Professional Documents
Culture Documents
External Root Resorption (ERR) : Dr. Khawla Khalid Abdalla
External Root Resorption (ERR) : Dr. Khawla Khalid Abdalla
RESORPTION
(ERR)
D R . K H AW L A K H A L I D A B DA L L A
OUTLINE
Types of root resorption
External resorption
External surface resorption & treatment
External Inflammatory Resorption & treatment
External Replacement Resorption & treatment
External Cervical Resorption & treatment
TYPES OF ROOT RESORPTION
i. Internal Root Resorption
• Root Canal Replacement Resorption
• Internal Inflammatory Resorption
• Classification:
• External Surface Resorption
• External Inflammatory Resorption
• External Replacement Resorption
• External Cervical Resorption
1. EXTERNAL SURFACE RESORPTION
• Is a self-limiting resorption that is transient.
• Small, superficial resorption cavities in the cementum and the outermost
layers of the dentin without an inflammatory reaction in the PDL.
• Caused by: traumatic injuries or orthodontic treatment..
• When trauma/pressure discontinued – spontaneous healing occur – -
typical feature of REPAIR RELATED RESORPTION
• This process is thought to be exceedingly common but grossly under-
reported as it is sub-clinical.
TREATMENT
• Endodontic Implication:
• Primarily periodontal injury – endodontic intervention not indicated.
• Increased mobility
Radiographic Findings:
• Endodontic Implication:
• Non-surgical root canal treatment is indicated - to remove
osteoclast promoting factors (bacterial toxins)
Treatment:
• Use of Calcium Hydroxide intracanal medicament is recommended
to remove bacterial stimulation from both the root canal and
dentinal tubules.
3. EXTERNAL REPLACEMENT (ANKYLOTIC)
RESORPTION
• This is the process of replacement of root surface with bone otherwise known as
ankylosis.
Causes
Severe traumatic injuries (intrusive luxation or avulsion)
Radiographic Findings
Resorption lacunae are filled with bone
Clinical Radiographic
Findings Findings Cervical bowl-shaped
Expanding lesion- show as lesion is the start of
a “pink spot” next to invasive progression of
cervical margin resorption in coronal &
apical direction.
• Endodontic Implications:
• Pathology entirely related to PDL defect
• Does not need endodontic treatment primarily
• When invasive nature finally encroaches pulp - need endodontic treatment
• Treatment:
• • Essentially, treatment involves complete removal of the resorptive tissue and
restoring the resulting defect with a plastic tooth-coloured restoration.
REFERENCES
• https://pocketdentistry.com/root-resorption-2/
• Z. F., I. T., & S. L. (2003). Root resorption - Diagnosis, classification and treatment
choices based on stimulation factors. Dental Traumatology, 19, 175-182.