Surgical management of external root resorption of incisors caused by impacted canine
Keywords:
Reabsorción radicular, caninos impactados, regeneración ósea. Tomografía computarizada de haz cónico, raíz dental, cirugía, dentición, Permanente.Abstract
Background: preventing the premature loss of permanent teeth is the fundamental objective of the dental surgeon. External reabsorption can be a cause of tooth loss.
Objective: to present the surgical management of a case of external root reabsorption of a central and left lateral incisor, caused by a retained upper canine.
Case report: 16-year-old female patient who comes to the office because she feels mobility of her incisors; the intra-oral clinical examination showed the absence in the mouth of the upper left canine and Miller's degree 1 mobility of the central and lateral incisors is observed on the same side. The radiographic and tomographic evaluation is done, and the presence of root reabsorption of the incisors is evidenced. Surgical removal of the canine accompanied by bone regeneration is proposed, to prevent external reabsorption from progressing. It is evaluated radiographically at 6 months after surgery, showing that there is no progression of reabsorption and there is a good stability of the compromised incisors.
Conclusions: with the removal of the impacted canine and bone regeneration, the patient was able to prevent the external reabsorption from progressing and recover the stability of his incisors.
DeCS: ROOT RESORPTION; CUSPID; CASE REPORTS; BONE REGENERATION; AMBULATORY SURGICAL PROCEDURES.
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1. Yi J, Xiao J, Li Y, Li X, Zhao Z. External apical root resorption in nonextraction cases after clear aligner therapy or fixed orthodontic treatment. J Dental Sci [Internet]. 2018 Mar [citado 22 Jul 2019];13(1):[aprox. 6 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30895094/.
2. Yan B, Zongyang S, Fields H, Wang L. Maxillary canine impaction increases root resorption risk of adjacent teeth: A problem of physical proximity. Am J Orthod Dentofacial Orthop [Internet]. 2012 Dic [citado 22 Jul 2019];142(6):[aprox. 7 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23195360/.
3. Otto RL. Early and unusual incisor resorption due to impacted maxillary canines. Am J Orthod Dentofacial Orthop [Internet]. 2003 Oct [citado 22 Jul 2019];124(4):[aprox. 4 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/14560276/. doi: 10.1016/s0889-5406(03)00563-8.
4. Sarıca I, Derindağ G, Kurtuldu E, Naralan ME, Çağlayan F. A retrospective study: Do all impacted teeth cause pathology? Niger J Clin Pract [Internet]. 2019 Abr [citado 22 Jul 2019];22(4):[aprox. 7 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30975958/.
5. Guarnieri R, Cavallini C, Vernucci R, Vichi M, Leonardi R, Barbato E. Impacted maxillary canines and root resorption of adjacent teeth: A retrospective observational study. Med Oral Patol Oral Cir Bucal [Internet]. 2016 Nov [citado 22 Jul 2019];21(6):[aprox. 8 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5116117/.
6. Castro-Rodríguez Y, Arias-Duval G, Ballarta-Bernaola F, Cosar-Quiroz J. El periodontograma para el diagnóstico periodontal. Nueva propuesta para el registro de datos. Jpapo [Internet]. 2019 Jul [citado 22 Jul 2019];3(1):[aprox. 5 p.]. Disponible en: https://appo.com.pe/wp-content/uploads/2019/08/APPO_AF.pdf
7. Martínez Lozano MA, Forner Navarro L, Sánchez Cortés JL. Consideraciones clínicas sobre la resorción radicular externa por impactación dentaria. Av Odontoestomato [Internet]. Ene-Feb 2003 [citado 22 Jul 2019];19(1). Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-12852003000100004
8. Alqerban A, Jacobs R, Fieuws S, Willems G. Predictors of root resorption associated with maxillary canine impaction in panoramic images. Eur J Orthod [Internet]. 2016 Jun [citado 22 Jul 2019];38(3):[aprox. 8 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914904/.
9. Chaushu S, Kaczor-Urbanowicz K, Zadurska M, Becker A. Predisposing factors for severe incisor root resorption associated with impacted maxillary canines. Am J Orthod Dentofacial Orthop [Internet]. 2015 Ene [citado 22 Jul 2019];147(1):[aprox. 8 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25533072/. doi: 10.1016/j.ajodo.2014.09.012
10. Ucar FI, Celebi AA, Tan E, Topcuoğlu T, Sekerci AE. Effects of impacted maxillary canines on root resorption of lateral incisors. A cone beam computed tomography study. J Orofac Orthop [Internet]. 2017 [citado 22 Jul 2019];78(3):[aprox. 8 p.]. Disponible en: https://europepmc.org/article/med/28204849
11. Cuminetti F, Boutin F, Frapier L. Predictive factors for resorption of teeth adjacent to impacted maxillary canines. Int Orthod [Internet]. 2017 Mar [citado 22 Jul 2019];15(1):[aprox. 14 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28159386/. DOI: 10.1016/j.ortho.2016.12.011
12. de Campos Neves ATS, Volpato LER, Oliveira TM, Palma VC, Tonetto MR, Bandeca MC, et al. Root Resorption of Maxillary Incisors caused by Bilaterally Impacted Canines: An Evaluation by Cone-Beam Computed Tomography. World J Dent [Internet]. 2014 [citado 22 Jul 2019];5(1):[aprox. 5 p.]. Disponible en: https://www.wjoud.com/doi/WJOUD/pdf/10.5005/jp-journals-10015-1261
13. Ayoub AH, Belal SM. Clinical and radiographic evaluation of socket preservation using autologous concentrated growth factors enriched bone graft matrix (Sticky bone): a case report. EC Dental Scienc [Internet]. 2016 [citado 22 Jul 2019];5(4):[aprox. 8 p.]. Disponible en: https://www.ecronicon.com/ecde/pdf/ECDE-05-0000159.pdf
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22 julio 2025