ASPECTS OF ETIOLOGY, DIAGNOSIS AND TREATMENT OF PREERUPTIVE INTRACORONAL RESORPTION IN CHILDREN (LITERATURE REVIEW)

Abstract

The purpose of this work was to study the literature on research papers by domestic and foreign authors describing pre-eruption intracoronal resorption. The review discusses issues that indicate the presence of a resorption process in permanent teeth before their eruption. This lesion of the hard tissues of the teeth is rare, and the etiology of this process is not fully understood. The processes of tooth resorption can be observed outside on the root surface or inside the pulp chamber, and if a permanent tooth is involved in this process, this indicates the development of pathological resorption. Along with dental caries and periodontal disease in childhood, processes of resorption of coronal dentin tissue in unerupted permanent teeth can be observed. Some authors describe internal resorption, ectopic positioning, external resorption, and origin from developmental pits on the occlusal surface as etiological factors for preeruptive intracoronal resorption, but other authors suggest that the etiology of this lesion remains poorly understood. The main diagnostic method is an x-ray examination, in which preeruptive intracoronal resorption is accidentally detected and other research methods are additionally used. Histological examination reveals osteoclasts, multinucleated giant cells, macrophages, and serrated edges in this lesion, which may possibly enter the developing tooth from the surrounding bone or through breaks in the dental follicle or enamel epithelium. With a small lesion and if the tooth is close to eruption, periodic X-ray control is necessary, and after eruption, when occlusal access is reached, the defect is restored in order to minimize the attachment of the carious process.