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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 .
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.
Dental radiographs, commonly known as X-rays, are radiographs used to diagnose hidden dental structures, malignant or benign masses, bone loss, and cavities.. A radiographic image is formed by a controlled burst of X-ray radiation which penetrates oral structures at different levels, depending on varying anatomical densities, before striking the film or sensor.
Periapical radiographs can locate radiopaque structures in proximity to the root which can appear as dense bone islands or periapical osseous dysplasia in cases of hypercementosis. [9] The majority of affected teeth appear club-shaped due to cemental hyperplasia diffusing in a variety of severities. Most appear in the apical third of the root. [10]
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. As growth of the alveolar bone continues and the adjacent permanent teeth erupt, the ankylosed deciduous tooth appears to submerge into the bone ...
Cementoblastoma is slow growing well-defined, radiopaque mass, with a radiolucent peripheral line, that overlies and obliterates the tooth root typically presenting with root resorption. [6] It has a rounded or sunburst appearance. Differential diagnosis include severe hypercementosis, chronic focal sclerosing osteomyelitis, and osteoma. Histologic
The cyst then drains its contents and heal without being prematurely closed. The end result is the same as the cystostomy, bone regeneration. For both a cystostomy and marsupialization, root resectioning may also be required in cases where root resorption has occurred. [13]
Cementum situated around a human molar The cementum is the surface layer of the tooth root, covering the dentin (which is labeled B).Rather than being a passive entity like paint on a wall, cementum is a dynamic entity within the periodontium.