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Resorption of the root of the tooth, or root resorption, is the progressive loss of dentin and cementum by the action of odontoclasts. [4] Root resorption is a normal physiological process that occurs in the exfoliation of the primary dentition .
During this process, the tooth root cells become necrotic (dead) and will activate the immunologic mechanism of the body to attempt to remove this necrotic layer and literally eats away the tooth root. This is called "root resorption". It is a slow, but non-painful, process that is sometimes not observed by x-rays for years. Once this process ...
Ankylosis of deciduous teeth may rarely occur. The most commonly affected tooth is the mandibular (lower) second deciduous molar. Partial root resorption first occurs and then the tooth fuses to the bone. This prevents normal exfoliation of the deciduous tooth and typically causes impaction of the permanent successor tooth.
In the dental specialty of endodontics, periradicular surgery is surgery to the external root surface. Examples of periradicular surgery include apicoectomy, root resection, repair of root perforation or resorption defects, removal of broken fragments of the tooth or a filling material, and exploratory surgery to look for root fractures.
A thicker layer of cementum can give the tooth an enlarged appearance, mainly occurring at the apex or apices of the tooth. The cellular cementum functions at the bottom half of the tooth roots which contain cementocytes that anchor the tooth into the jaw socket, protect the tooth's pulp, and repair external root resorption. [2]
Mineral trioxide aggregate (MTA) is an alkaline, cementitious dental repair material. MTA is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, and treating internal root resorption. It can be used for root-end filling material and as pulp capping material.
Well defined, rounded or triangular radiodensity, that is uniformly opaque. There is no lucent component. Found near the root apex or in the inter-radicular area. Root resorption and tooth movement are rare. If it blends into bone cortices, it does so with no expansion or thinning. [2]
External resorption can be classified into four categories by its clinical and histologic manifestations: external surface resorption, external inflammatory root resorption, replacement resorption, and ankylosis.
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