Volumetric Analysis of Resorption Types on CBCT

NCT ID: NCT04617301

Last Updated: 2020-11-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

43 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-06-22

Study Completion Date

2020-10-21

Brief Summary

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More accurate management of resorption can be achieved thanks to the three-dimensions volumetric and linear analysis, and the axial classification presented in this study.

Detailed Description

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The aim of this study was to investigate the volumetric and linear analysis, and to present the axial classification of root resorptions using cone beam computed tomography (CBCT).

A total of 43 teeth of external cervical resorption (ECR) (n=27), external replacement resorption (ERR) (n=4) and internal root resorption (IRR) (n=12) were identified from 34 patients. The volume of resorption and total tooth, the widest lengths of these resorptions, and the amount of thinnest dentin thickness around them were measured and compared according to age and sex. Additionally, the eight regional axial classification was performed and the percentages in these regions were evaluated. Significance was set at p=0.05 for statistical analysis.

More accurate management of resorption can be achieved thanks to the three-dimensions volumetric and linear analysis, and the axial classification presented in this study.

Conditions

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Endodontic Disease Tooth Resorption

Study Design

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Observational Model Type

CASE_CROSSOVER

Study Time Perspective

RETROSPECTIVE

Study Groups

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Group 1. Internal root resorption (IRR)

Internal root resorption is the progressive destruction of intraradicular dentin and dentinal tubules along the middle and apical thirds of the canal walls as a result of clastic activities. It is seen as a radiolucent area around the pulpal cavity, usually of incisors and mandibular molars. The various etiological factors suggested for internal root resorption include traumatic injury; infection and orthodontic treatment.

No interventions assigned to this group

Group 2. external cervical resorption (ECR)

Cementum is considered to protect the underlying root dentin from being resorbed. It is broadly accepted that damage to or deficiency of this protective cementum layer below the epithelial attachment exposes the root surface to osteoclasts, which then resorb the dentin.

Clinical sign; Located in cervical region of tooth Pink spot might be noted by patient/dentist Tooth usually responds positively to vitality tests unless there is pulpal involvement (in very advanced cases) Spontaneous and profuse bleeding on probing Sharp, thinned out edges around the resorptive cavity

No interventions assigned to this group

Grup 3. external replacement resorption (ERR)

external replacement resorption also known as trauma-induced resorption - and this resorption may occur in teeth that also have external inflammatory resorption. This review will not discuss external replacement resorption in detail but it will be mentioned where relevant as both types of resorption may occur in some cases. This is because replacement resorption is a consequence of the same injuries that typically cause external inflammatory resorption - such as intrusion and avulsion where there is significant damage to the external root surface during the injury, as well as sometimes during the repositioning/ replantation of the tooth.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Cases of resorption that had CBCT images

Exclusion Criteria

* those presenting pathologic lesions, congenital/developmental anomalies or teeth with root canal filling
* those whose CBCT scans failed to present satisfactory quality.
* Additionally, SR, TAP, and EIR cases were excluded because their true dimensions could not be completely determined before resorption.
Minimum Eligible Age

12 Years

Maximum Eligible Age

71 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Recep Tayyip Erdogan University Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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DİLARA NİL GÜNAÇAR

assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dilara Nil Günaçar

Role: STUDY_CHAIR

Recep Tayyip Erdogan University Training and Research Hospital

Locations

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Recep Tayyip Erdogan University Training and Research Hospital

Rize, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Heithersay GS. Clinical, radiologic, and histopathologic features of invasive cervical resorption. Quintessence Int. 1999 Jan;30(1):27-37.

Reference Type BACKGROUND
PMID: 10323156 (View on PubMed)

Patel S, Dawood A, Wilson R, Horner K, Mannocci F. The detection and management of root resorption lesions using intraoral radiography and cone beam computed tomography - an in vivo investigation. Int Endod J. 2009 Sep;42(9):831-8. doi: 10.1111/j.1365-2591.2009.01592.x. Epub 2009 Jul 14.

Reference Type BACKGROUND
PMID: 19627378 (View on PubMed)

Other Identifiers

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2020/98

Identifier Type: -

Identifier Source: org_study_id