Kök Rezorpsiyonları: Literatür Derlemesi

Yıl 2024, Cilt: 10 Sayı: 2, 47 - 54, 28.08.2024

Burcu Deniz , Sibel Tazegül-kocak

https://doi.org/10.21306/dishekimligi.1454889

Öz

Giriş: Kök rezorpsiyonu, çok farklı tedavi seçeneği bulunan zorlu, karmaşık, fizyolojik ya da patolojik bir süreç olup odontoklastik reaksiyonların sonucu diş sert dokularında (sement, dentin) meydana gelen kayıptır. Etiyolojisi ve patogenezi tam olarak anlaşılamamıştır ve en önemli etiyolojik faktörler travma, pulpal enfeksiyon, diş beyazlatma ve ortodontik tedavidir. Kök rezorpsiyonları genellikle asemptomatiktir; bu nedenle radyografik muayenede tesadüfen ortaya çıkar. İleri aşamada dişte ağrı, diş renginde bozulma, mobilite gibi semptomlar görülebilir. Konumu ne olursa olsun rezorpsiyon geri döndürülemez. Zamanla hastada rahatsızlığa sebep olabilir, bazı durumlarda etkilenen dişin erken kaybıyla sonuçlanabilir. Bu gibi nedenlerden dolayı bu tip patolojilerin tedavi edilmesi gerekmektedir. Kök rezorpsiyonuna yol açan nedenler, risk faktörleri ve mekanizmaları hakkında bilgi sahibi olmak, rezorpsiyonun erken bir aşamada ortaya çıkarılmasını sağlarken ilerlemesinin engellenmesini de mümkün kılar. Böylece hekimlere rezorpsiyon açısından yüksek riskli hastaları izlemelerine ve erken teşhis koymalarına imkan tanır. Sınıflandırma yapılırken anatomik, fizyolojik ve patolojik etiyolojik yaklaşımlar dikkate alınmalıdır. Günümüzde farklı rezorpsiyon türleri için evrensel bir sınıflandırma yoktur. Bu eksiklik hem hekimler arasında kafa karışıklığına hem de dişlerde oluşan rezorptif süreçlerin yeterince anlaşılamamasına yol açarak hatalı teşhis ve tedavilere sebep olabilir. Bu derlemenin amacı kök rezorpsiyonlarına sebep olan etkenleri, risk faktörlerini ve güncel tedavi yaklaşımlarını mevcut literatür bilgisiyle gözden geçirmek ve hekimlere etiyolojisi, histopatolojisi, klinik görünümü, tedavisi ve yönetimine yönelik öneriler sunup güvenilir bilgi sağlamaktır.
Sonuç: Dişte meydana gelen rezorpsiyonun doğası ve konumuna bağlı olarak basit ve terminolojiye uygun olarak kök rezorpsiyonu sınıflaması yapılmıştır.

Anahtar Kelimeler

Kök Kanal Sistemi, Kök Kanal Tedavisi, Odontoklastik Aktivite, İnternal Rezorpsiyon, Eksternal Rezorpsiyon

Root Resorption: A Review of the Literature

Öz

Root Resorptions: A Review of the Literature
Abstract: Root resorption is a challenging, complex, physiologic, or pathologic process with many different treatment options and is the loss of tooth hard tissues (cementum, dentin) as a result of odontoclastic reactions. The etiology and pathogenesis are poorly understood, and the most important etiologic factors are trauma, pulpal infection, tooth whitening, and orthodontic treatment. Root resorption is usually asymptomatic; therefore, it is detected incidentally on radiographic examination. Symptoms such as tooth pain, discoloration, and mobility may be observed in the advanced stage. Regardless of its location, resorption is irreversible. Over time, it can cause discomfort to the patient, and in some cases, may result in early loss of the affected tooth, so it must be treated. Knowledge of the causes, risk factors, and mechanisms that lead to root resorption makes it possible to detect resorption early and prevent its progression. Thus, it allows physicians to monitor high-risk patients and make early diagnoses. Anatomical, physiological and pathological etiologic approaches should be considered when classifying. Currently, there is no universal classification for the different types of resorption. This lack of a universal classification of different types of resorption can lead to confusion among clinicians and inadequate understanding of the resorptive processes occurring in teeth, leading to misdiagnosis and incorrect treatment. The aim of this review is to review the etiology, histopathology, clinical presentation, treatment, and management of root resorption and provide clinicians with reliable information and recommendations on the etiology, histopathology, clinical presentation, treatment, and management of root resorption.
Conclusion: A simple and terminologically appropriate classification of root resorption based on the nature and location of tooth resorption was made.

Anahtar Kelimeler

Root Canal System, Root Canal Treatment, Odontoclastic Activity, Internal Resorption, External Resorption

Kaynakça

• 1. Irinakis E, Haapasalo M, Shen Y, Aleksejuniene, J. External cervical resorption–treatment outcomes and determinants: a retrospective cohort study with up to 10 years of follow‐up. Int Endod J. 2022;55:441-52.
• 2. Abbott PV. Pulp, root canal and peri-radicular conditions. Ed: Ahmed H, Dummer PM, Endodontic advances and evidence-based clinical guidelines, Oxford: Wiley, New Jersey, USA, 2022. pp. 83–114.
• 3. Aidos H, Diogo P, Santos JM. Root resorption classifications: a narrative review and a clinical aid proposal for routine assessment. Eur Endod J. 2018;3:134.
• 4. Krastl G, Weiger R, Filippi A, Van Waes H, Ebeleseder K, Ree M, et al. Endodontic management of traumatized permanent teeth: a comprehensive review. Int Endod J. 2021; 54:1221–45.
• 5. Aşçı S, Özbaş H, Yalçın Y Kök Rezorpsiyonu Olan Bir Olgunun Endodontik Ve Cerrahi Kombine Tedavisi: Olgu Sunumu İÜ Diş Hek Fak Derg. 2013 47(2):57-63.
• 6. Patel S, Saberi N, Pimental T, Teng PH. Present status and future directions: Root resorption. Int Endod J. 2022;55:892-921.
• 7. Heboyan G, Avetisyan A, Margaryan M. Clinical case of a rarely diagnosed tooth root internal resorption. New Armenian Med J. 2018;12:87–92.
• 8. Mavridou AM, Bergmans L, Barendregt D, et al. Descriptive analysis of factors associated with external cervical resorption. J Endod. 2017;43: 1602–10.
• 9. Newton R, Hayes J. The association of external cervical resorption with modern internal bleaching protocols: what is the current evidence. Br Dent J. 2020; 228:333–37.
• 10. Heboyan A, Avetisyan A, Markaryan M, et al. Tooth root resorption conditioned by orthodontic treatment. Oral Health Dental Sci. 2019;3:1.
• 11. Chugal N, Mallya SM, Kahler B, Lin LM. Endodontic treatment outcomes.Dent Clin North Am. 2017;61:59-80.
• 12. Patel S, Foschi F, Condon R, Pimentel T, Bhuva, B. External cervical resorption: part 2–management. Int Endod J. 2018;51:1224-38.
• 13. Feller L, Khammissa G, Thomadakis G, Fourie J, Lemmer J. Apical external root resorption and repair in orthodontic tooth movement: biological events. International BR. 2016; 4864195.
• 14. Colak C, Aras B, Cheng L, Elekdag-Turk S, Turk T, Darendeliler MA. Effects of rapid and slow maxillary expansion on root resorption: a microcomputed tomography study. Eur J Orthod. 2021;43:682–89.
• 15. Abbott PV. Prevention and management of external inflammatory resorption following trauma to teeth. Aust Dent J. 2016;61:82–94.
• 16. Soares AJ, Souza GA, Pereira AC, Vargas-Neto J, Zaia AA, Silva EJ. Frequency of root resorption following trauma to permanent teeth. J Oral Sci. 2015;57:73-78.
• 17. Cvek M, Treatment of non-vital permanent incisors with calcium hydroxide: II— effect on external root resorption in luxated teeth compared with effect of root filling with gutta percha: a follow-up. Odontol Revy. 1973;24:343–54.
• 18. Hasselgren G, Olsson B, Cvek M. Effects of calcium hydroxide and sodium hypochlorite on the dissolution of necrotic porcine muscle tissue. J Endod. 1988;14:125–7.
• 19. McHugh CP, Zhang P, Michalek S, Eleazer PD. pH required to kill Enterococcus faecalis in vitro. J Endod. 2004;30:218–9.
• 20. Siqueira JF Jr, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J. 1999;32:361–9.
• 21. Heithersay GS. Management of tooth resorption. Aust Dent J. 2007;52:105–121.
• 22. Segura‐Egea JJ, Gould K, Şen BH, Jonasson P, Cotti E, Mazzoni A, et al. Antibiotics in Endodontics: a review. Int Endod J. 2017;50:1169-84.
• 23. Lauridsen E, Blanche P, Yousaf N, Andreasen JO. The risk of healing complications in primary teeth with intrusive luxation: a retrospective cohort study. Dent Traumatol. 2017;33:329–36.
• 24. Lauridsen E, Andreasen JO, Bouaziz O, Andersson L. Risk of ankylosis of 400 avulsed and replanted human teeth in relation to length of dry storage: A re‐evaluation of a long‐term clinical study. Dent Traumatol. 2020;36:108-16.
• 25. Patel S, Krastl G, Weiger R, Lambrechts P, Tjäderhane L, Gambarini G, et al. ESE position statement on root resorption. Int End J.2023;56:792-801.
• 26. Mohadeb JVN, Somar M, He H. Effectiveness of decoronation technique in the treatment of ankylosis: A systematic review. Dent Traumatol. 2016;32:255-63.
• 27. Yoshpe M, Einy S, Ruparel N, Lin S, Kaufman AY. Regenerative endodontics: a potential solution for external root resorption (case series). J Endod. 2020;46: 192–99.
• 28. Friedman S, Rotstein I, Libfeld H, Stabholz A, Heling I. Incidence of external root resorption and esthetic results in 58 bleached pulpless teeth. Dent Traumatol. 1988;4:23–26.
• 29. Patel S, Mavridou AM, Lambrechts P, Saberi N. External cervical resorption-part 1: histopathology, distribution and presentation. Int Endod J. 2018;51:1205–23.
• 30. Espona J, Roig E, Durán-Sindreu F, Abella F, Machado M, Roig M. Invasive cervical resorption: clinical management in the anterior zone. J Endod. 2018;44:1749-54.
• 31. Mavridou AM, Hauben E, Wevers M, Schepers E, Bergmans L, Lambrechts P. Understanding external cervical resorption in vital teeth. J Endod. 2016;42:1737–51.
• 32. Galler KM, Grätz EM, Widbiller M, Buchalla W, Knüttel H. Pathophysiological mechanisms of root resorption after dental trauma: a systematic scoping review. BMC Oral Health. 2021;21:1-14.
• 33. Zhang C, Yang Z, Hou B. Diverse bacterial profile in extraradicular biofilms and periradicular lesions associated with persistent apical periodontitis. Int Endod J. 2021;54:1425-33.
• 34. Usui M, Onizuka S, Sato T, Kokabu S, Ariyoshi W, Nakashima K. Mechanism of alveolar bone destruction in periodontitis—Periodontal bacteria and inflammation. Jpn Dent Sci Rev. 2021;57.201- 08.
• 35. Fernandes M, Menezes L, De Ataide I. Management of invasive cervical resorption using a surgical approach followed by an internal approach after 2 months due to pulpal involvement. J Conserv Dent. 2019;20:214.
• 36. Jeng PY, Lin LD, Chang SH, Lee YL, Wang CY, Jeng JH, et al. Invasive cervical resorption— distribution, potential predisposing factors, and clinical characteristics. J Endod. 2020;46:475-82.
• 37. Rotondi O, Waldon P, Kim SG. The disease process, diagnosis and treatment of invasive cervical resorption: a review. Dent J (Basel). 2020;8:64.
• 38. Patel, B. Root resorption. Endodontic Treatment, Retreatment, and Surgery: Mastering Clinical Practice, Springer, New York City, USA, 2016, pp.389-413.
• 39. Abbott PV, Lin S. Tooth resorption—Part 2: A clinical classification. Dent Traumatol. 2022;38:267-85.
• 40. Bayir F, Gumus EB. External apical root resorption after orthodontic treatment: Incidence, severity and risk factors. J Dent Res Dent Clin Dent Prospects. 2021;15:100.
• 41. Mittal S, Singh B, Sharma A, Mittal K, Justa A, Vaid P. Surface changes of primary tooth enamel by commonly used pediatric liquid medicaments: A scanning electron microscope study. Int J Paediatr Dent. 2017;5:14.
• 42. Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography inendodontics–a review. Int End J. 2015;48:3–15.
• 43. Mavridou AM, Pyka G, Kerckhofs G, Wevers M, Bergmans L, Gunst V, et. al. A novel multimodular methodology to investigate external cervical tooth resorption. Int Endod J. 2016;49:287-300.
• 44. Kandalgaonkar SD, Gharat LA, Tupsakhare SD, Gabhane MH. Invasive cervical resorption: a review. J Int Oral Health. 2013;5:124-30.
• 45. Torabinejad M, Parirokh M. Mineral trioxide aggregate: a comprehensive literature review—part II: leakage and biocompatibility investigations. J Endod. 2010;36:190-202.
• 46. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review—part I: chemical, physical, and antibacterial properties. J Endod. 2010;36:16-27.
• 47. Koh ET, Torabinejad M, Pitt Ford TR, Brady K, McDonald F. Mineral trioxide aggregate stimulates a biological response in human osteoblasts. J Biomed Mater Res. 1997;37:432-9.
• 48. Torabinejad M, Parirokh M, Dummer PMH. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview–part II: other clinical applications and complications. Int Endod J. 2018;51(3):284317.
• 49. Camps J, Pashley D. Reliability of the dye penetration studies. J Endod. 2003;29:592-94.
• 50. Rathinam E, Rajasekharan S, Chitturi RT, Martens L, De Coster P. Gene expression profilling and molcular signaling of dental pulp cells in response to tricalcium silicate cements. A systematic review. J Endod. 2015;41:1805-17.