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Root resorption of the permanent teeth involves an elaborate interaction among inflammatory cells resulting in loss of dental hard tissues. This report describes three clinical cases where idiopathic root resorption occurred in wind instrument playing patients. These patients produce adequate non-orthodontic forces, while playing their instruments, to expose their teeth to root resorbing force. Careful clinical monitoring of patients' teeth should be undertaken, as the additive effects of orthodontic treatment and musical habits are unknown.
CPD/Clinical Relevance: This paper advises that questioning about wind instrument playing during case history-taking would be beneficial to clinicians. Furthermore, careful clinical monitoring of these patients' teeth during orthodontic treatment should be undertaken.
Article
Root resorption involves the loss of the hard dental tissues cementum and dentine.1 Physiologic root resorption associated with primary teeth is desirable as it results in exfoliation of the teeth, thereby allowing eruption of the permanent successors. In the permanent dentition root resorption may be followed by repair, but understandably is unfavourable as it can result in irreversible damage or eventual tooth loss.2
Classically, root resorption has been classified by its location in relation to the root surface, ie internal or external resorption. External root resorption can be further classified into surface resorption, external inflammatory resorption, external replacement resorption, external cervical resorption, and transient apical breakdown.3 Internal root resorption is a relatively rare occurrence, and is often confused with external cervical resorption.4,5,6,7
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