pain, gingival redness, and an unerupted tooth. In the clinical
examination, it was observed that the eruption sequence was compatible with his
age; however, the right mandibular first permanent molar was absent. Under
inhalation sedation, the gingival tissue above the unerupted molar was
surgically removed with a diode laser (SIROLaser Xtend, Bensheim, Germany). The
soft tissue into the lesion was carefully removed with an excavator. A sample
of the removed tissue was evaluated histopathologically. A glass ionomer cement
(GC Fuji XI GP, Tokyo, Japan) was placed as a base, and the restoration was
completed with composite resin (3M ESPE, Seefeld, Germany). After a follow-up
period of 16 months, no clinical symptoms were observed, and the development of
the root was detected to continue.

Conclusion: Early
diagnosis and treatment of PEIR is the main objective for the development of
the tooth and maintenance of pulpal health.

Keywords

Child, dentin, tooth resorption

Pre-erüptif intrakoronal rezorpsiyon ve tedavi yönetimi: olgu bildirimi

Abstract

Tanıtım: Sürmemiş dişlerin dentininde mine-dentin sınırının hemen altında, iyi
sınırlanmış, intrakoronal radyolusensiler ‘pre-erüptif intrakoronal rezorpsiyon’
(PEIR) olarak tanımlanır. Pre-erüptif
intrakoronal rezorpsiyon hastalarda %3-6 oranında, dişlerde %0.5-2 oranında
görülür. Bazı olgu raporlarında koronal yapıyı yıkımdan korumak için dişin
cerrahi olarak açığa çıkarılıp restore edilmesi önerilir. Bu olgu bildiriminde
amaç PEIR bulunan açık apeksli mandibular birinci daimi molar dişin tedavi
yönetimini tanımlamaktır.

Olgu Bildirimi: Altı yaşındaki erkek hasta çiğneme sırasında ağrı, diş eti kızarıklığı ve
diş sürmemesi şikayetiyle kliniğimize başvurdu. Hastanın klinik muayenesinde
diş erüpsiyonunun yaşla uyumlu olduğu, ancak sağ mandibular daimi birinci molar
dişin olmadığı görüldü. Alınan radyografiler incelendiğinde sürmemiş 46
numaralı dişte intrakoronal lezyon tespit edildi. Hastanın tedavisi inhalasyon
anestezisi altında yapıldı. Diode lazer (SIROLaser Xtend, Bensheim, Almanya) ile sürmemiş diş üzerindeki
mukoza kaldırılarak diş açığa çıkarıldı. Yumuşak doku lezyonu ekskavatörle
dikkatlice çıkartıldı. Alınan doku histopatolojik olarak incelendi. Geleneksel
cam iyonomer siman (GC Fuji XI GP, Tokyo, Japonya) kaide olarak kullanılarak
kompozit rezin (3M ESPE, Seefeld, Almanya) ile restorasyon tamamlandı. Klinik
ve radyografik olarak 16 aylık takip sonrasında, dişte herhangi bir klinik
belirti bulunmadığı ve dişin gelişiminin devam ettiği izlendi.

Sonuç: Pre-erüptif intrakoronal rezorpsiyonun erken teşhisi ve tedavisi, diş
gelişimi ve pulpal sağlığın korunmasında temel amaçtır.

Keywords

Çocuk, dentin, diş rezorpsiyonu

References

• Seow WK. Pre-eruptive intracoronal resorption as an entity of occult caries. Pediatr Dent 2000;22:370-6.
• Ozden B, Acikgoz A. Prevalence and characteristics of intracoronal resorption in unerupted teeth in the permanent dentition: a retrospective study. Oral Radiol 2009;25:6-13.
• Baab DA, Morton TH, Page RC. Caries and periodontitis associated with an unerupted third molar. Oral Surg Oral Med Oral Pathol 1984;58:428-30.
• Spierer WA, Fuks AB. Pre-eruptive intra-coronal resorption: controversies and treatment options. J Clin Pediatr Dent 2014;38:326-8.
• Seow WK, Lu PC, McAllan LH. Prevalence of pre-eruptive intracoronal dentin defects from panoramic radiographs. Pediatr Dent 1999;21:332-9.
• Seow WK. Multiple pre-eruptive intracoronal radiolucent lesions in the permanent dentition: case report. Pediatr Dent 1998;20:195-8.
• Counihan KP, O'Connell AC. Case report: pre-eruptive intra-coronal radiolucencies revisited. Eur Arch Paediatr Dent 2012;13:221-6.
• Rankow H, Croll TP, Miller AS. Preeruptive idiopathic coronal resorption of permanent teeth in children. J Endod 1986;12:36-9.
• Blackwood HJ. Resorption of enamel and dentine in the unerupted tooth. Oral Surg Oral Med Oral Pathol 1958;11:79-85.
• Grundy GE, Pyle RJ, Adkins KF. Intra-coronal resorption of unerupted molars. Aust Dent J 1984;29:175-9.
• Brooks JK. Detection of intracoronal resorption in an unerupted developing premolar: report of case. J Am Dent Assoc 1988;116:857-9.
• Seow WK, Hackley D. Pre-eruptive resorption of dentin in the primary and permanent dentitions: case reports and literature review. Pediatr Dent 1996;18:67-71.
• Holan G, Eidelman E, Mass E. Pre-eruptive coronal resorption of permanent teeth: report of three cases and their treatments. Pediatr Dent 1994;16:373-7.
• Hata H, Abe M, Mayanagi H. Multiple lesions of intracoronal resorption of permanent teeth in the developing dentition: a case report. Pediatr Dent 2007;29:420-5.
• Klambani M, Lussi A, Ruf S. Radiolucent lesion of an unerupted mandibular molar. Am J Orthod Dentofacial Orthop 2005;127:67-71.
• Seow WK, Wan A, McAllan LH. The prevalence of pre-eruptive dentin radiolucencies in the permanent dentition. Pediatr Dent 1999;21:26-33.
• Ilha MC, Kramer PF, Ferreira SH, Ruschel HC. Pre-emptive Intracoronal Radiolucency in First Permanent Molar. Int J Clin Pediatr Dent 2018;11:151-4.
• Davidovich E, Kreiner B, Peretz B. Treatment of severe pre-eruptive intracoronal resorption of a permanent second molar. Pediatr Dent 2005;27:74-7.
• Moskovitz M, Holan G. Pre-eruptive intracoronal radiolucent defect: a case of a nonprogressive lesion. J Dent Child (Chic) 2004;71:175-8.
• Kumar P, Rattan V, Rai S. Comparative evaluation of healing after gingivectomy with electrocautery and laser. J Oral Biol Craniofac Res 2015;5:69-74.