| Popis: |
Background: External root resorption of permanent teeth is a pathological process resulting in the tooth's loss of dentine and cementum. Procedures: This case report describes a systemically healthy patient, female, 30 years of age, initially referred to the Department of Periodontology for gingival bleeding and recession and dentine hypersensitivity of tooth 16. Clinical examination revealed locally inflamed gingiva (FMBS ~25%), presence of soft and hard deposits (FMPS~50%), periodontal probing depth up to 3mm and a 1mm localized gingival recession at the tooth 16. A newly taken panoramic radiograph revealed multiple root resorptions affecting most of the teeth and the roots' lengths to various extents, up to the cervical third of the teeth 15 and 16. All teeth were vital. The patient underwent causal periodontal treatment and was instructed in oral hygiene. Dentine hypersensitivity was successfully treated with a desensitizing toothpaste. Outcome: The patient and her primary dental care provider were unaware of the condition as previously no radiographs were taken. Medical and dental history was meticulously reassessed. The patient wore a mobile orthodontic appliance since the age of 8, with an approximate treatment duration of 5 years. However, no firm conclusions on the cause can be made due to the absence of previous radiographic records and symptoms. The patient is now enrolled in a stringent recall system. Conclusion: Clinical and radiographic monitoring of the marginal bone stability is crucial for this patient's long-term maintenance of the affected teeth. Radiography is adamant as a screening examination of new patients and should be used in appropriate time intervals for continuous monitoring of patients' statuses, as in the presented case. |
