Yu VSH, Messer HH, Tan KB. Multiple idiopathic cervical resorption: case report and discussion of management options. Int Endod J. 2010; 44:77-85
Mueller E, Rony HR. Laboratory studies of an unusual case of resorption. J Am Dent Assoc. 1930; 17:326-334
Macdonald-Jankowski D. Multiple idiopathic cervical resorption most frequently seen in younger females. Evid Based Dent. 2005; 6
Kim PH, Leslie BH. Multiple idiopathic resorption in the primary dentition. Review of the literature and case report. Oral Surg Oral Med Oral Pathol. 1999; 88:501-555
Liang H, Burkes EJ, Fredderikson NL. Multiple idiopathic cervical root resorption: systematic review and report of four cases. Dentomaxillofac Radiol. 2003; 32:150-155
Neely AL, Gordon SC. A familial pattern of multiple idiopathic cervical root resorption in a father and son: a 22 year follow-up. J Periodontol. 2007; 78:367-371
George DI, Miller RL. Idiopathic resorption of teeth: a report of three cases. Am J Orthod. 1986; 89:13-20
Nikolidakis D, Nokou G, Meijer GJ. Cervical external root: 3 year follow-up of a case. J Oral Sci. 2008; 4:487-491
Cholia SS, Wilson PHR, Makdissi J. Multiple idiopathic external apical root resorption: report of four cases. Dentomaxillofac Radiol. 2005; 34:240-246
Von Arx T, Schawalder P, Ackerman M Human and feline invasive cervical resorptions: the missing link? Presentation of four cases. J Endod. 2009; 35:904-913
DeLaurier A, Boyde A, Jackson B Identifying early osteoclastic resorptive lesions in feline teeth: a model for understanding the origin of multiple idiopathic root resorption. J Perio Res. 2009; 44:248-257
Moody AB, Speculand B, Smith AJ Multiple idiopathic external resorption of teeth. Int J Oral Maxillofac Surg. 1990; 19:200-202
Iwamatsu-Kobayshi Y, Sato-Kuriwade S, Yamamoto T A case of multiple idiopathic external root resorption: a 6 year follow up study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 100:772-779
Kerr DA, Courtney RM, Burker EJ. Multiple idiopathic root resorption: case report and discussion of management options. Oral Surg Oral Med Oral Pathol. 1970; 29:552-565
Weltman B, Vig KWL, Fields HW, Shanker S, Kaizar EE. Root resorption associated with orthodontic tooth movement: a systematic review. Am J Orthod Dentofacial Orthop. 2010; 137:462-476
Marx RE, Garg AK. Bone structure, metabolism and physiology: its impact on dental implantology. Implant Dent. 1998; 7:267-276
Pjetursson BE, Tan K, Lang NP, Brägger U, Egger M, Zwahlen M. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. Clin Oral Implants Res. 2004; 15:625-642
Dental management of a patient with multiple idiopathic cervical root resorption Rahat Ali Stephen Fayle David Langley Asmaa Altaie Brian Nattress Dental Update 2024 42:7, 707-709.
Multiple Idiopathic Cervical Root Resorption (MICRR) is a rare condition. It initiates at the cemento-enamel junction of multiple teeth. The lesions continue to grow until they unite, thereby undermining the entire coronal structure of affected teeth. Its distribution can vary from a single region to the entire dentition and the number of teeth affected by resorption tends to increase as the condition is followed over time. The teeth themselves appear clinically normal. The aetiology of MICRR is unknown and it is considered to be a diagnosis of exclusion. The condition tends to be progressive. Consequently, root treatments/surgical curettage and restoration of the lesions have been unsuccessful at arresting the condition. Affected teeth are often extracted in anticipation of catastrophic fracture and have been replaced with partial or complete dentures. In this case report, we describe how a young female patient was dentally managed over 10 years and ultimately rehabilitated with dental implants.
CPD/Clinical Relevance: Patients suspected of having multiple idiopathic cervical root resorption may require specialist, multidisciplinary care and require referral to an appropriate secondary care unit for treatment planning and potential oral rehabilitation.
Article
Multiple Idiopathic Cervical Root Resorption (MICRR) is an uncommon dental condition with less than 30 cases having been reported worldwide.1 It was first reported by Mueller and Rony2 and is thought to have a predilection for affecting younger female patients.3 Most case reports have identified MICRR in the permanent dentition, however, there have been isolated cases of the condition affecting the primary dentition.4 Radiologically, it initiates at the cemento-enamel junction (CEJ) of multiple teeth. The lesions continue to grow until they unite, thereby undermining the entire coronal structure of the affected teeth.
A systematic review5 has suggested that MICRR tends to be an incidental finding on routine clinical/radiological examination. There is no apparent correlation with any other medical or dental condition. Some patients have reported an increase in tooth mobility, but it is generally asymptomatic. The cases included in the systematic review also suggested that the number of teeth affected ranged from 5 to 24 (per patient) with no predilection for any particular location or tooth. The distribution of MICRR can vary from a single region to the entire dentition1 and the number of teeth affected by resorption tends to increase as the condition is followed over time.5 It is unknown whether there is a genetic predisposition to MICRR. Given that the condition has been identified in both patients and their offspring,6 a familial pattern of inheritance may be likely.
Register now to continue reading
Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:
