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European Archives of Paediatric Dentistry

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01-02-2020 | Caries | Invited Review

Pre-eruptive intra-coronal resorption of dentine: a review of aetiology, diagnosis, and management

Authors: O. B. Al-Batayneh, E. K. AlTawashi

Published in: European Archives of Paediatric Dentistry | Issue 1/2020

Abstract

Aim

To discuss prevalence, characteristics, aetiology and pathophysiology, diagnosis and management of pre-eruptive intra-coronal radiolucency/resorption (PEIR) defects, and to highlight the clinical significance of PEIR.

Methods

A literature research from Pubmed Medline database was adopted to identify the relevant published articles related to PEIR using keyword search strategy; other papers were obtained through searching the reference lists. Significant findings were summarised and presented in this review.

Results

Subject prevalence was (0.2–27.3%) and tooth prevalence was (0.2–3.5%); depending on factors such as type of radiograph used for assessment, demographic factors, age range included, and dentition stage. Currently, the most acceptable etiologic theory for PEIR is intra-coronal resorption by invasion of resorptive cells into forming dentine via an interruption of crown formation; most likely to be caused by local factors such as ectopic position of affected tooth or adjacent tooth next to it. Diagnosis of PEIR lesions occurs, as they are noted incidentally on routine dental radiographs of unerupted teeth. A management protocol for PEIR defects has been suggested based on the literature. The clinical significance of these lesions is that they could constitute a large proportion of occult caries, and can be associated with developmental defects, ectopic positioning and supernumerary teeth, and a delay in dental development.

Conclusions

Early diagnosis of PEIR defects by careful viewing of radiographs of unerupted teeth is important as part of clinical examinations to allow early treatment.

Al-Batayneh OB, AlJamal GA, AlTawashi EK. Pre-eruptive intra-coronal dentine radiolucencies in the permanent dentition of Jordanian children. Eur Arch Paediatr Dent. 2014;15(4):229–36. https://doi.org/10.1007/s40368-013-0104-x.CrossRefPubMed

Al-Tuwirqi A, Seow WK. A controlled study of pre-eruptive intra-coronal resorption and dental development. J Clin Pediatr Dent. 2017;41(5):374–80. https://doi.org/10.17796/1053-4628-41.5.374.CrossRefPubMed

Blackwood HJ. Resorption of enamel and dentine in the unerupted tooth. Oral Surg Oral Med Oral Pathol. 1958;11(1):79–85.PubMed

Brizuela C, Ormeño A, Cabrera C, et al. Direct pulp capping with calcium hydroxide, mineral trioxide aggregate, and biodentine in permanent young teeth with caries: a randomized clinical trial. J Endod. 2017;43(11):1776–80.PubMed

Brooks JK. Detection of intra-coronal resorption in an unerupted developing premolar: report of case. J Am Dent Assoc. 1988;116(7):857–9.PubMed

Counihan KP, O’Connell AC. Case report: pre-eruptive intra-coronal radiolucencies revisited. Eur Arch Paediatr Dent. 2012;13(4):221–6.PubMed

Czarnecki G, Morrow M, Peters M, Hu J. Pre-eruptive intra-coronal resorption of a permanent first molar. J Dent Child (Chic). 2014;81(3):151–5.

Davidovich E, Kreiner B, Peretz B. Treatment of severe pre-eruptive intra-coronal resorption of a permanent second molar. Pediatr Dent. 2005;27(1):74–7.PubMed

Demirtas O, Dane A, Yildirim E. A comparison of the use of cone-beam computed tomography and panoramic radiography in the assessment of pre-eruptive intra-coronal resorption. Acta Odontol Scand. 2016a. https://doi.org/10.1080/00016357.2016.1235227.CrossRefPubMed

Demirtas O, Tarim Ertas E, Dane A, Kalabalik F, Sozen E. Evaluation of pre-eruptive intra-coronal resorption on cone-beam computed tomography: a retrospective study. Scanning. 2016b;38(5):442–7. https://doi.org/10.1002/sca.21294.CrossRefPubMed

DeSchepper EJ, Haynes JI, Sabates CR. Preeruptive radiolucencies of permanent teeth: report of a case and literature review. Quintessence Int. 1988;19(2):157–60.PubMed

Giunta JL, Kaplan MA. “Caries-like” dentine radiolucency of unerupted permanent tooth from developmental defects. J Pedod. 1981;5(3):249–55.PubMed

Grundy GE, Pyle RJ, Adkins KF. Intra-coronal resorption of unerupted molars. Aust Dent J. 1984;29(3):175–9.PubMed

Guideline on Prescribing Dental Radiographs for Infants. Children, adolescents, and persons with special health care needs. Pediatr Dent. 2016;38(6):355–7.

Hata H, Abe M, Mayanagi H. Multiple lesions of intra-coronal resorption of permanent teeth in the developing dentition: a case report. Pediatr Dent. 2007;29(5):420–5.PubMed

Holan G, Eidelman E, Mass E. Pre-eruptive coronal resorption of permanent teeth: report of three cases and their treatments. Pediatr Dent. 1994;16(5):373–7.PubMed

Hosoya N, Takigawa T, Horie T, et al. A review of the literature on the efficacy of mineral trioxide aggregate in conservative dentistry. Dent Mater J. 2019. https://doi.org/10.4012/dmj.2018-193.CrossRefPubMed

Ignelzi MA Jr, Fields HW, White RP, Bergenholtz G, Booth FA. Intra-coronal radiolucencies within unerupted teeth. Case report and review of literature. Oral Surg Oral Med Oral Pathol. 1990;70(2):214–20.PubMed

Ilha MC, Kramer PF, Ferreira SH, Ruschel HC. Pre-emptive Intracoronal Radiolucency in First Permanent Molar. Int J Clin Pediatr Dent. 2018;11(2):151–4.PubMedPubMedCentral

Klambani M, Lussi A, Ruf S. Radiolucent lesion of an unerupted mandibular molar. Am J Orthod Dentofac Orthop. 2005;127(1):67–71. https://doi.org/10.1016/j.ajodo.2004.01.020.CrossRef

Kunz GT. Pre-eruptive intracoronal lesion of a mandibular first molar. Gen Dent. 1997;45(6):574–6.PubMed

Lenzi R, Marceliano-Alves MF, Alves F, Pires FR, Fidel S. Pre-eruptive intra-coronal resorption in a third upper molar: clinical, tomographic and histological analysis. Aust Dent J. 2016;62(2):223–7.

Luten JR. Internal resorption or caries? J Dent Child. 1958;25:156–9.

Manan NM, Mallineni SK, King NM. Idiopathic pre-eruptive coronal resorption of a maxillary permanent canine. Eur Arch Paediatr Dent. 2012;13(2):98–101.PubMed

Manmontri C, Chompu-Inwai P, Mahasantipiya PM, Prapayasatok S. Prevalence of pre-eruptive intra-coronal radiolucencies in Thai children and adolescents: a retrospective study. J Investig Clin Dent. 2018;9(2):e12303.PubMed

McNamara CM, Foley T, O’Sullivan VR, Crowley N, McConnell RJ. External resorption presenting as an intra-coronal radiolucent lesion in a pre-eruptive tooth. Oral Dis. 1997;3(3):199–201.PubMed

Moskovitz M, Holan G. Pre-eruptive intra-coronal radiolucent defect: a case of a nonprogressive lesion. J Dent Child (Chic). 2004;71(2):175–8.

Mueller BH, Lichty GC, Tallerico ME, Bugg JL Jr. “Caries-like” resorption of unerupted permanent teeth. J Pedod. 1980;4(2):166–72.PubMed

Muhler JC. The effect of apical inflammation of the primary teeth on dental caries in the permanent teeth. J Dent Child. 1957;25:156–9.

Nik NN, Abul Rahman R. Pre-eruptive intra-coronal dentine defects of permanent teeth. J Clin Pediatr Dent. 2003;27(4):371–5.PubMed

Omar S, Choi J, Nelson B, Shin M, Chen JW. Pre-Eruptive Intra-coronal Resorption (PEIR): literature Review and Case Report. J Calif Dent Assoc. 2015;43(5):255–60.PubMed

Özden B, Acikgoz A. Prevalence and characteristics of intra-coronal resorption in unerupted teeth in the permanent dentition: a retrospective study. Oral Radiol. 2009;25(1):6–13.

Paula AB, Laranjo M, Marto CM, et al. Direct pulp capping: what is the most effective therapy?-systematic review and meta-analysis. J Evid Based Dent Pract. 2018;18(4):298–314.PubMed

Rankow H, Croll TP, Miller AS. Pre-eruptive idiopathic coronal resorption of permanent teeth in children. J Endod. 1986;12(1):36–9. https://doi.org/10.1016/S0099-2399(86)80280-1.CrossRefPubMed

Rutar JE. Paediatric dentistry: coronal radiolucency. Case reports. Aust Dent J. 1997;42(4):221–4.PubMed

Savage NW, Gentner M, Symons AL. Pre-eruptive intra-coronal radiolucencies: review and report of case. ASDC J Dent Child. 1998;65(1):36–40.PubMed

Schwimmer Y, Zeltser R, Moskovitz M. Deep caries due to Pre-eruptive intra-coronal resorption in a newly erupted primary molar. Int J Paediatr Dent. 2017. https://doi.org/10.1111/ipd.12283.CrossRefPubMed

Seow WK. Multiple pre-eruptive intra-coronal radiolucent lesions in the permanent dentition: case report. Pediatr Dent. 1998;20(3):195–8.PubMed

Seow WK. Pre-eruptive intra-coronal resorption as an entity of occult caries. Pediatr Dent. 2000;22(5):370–6.PubMed

Seow WK. Diagnosis and management of unusual dental abscesses in children. Aust Dent J. 2003;48(3):156–68.PubMed

Seow WK, Hackley D. Pre-eruptive resorption of dentine in the primary and permanent dentitions: case reports and literature review. Pediatr Dent. 1996;18(1):67–71.PubMed

Seow WK, Lu PC, McAllan LH. Prevalence of pre-eruptive intra-coronal dentine defects from panoramic radiographs. Pediatr Dent. 1999a;21(6):332–9.PubMed

Seow WK, Wan A, McAllan LH. The prevalence of pre-eruptive dentine radiolucencies in the permanent dentition. Pediatr Dent. 1999b;21(1):26–33.PubMed

Singer S, Abbott PV, Booth DR. Idiopathic coronal radiolucencies in unerupted permanent teeth. Case reports. Aust Dent J. 1991;36(1):32–7.PubMed

Skaff DM, Dilzell WW. Lesions resembling caries in unerupted teeth. Oral Surg Oral Med Oral Pathol. 1978;45(4):643–6.PubMed

Skillen WG. So-called “intra-follicular caries”. Ill Dent J. 1941;10:307–8.

Spierer WA, Fuks AB. Pre-eruptive intra-coronal resorption: controversies and treatment options. J Clin Pediatr Dent. 2014;38(4):326–8.PubMed

Umansky M, Tickotsky N, Friedlander-Barenboim S, Faibis S, Moskovitz M. Age Related Prevalence of Pre-Eruptive Intra-coronal Radiolucent Defects in the Permanent Dentition. J Clin Pediatr Dent. 2016;40(2):103–6. https://doi.org/10.17796/1053-4628-40.2.103.CrossRefPubMed

Uzun I, Gunduz K, Canitezer G, Avsever H, Orhan K. A retrospective analysis of prevalence and characteristics of pre-eruptive intra-coronal resorption in unerupted teeth of the permanent dentition: a multicentre study. Int Endod J. 2015;48(11):1069–76. https://doi.org/10.1111/iej.12404.CrossRefPubMed

Walton JL. Dentine radiolucencies in unerupted teeth: report of two cases. ASDC J Dent Child. 1980;47(3):183–6.PubMed

Wang Y, Chen J, Liu H. Prevalence of pre-eruptive intra-coronal radiolucency in Chinese children from panoramic radiographs. Chin J Dent Res. 2013;16(2):153–6.PubMed

Wong L, Khan S. Occult caries or pre-eruptive intra-coronal resorption? A chance finding on a radiograph. Pediatr Dent. 2014;36(5):429–32.PubMed

Wood PF, Crozier DS. Radiolucent lesions resembling caries in the dentine of permanent teeth. A report of sixteen cases. Aust Dent J. 1985;30(3):169–73.PubMed

Yaacob HB. The resistant dentine shell of teeth suffering from idiopathic external resorption. Aust Dent J. 1980;25(2):73–5.PubMed

Yamada MKM, Taguchi Y, Watanabe J, Noda T. Preeruptive intracoronal radiolucency caused by resorption: report of a case. Eur J Pediatr Dent. 2001;2:79–82.

Title: Pre-eruptive intra-coronal resorption of dentine: a review of aetiology, diagnosis, and management
Authors: O. B. Al-Batayneh
E. K. AlTawashi
Publication date: 01-02-2020
Publisher: Springer Berlin Heidelberg
Keyword: Caries
Published in: European Archives of Paediatric Dentistry / Issue 1/2020
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI: https://doi.org/10.1007/s40368-019-00470-4

At a glance: The STEP trials

Springer Medicine

Pre-eruptive intra-coronal resorption of dentine: a review of aetiology, diagnosis, and management

Abstract

Aim

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Aim

Methods

Results

Conclusions

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