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Treatment of pre-eruptive intracoronal resorption: Case report

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초록

Pre-eruptive intracoronal resorption is a rare disease defined as an intracoronal radiolucent lesion. Most are revealed through casual radiological examinations, and are clinically identifiable after eruption. The possible causes of lesions include congenital abnormalities, systemic fluoride uptake, external factors after tooth formation, and eruption of the tooth; however, no definite etiology has been found. Early diagnosis through regular examination is therefore considered to be the best diagnostic method. Treatment may differ depending on the size and progression of the lesion, but conservative treatment is recommended. This case report describes two cases where the lesions were accidentally found while performing a radiologic examination addressing other issues. It is the clinician’s responsibility to identify the size of the lesion and the expected eruption time, and to execute the appropriate treatment.

Abstract

Pre-eruptive intracoronal resorption is a rare disease defined as an intracoronal radiolucent lesion. Most are revealed through casual radiological examinations, and are clinically identifiable after eruption. The possible causes of lesions include congenital abnormalities, systemic fluoride uptake, external factors after tooth formation, and eruption of the tooth; however, no definite etiology has been found. Early diagnosis through regular examination is therefore considered to be the best diagnostic method. Treatment may differ depending on the size and progression of the lesion, but conservative treatment is recommended. This case report describes two cases where the lesions were accidentally found while performing a radiologic examination addressing other issues. It is the clinician’s responsibility to identify the size of the lesion and the expected eruption time, and to execute the appropriate treatment.

참고문헌 (11)

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  2. Seow WK, "Multiple pre-eruptive intracoronal radiolucent lesions in the permanent dentition: case report", Pediatr Dent, 20, pp.195~198 (1998)
  3. CM McNamara, "External resorption presenting as an intracoronal radiolucent lesion in a pre-eruptive tooth", Oral Diseases, 3(3), pp.199~201 (1997), Wiley-Blackwell[DOI]
  4. Seow WK, "Prevalence of pre-eruptive intracoronal dentin defects from panoramic radiographs", Pediatr Dent, 21, pp.332~339 (1999)
  5. Seow WK, "Pre-eruptive intracoronal resorption as an entity of occult caries", Pediatr Dent, 22, pp.370~376 (2000)
  6. WK Seow, "Diagnosis and management of unusual dental abscesses in children", Australian Dental Journal, 48(3), pp.156~168 (2003), Wiley-Blackwell[DOI]
  7. Moskovitz M, "Pre-eruptive intracoronal radiolucent defect: a case of a nonprogressive lesion", J Dent Child (Chic), 71, pp.175~178 (2004)
  8. Davidovich E, "Treatment of Severe Pre-eruptive Intracoronal Resorption of a Permanent Second Molar", Pediatr Dent, 27, pp.74~77 (2005)
  9. Hata H, "Multiple lesions of intracoronal resorption of permanent teeth in the developing dentition: a case report", Pediatr Dent, 29, pp.420~425 (2007)
  10. Holan G, "Pre-eruptive coronal resorption of permanent teeth: Report of three cases and their treatments", Pediatr Dent, 16, pp.373~377 (1994)
  11. Savage NW, "Pre-eruptive intracoronal radiolucencies: Review and report of case", J Dent Child (Chic), 65, pp.36~40 (1998)

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