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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]
Idiopathic osteosclerosis, also known as enostosis or dense bone island, is a condition which may be found around the roots of a tooth, usually a premolar or molar. [2] It is usually painless and found during routine radiographs as an amorphous radiopaque (light) area around a tooth.
Secondary [clarification needed] symptoms of periapical cysts include inflammation and infection of the pulp causing dental caries. This infection is what causes necrosis of the pulp. [4] Larger cysts may cause bone expansion or displace roots. Discoloration of the affected tooth may also occur.
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]
Classically, MRONJ will cause an ulcer or areas of necrotic bone for weeks, months, or even years following a tooth extraction. [14] While the exposed, dead bone does not cause symptoms these areas often have mild pain from the inflammation of the surrounding tissues. [15]
For other cases, there are several theories explaining the cause. Dental trauma may be a major cause for the disease since it can lead to luxation, reported in 30 to 44% of all dental trauma cases, and hence replacement resorption, which is the situation in ankylosis of teeth. [10]
Physiological bone resorption is an integral part of bone functioning, while the bone is constantly growing thanks to two processes — breakdown and formation of bone tissue. [23] Locally, it could be manifested in tooth eruption when the movement of a tooth follicle is followed by an active resorption of jaw bone tissue.
The neoplasms are often associated with the presence of unerupted teeth, displacement of adjacent teeth and resorption of roots. [10] Symptoms include a slow-growing, painless swelling leading to facial deformity. As the swelling gets progressively larger it can impinge on other structures resulting in loose teeth and malocclusion. Bone can ...