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When at least 3 teeth are affected, it is referred to as multiple idiopathic cervical root resorption. The causes of external cervical root resorption are poorly understood but trauma, periodontal treatment, and/or tooth whitening may be predisposing factors. [16]
Patients with removable prostheses should be examined for areas of mucosal irritation. Procedures which are likely to cause direct osseous trauma, e.g. tooth extraction, dental implants, complex restoration, deep root planning, should be avoided in preference of other dental treatments.
Treatment options have been explored; however, severe cases of ONJ still require surgical removal of the affected bone. [3] A thorough history and assessment of pre-existing systemic problems and possible sites of dental infection are required to help prevent the condition, especially if bisphosphonate therapy is considered. [2]
The most common location of dry socket: in the socket of an extracted mandibular third molar (wisdom tooth). Since alveolar osteitis is not primarily an infection, there is not usually any pyrexia (fever) or cervical lymphadenitis (swollen glands in the neck), and only minimal edema (swelling) and erythema (redness) is present in the soft tissues surrounding the socket.
Before the discovery of antibiotics, chronic tooth infections were often linked to a variety of health problems, and therefore removal of a diseased tooth was a common treatment for various medical conditions. Instruments used for dental extractions date back several centuries.
Impacted wisdom teeth without communication to the mouth, that have no pathology associated with the tooth, and have not caused tooth resorption on the blocking tooth, rarely have symptoms. [11] The chances of developing pathology on an impacted wisdom tooth that is not communicating with the mouth is approximately 12%. [11]
Other treatments include restoration, where there is an overlay of material on the tooth to harden and make it a tooth-like structure. Even uncomplicated patients who show no strong effects can be recommended to undergo a crown restoration to be preventive and frequently x-rayed to stay updated on the condition of the tooth .
Teeth that are tender to percussion, which may develop as the condition progresses. Loosening of teeth, which may develop as the condition progresses. Pus may later be visible, which exudes from around the necks of teeth, from an open socket, or from other sites within the mouth or on the skin over the involved bone. Fetid odor.