Radiation diagnostics of cervical invasive resorption and treatment planning according to cone beam computed tomography

Abstract

Resorption of permanent tooth tissues is always a pathological process, the cause of which is not known, and an asymptomatic course in the early stages makes it difficult to diagnose. The pathogenesis of the disease and clinical and radiological prisms have been studied, as well as the main predisposing factors for the occurrence of resorption are known.

Objective: timely detection of the disease by doctors in dental patients remains relevant. The purpose of this study is to find the possibility of early and accurate diagnosis of cervical invasive dental resorption and to plan treatment based on the obtained data of targeted cone-beam computed tomography.

Material and metods: data from outpatient records of dental patients with detected dental resorption. We analyzed cases of cervical invasive resorption in 67 patients. When applying, patients complained about the condition of the causal tooth with diagnosed resorption only in isolated cases, and the diagnosis was made according to computer tomography. Cone beam computed tomography was also the only method that allowed determining the entry point of cervical and invasive resorption, and with this in mind, planning the location of the dosupa for treatment. Diagnostics of resorption is based mainly on x-ray methods, and mainly on cone-beam computed tomography (CBCT) data.

Results: complaints about teeth related to resorption were made by only 11.9% of patients out of the total number of people who were diagnosed with cervical invasive resorption. Сomplaints related to issues of various discomfort due to the presence of defects, discoloritis of the teeth, pain in the area of the causal tooth was indicated by 2 people. 67.2% of patients were diagnosed with various clinical forms of periodontitis. 26.9% are undergoing or were undergoing orthodontic treatment. 7.5% of the subjects had a history of dental trauma. The average age: in the group of men was 39.4 years, in women — 42.9 years. The entry point of cervical invasive resorption was most often determined in the incisors and canines of the upper and lower jaw. The localization of the entry point was most often determined on the vestibular surface of the teeth in 31.1%, on the oral surface in 35.6%, on the approximal surfaces in 26.7%. the Asymptomatic course of CIR suggests the priority of using modern methods of full-fledged informative high-tech x-ray examination of dental patients, in particular, CLCT. The ability to determine the localization of the resorption entry point according to CLCT data, allows you to plan surgery for treatment.

Conclusion: the developed standard for examination of patients using cone-beam computed tomography makes it possible to diagnose early cervical invasive resorption when drawing up a treatment plan for a primary patient and in all cases planning primary or repeated endodontic treatment.