The two extremes of physiological tooth resorption in primary tooth with or without the permanent successor tooth

Abstract

Introduction: Assessment of two radiographic images reveals two distinct, extreme situations of physiological tooth resorption, characteristic of primary teeth with or without permanent successor, due to partial anodontia. Discussion: In all primary teeth, rhizolysis begins after the completion of formation, thanks to the apoptosis of their cells. When apoptosis induced by cementoblasts has denuded the root of these cells, the process of rhizolysis inevitably begins: This will be accelerated by mediators arising from the pericoronal follicle. When there is no permanent successor due to partial anodontia, rhizolysis occurs extremely slowly, and months later, without the epithelial rests of Malassez that were dead due to apoptosis, alveolodental ankylosis becomes established, and the tooth will gradually be replaced by bone, still within a physiological context. Conclusion: Rhizolysis and physiological tooth resorption may occur rapidly or slowly, early or late, and this depends on the presence of the permanent tooth, or its absence due to partial anodontia.

Tratamento endodôntico do segundo molar decíduo esquerdo inferior em paciente com oligodontia - relato de caso

“…Tooth agenesis can result in malocclusion, atrophy of the alveolar bone and a more retracted position of the mandible and, among the therapeutic options, we can mention orthodontic treatment, prosthetic rehabilitation or implant-supported crowns (De Santis et al, 2019;Jurek et al, 2021). In view of the aforementioned options, the choice of maintaining the deciduous element is defended by Consolaro et al (2021), because in the absence of the permanent element, the process of rhizolysis is slow and happens partially, making the element stable after a few months, allowing the maintenance of space and alveolar bone.…”