Download PDF
CC BY-NC-ND 4.0 · European Journal of General Dentistry 2021; 10(02): 116-119
DOI: 10.1055/s-0041-1735763
Case Report

Pain Sensation: Infrequent Case of Root Resorption of the Lower Second Molar Root with Bone Regeneration after Impacted Third Molar Removal

Chandrashekhar Pandey 
1   Clinical Science Department, International College of Dentistry, Walailak University, Phayathai District, Bangkok, Thailand
,
Bishwa Prakash Bhattarai 
1   Clinical Science Department, International College of Dentistry, Walailak University, Phayathai District, Bangkok, Thailand
,
Manop Khanijou 
2   Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Ratchathewi District, Bangkok, Thailand
3   Department of Special Clinic, Private practice in Faculty of Dentistry Mahidol University, Ratchathewi District, Bangkok, Thailand
,
Pimolmas Na Songkla 
3   Department of Special Clinic, Private practice in Faculty of Dentistry Mahidol University, Ratchathewi District, Bangkok, Thailand
,
Natthamet Wongsirichat
1   Clinical Science Department, International College of Dentistry, Walailak University, Phayathai District, Bangkok, Thailand
,
Suphachai Suphangul
4   Department of Advanced General Dentistry Faculty of Dentistry, Mahidol University, Ratchathewi District, Bangkok, Thailand
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

There have been infrequent case reports of bilateral root resorption in the lower second molar secondary from impacted third molar removal with bone regeneration without pain. Root resorption is commonly observed during third molar surgical impaction that affects mandibular second molars. The bone regeneration into the adjacent affected tooth is evident simply after the surgical extraction of the impacted tooth. However, there have been a few previous reports on the prognosis of the remaining resorbed tooth. Most dentists often choose to extract them when damaged if root resorption is observed. This report case involved bilateral root resorption of the lower second molar due to lower adjacent impacted third molar teeth and bone regeneration without pain sensation. After surgical extraction of bilateral lower impacted third molar teeth, the remaining teeth retained vital pulp and survived as functional teeth.

Keywords

external root resorption - pressure resorption - tooth impaction - intra-oral peri-apical radiograph - vitality test


Publication History

Article published online:
10 September 2021

© 2021. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Armas JM, Savarrio L, Brocklebank LM. External apical root resorption: two case reports. Int Endod J 2008; 41 (11) 997-1004
    CrossrefPubMedGoogle Scholar
  • 2 Li ZB, Qu HL, Zhou LN, Tian BM, Gao LN, Chen FM. Nonimpacted third molars affect the periodontal status of adjacent teeth: a cross-sectional study. J Oral Maxillofac Surg 2017; 75 (07) 1344-1350
    CrossrefPubMedGoogle Scholar
  • 3 Mendoza-García LV, Vaillard-Jiménez E, García-Rocha A, Bellot-Arcís C, Paredes-Gallardo V. Effect of orthodontic treatment involving first premolar extractions on mandibular third molar angulation and retromolar space. J Clin Exp Dent 2017; 9 (03) e333-e337
    PubMedGoogle Scholar
  • 4 Oenning AC, Neves FS, Alencar PN. Prado RF, Groppo FC, Haiter-Neto F. External root resorption of the second molar associated with third molar impaction: comparison of panoramic radiography and cone beam computed tomography. J Oral Maxillofac Surg 2014; 72 (08) 1444-1455
    CrossrefPubMedGoogle Scholar
  • 5 Stanley HR, Alattar M, Collett WK, Stringfellow Jr HR, Spiegel EH. Pathological sequelae of “neglected” impacted third molars. J Oral Pathol 1988; 17 (03) 113-117
    CrossrefPubMedGoogle Scholar
  • 6 Nemcovsky CE, Libfeld H, Zubery Y. Effect of non-erupted 3rd molars on distal roots and supporting structures of approximal teeth. A radiographic survey of 202 cases. J Clin Periodontol 1996; 23 (09) 810-815
    CrossrefPubMedGoogle Scholar
  • 7 Selvido DI, Bhattarai BP, Rokaya D, Niyomtham N, Wongsirichat N. Pain in oral and maxillofacial surgery and implant dentistry: types and management. Eur J Dent 2021; 15 (03) 588-598 doi: DOI: 10.1055/s-0041-1725212.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Alrashdan MS, Alkhader M. Psychological factors in oral mucosal and orofacial pain conditions. Eur J Dent 2017; 11 (04) 548-552
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Yamaoka M, Furusawa K, Ikeda M, Hasegawa T. Root resorption of mandibular second molar teeth associated with the presence of the third molars. Aust Dent J 1999; 44 (02) 112-116
    CrossrefPubMedGoogle Scholar
  • 10 van der Linden W, Cleaton-Jones P, Lownie M. Diseases and lesions associated with third molars. Review of 1001 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 79 (02) 142-145
    CrossrefPubMedGoogle Scholar
  • 11 Wang D, He X, Wang Y. et al External root resorption of the second molar associated with mesially and horizontally impacted mandibular third molar: evidence from cone beam computed tomography. Clin Oral Investig 2017; 21 (04) 1335-1342
    CrossrefPubMedGoogle Scholar
  • 12 Potârnichie O, Solomon S, Teslaru S, Pasarin L, Mârtu S. Study on the incidence of external root resorption in current practice. Roman J Oral Rehabil 2012; 4(2: 72-76
    Google Scholar
  • 13 Fuss Z, Tsesis I, Lin S. Root resorption–diagnosis, classification and treatment choices based on stimulation factors. Dent Traumatol 2003; 19 (04) 175-182
    CrossrefPubMedGoogle Scholar