Invasive Cervical Resorption-Distribution, Potential Predisposing Factors, and Clinical Characteristics

Po-Yuan Jeng; Li-Deh Lin; Shu-Hui Chang; Yuan-Ling Lee; Cheng-Ying Wang; Jiiang-Huei Jeng; Yi-Ling Tsai

doi:10.1016/j.joen.2020.01.011

Invasive Cervical Resorption-Distribution, Potential Predisposing Factors, and Clinical Characteristics

J Endod. 2020 Apr;46(4):475-482. doi: 10.1016/j.joen.2020.01.011. Epub 2020 Feb 27.

Authors

Po-Yuan Jeng¹, Li-Deh Lin², Shu-Hui Chang³, Yuan-Ling Lee², Cheng-Ying Wang², Jiiang-Huei Jeng², Yi-Ling Tsai⁴

Affiliations

¹ School of Dentistry, National Taiwan University, Taipei City, Taiwan.
² School of Dentistry, National Taiwan University, Taipei City, Taiwan; Department of Dentistry, National Taiwan University Hospital, Taipei City, Taiwan.
³ College of Public Health, National Taiwan University, Taipei City, Taiwan.
⁴ School of Dentistry, National Taiwan University, Taipei City, Taiwan; Department of Dentistry, National Taiwan University Hospital, Taipei City, Taiwan. Electronic address: tyl.endo@gmail.com.

PMID: 32115249
DOI: 10.1016/j.joen.2020.01.011

Abstract

Introduction: The purpose of this study was to investigate the distribution, predisposing factors, and clinical characteristics of invasive cervical resorption (ICR).

Methods: Cases with ICR from 2009-2019 were collected. Clinical records and radiographs were reviewed. Descriptive analysis was performed in combination with univariate analysis and the Fisher exact test.

Results: A total of 63 ICR teeth from 31 patients (14 men and 17 women) were found. The patients' ages ranged from 18-81 years, with a mean age of 45.77 years. Most patients had a single ICR lesion. Among the 63 ICR teeth, maxillary anterior teeth (47.62%) were the most commonly affected followed by maxillary premolars (20.63%). Maxillary teeth (76.19%) were more prone to ICR than mandibular teeth (23.81%). Most patients denied all major systemic diseases. The most common dental-related factors were dental/orofacial trauma (33.33%), periodontal treatment (26.98%), restoration/crown (17.46%), and orthodontic treatment (15.87%). Most teeth showed no percussion/palpation pain, probing depth >3 mm, abscess formation, sinus tracts, or periapical lesions. The pulp status was mainly vital (73.02%). The presence of percussion pain and probing depth differed significantly among Heithersay ICR classification groups.

Conclusions: ICR showed no difference in sex or age. Maxillary anterior teeth were the most affected in a Taiwanese population. Traumatic injury, periodontal treatment, and orthodontic treatment were the significant predisposing factors. Furthermore, affected teeth typically lacked clinical signs and symptoms. Radiographic examination is critical for early diagnosis. In advanced cases, deep pockets and abscess formation were seen. These results are helpful for the diagnosis of ICR and further effective treatment.

Keywords: Dental traumatic injury; hyperparathyroidism; invasive cervical resorption; orthodontic treatment; periodontal treatment; root resorption.

MeSH terms

Adolescent
Adult
Aged
Aged, 80 and over
Bicuspid
Causality
Crowns
Female
Humans
Male
Middle Aged
Root Resorption*
Tooth Crown
Tooth Resorption*
Young Adult