Restorative Dentistry and Endodontics

  • 제47권4호
  • /
  • Pages.39.1-39.12
  • /
  • 2022
  • /
  • 2234-7658(pISSN)
  • /
  • 2234-7666(eISSN)
대한치과보존학회 (The Korean Academy of Conservative Dentistry)
권호 표지
DOI QR코드

DOI QR Code

The prevalence and characteristics of external cervical resorption based on cone-beam computed tomographic imaging: a cross-sectional study

  • Matheus Diniz Ferreira (Division of Oral Radiology, Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas (UNICAMP)) ;
  • Matheus Barros-Costa (Division of Oral Radiology, Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas (UNICAMP)) ;
  • Felipe Ferreira Costa (Department of Oral Diagnosis, Sao Paulo Dental School, University of Sao Paulo (USP)) ;
  • Deborah Queiroz Freitas (Division of Oral Radiology, Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas (UNICAMP))
  • 투고 : 2022.03.18
  • 심사 : 2022.05.10
  • 발행 : 2022.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This study investigated the prevalence and characteristics of external cervical resorption (ECR) regarding sex, age, tooth, stages of progression, and portal of entry, using cone-beam computed tomography (CBCT) scans. Materials and Methods: CBCT scans of 1,313 patients from a Brazilian subpopulation comprising 883 female and 430 male patients (mean age, 55.2 years), acquired using a PreXion 3D CBCT unit, were evaluated. All permanent teeth included in the scans were evaluated for the presence of ECR according to the 3-dimensional classification and the portal of entry. The association between the presence of ECR and the factors studied was assessed using the χ2 test. Intra-observer agreement was analyzed with the kappa test (α = 0.05). Results: In total, 6,240 teeth were analyzed, of which 84 (1.35%) were affected by ECR. A significant association was found between the presence of ECR and sex, with a higher prevalence in male patients (p = 0.002). The most frequently affected teeth were the mandibular and maxillary central incisors. The most common height was the mid-third of the root. For the portal of entry, 44% of cases were on the proximal surfaces, 40.5% on the lingual/palatal surface and 15.5% on the buccal surface. Intra-observer agreement was excellent. Conclusions: The prevalence of ECR was 1.35%, with a higher prevalence in male patients and a wide age distribution. The mandibular and maxillary central incisors were the most commonly affected teeth, and cases of ECR most frequently showed a height into the mid-third of the root and proximal entry.

키워드

참고문헌

  1. Kandalgaonkar SD, Gharat LA, Tupsakhare SD, Gabhane MH. Invasive cervical resorption: a review. J Int Oral Health 2013;5:124-130.
  2. Patel S, Mavridou AM, Lambrechts P, Saberi N. External cervical resorption-part 1: histopathology, distribution and presentation. Int Endod J 2018;51:1205-1223. https://doi.org/10.1111/iej.12942
  3. Vaz de Souza D, Schirru E, Mannocci F, Foschi F, Patel S. External cervical resorption: a comparison of the diagnostic efficacy using 2 different cone-beam computed tomographic units and periapical radiographs. J Endod 2017;43:121-125. https://doi.org/10.1016/j.joen.2016.09.008
  4. Irinakis E, Aleksejuniene J, Shen Y, Haapasalo M. External cervical resorption: a retrospective case-control study. J Endod 2020;46:1420-1427. https://doi.org/10.1016/j.joen.2020.05.021
  5. Matny LE, Ruparel NB, Levin MD, Noujeim M, Diogenes A. A volumetric assessment of external cervical resorption cases and its correlation to classification, treatment planning, and expected prognosis. J Endod 2020;46:1052-1058. https://doi.org/10.1016/j.joen.2020.04.012
  6. Heithersay GS. Invasive cervical resorption. Endod Topics 2004;7:73-92. https://doi.org/10.1111/j.1601-1546.2004.00060.x
  7. Chen Y, Huang Y, Deng X. A review of external cervical resorption. J Endod 2021;47:883-894. https://doi.org/10.1016/j.joen.2021.03.004
  8. Goodell KB, Mines P, Kersten DD. Impact of cone-beam computed tomography on treatment planning for external cervical resorption and a novel axial slice-based classification system. J Endod 2018;44:239-244. https://doi.org/10.1016/j.joen.2017.10.001
  9. Mavridou AM, Bergmans L, Barendregt D, Lambrechts P. Descriptive analysis of factors associated with external cervical resorption. J Endod 2017;43:1602-1610. https://doi.org/10.1016/j.joen.2017.05.026
  10. Heithersay GS. Invasive cervical resorption: an analysis of potential predisposing factors. Quintessence Int 1999;30:83-95.
  11. Suhr Villefrance J, Kirkevang LL, Wenzel A, Vaeth M, Matzen LH. Impact of cone beam CT on diagnosis of external cervical resorption: the severity of resorption assessed in periapical radiographs and cone beam CT. A prospective clinical study. Dentomaxillofac Radiol 2022;51:20210279.
  12. Patel S, Foschi F, Mannocci F, Patel K. External cervical resorption: a three-dimensional classification. Int Endod J 2018;51:206-214.
  13. Rotondi O, Waldon P, Kim SG. The disease process, diagnosis and treatment of invasive cervical resorption: a review. Dent J 2020;8:64.
  14. Jebril A, Aljamani S, Jarad F. The surgical management of external cervical resorption: a retrospective observational study of treatment outcomes and classifications. J Endod 2020;46:778-785. https://doi.org/10.1016/j.joen.2020.03.006
  15. Jeng PY, Lin LD, Chang SH, Lee YL, Wang CY, Jeng JH, Tsai YL. Invasive cervical resorption-distribution, potential predisposing factors, and clinical characteristics. J Endod 2020;46:475-482. https://doi.org/10.1016/j.joen.2020.01.011
  16. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159-174. https://doi.org/10.2307/2529310
  17. Patel J, Beddis HP. How to assess and manage external cervical resorption. Br Dent J 2019;227:695-701. https://doi.org/10.1038/s41415-019-0781-x
  18. Thonen A, Peltomaki T, Patcas R, Zehnder M. Occurrence of cervical invasive root resorption in first and second molar teeth of orthodontic patients eight years after bracket removal. J Endod 2013;39:27-30. https://doi.org/10.1016/j.joen.2012.08.007
  19. AAE and AAOMR joint position statement: use of cone beam computed tomography in endodontics 2015 update. J Endod 2015;41:1393-1396. https://doi.org/10.1016/j.joen.2015.07.013
  20. Patel K, Mannocci F, Patel S. The assessment and management of external cervical resorption with periapical radiographs and cone-beam computed tomography: a clinical study. J Endod 2016;42:1435-1440. https://doi.org/10.1016/j.joen.2016.06.014
  21. Patel S, Foschi F, Condon R, Pimentel T, Bhuva B. External cervical resorption: part 2 - management. Int Endod J 2018;51:1224-1238.
  22. Mavridou AM, Hilkens P, Lambrichts I, Hauben E, Wevers M, Bergmans L, Lambrechts P. Is hypoxia related to external cervical resorption? a case report. J Endod 2019;45:459-470. https://doi.org/10.1016/j.joen.2018.12.013