K03.3

Clinical Causes: Internal granuloma of pulp: Inflammation within the pulp tissue often following trauma or deep decay can trigger internal resorption. Trauma to the teeth: Physical injuries may damage the pulp tissue or periodontal ligament, initiating resorptive processes. Chronic pulp inflammation: Persistent inflammation of the pulp tissue can stimulate resorption activity internally. Infection: Bacterial invasion can cause inflammatory responses leading to tissue breakdown. Orthodontic treatment: Excessive or prolonged orthodontic forces can contribute to external resorption. Periapical lesions: Presence of cysts or granulomas at the apex of the tooth roots can induce resorption. Systemic conditions: Certain diseases or medications may predispose individuals to increased resorptive activity. Tumors or cysts in jawbones: Can exert pressure on tooth roots, promoting external resorption.

Key Symptoms: Discolored or translucent appearance of the affected tooth Sensitivity to hot, cold, or sweet stimuli Intermittent or persistent tooth pain or discomfort Loosening of the affected tooth in severe cases Swelling or tenderness in surrounding gum tissue Uneven or shortened crown appearance Detection of radiolucent areas around the root on dental X-rays

Diagnosis Path: Diagnosis involves a combination of clinical examination and radiographic imaging. Dentists may look for signs like abnormal root resorption patterns and tooth discoloration. Cone-beam computed tomography (CBCT) scans might be utilized for detailed visualization of resorptive areas. Assessing patient history, including trauma or previous dental treatments, helps identify potential causes. Sometimes, pulp vitality tests are performed to determine internal pulp health, especially if internal granuloma is suspected.

Treatment Protocols: Treatment options depend on the extent and type of resorption. Managing the underlying cause is crucial. Common approaches include: - Endodontic Therapy: Root canal treatment may be performed to remove inflamed pulp tissue and halt internal resorption. - Surgical Intervention: Removal of granulation tissue or cysts causing external resorption. - Extraction: Severely damaged teeth that cannot be restored may require removal. - Restorative Procedures: Rebuilding lost tooth structure with crowns or fillings after resorption management. - Preventive Measures: Regular dental check-ups and radiographs aid in early detection and intervention. In some cases, regenerative procedures or laser therapy might be considered to slow or stop the resorptive process. Consultation with dental specialists, such as endodontists or oral surgeons, can optimize treatment outcomes.