Dental Journal (Majalah Kedokteran Gigi)
Vol. 56 No. 2 (2023): June 2023

Multiple impacted third molars with pre-eruptive intracoronal resorption in geriatric patients: Two case reports

Emel Olga Onay (Faculty of Dentistry, Baskent University, Ankara, Turkey)
Cemre Koc (Faculty of Dentistry, Aydin Adnan Menderes University, Aydin, Turkey)
Mete Ungor (Faculty of Dentistry, Istanbul Medipol University, Istanbul, Turkey)



Article Info

Publish Date
15 Mar 2023

Abstract

Background: Pre-eruptive intracoronal resorption (PEIR) is a rare condition usually detected through an incidental radiographic finding. The etiology and pathogenesis of this phenomenon are not fully understood. Purpose: To describe two cases in which multiple impacted third molars with PEIR defects were identified. Cases: Female patients aged 77 and 82 years, respectively, were presented with dental issues. Radiolucencies in the dental crown areas of the impacted maxillary and mandibular third molars were initially detected on the panoramic radiographs. Cone-beam computed tomography (CBCT) was performed to better evaluate the impacted teeth. The results showed that the intracoronal defects extended through more than two-thirds of the thickness of the coronal dentin. Case Managements: Considering the patients’ age and their asymptomatic status, a conservative approach with radiographic follow-up was considered most appropriate. Four-year follow-up checks revealed that the teeth remained asymptomatic in both patients. Conclusion: This case report confirms that PEIR can affect impacted third molars, even in elderly patients. CBCT images are preferred for diagnosing PEIR defects because this method provides an accurate assessment of internal tooth anatomy. With an accurate diagnosis of asymptomatic PEIR, the lesion can be monitored.

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Journal Info

Abbrev

MKG

Publisher

Subject

Dentistry

Description

The Dental Journal (Majalah Kedokteran Gigi) (e-ISSN:2442-9740; p-ISSN:1978-3728) is published by the Faculty of Dental Medicine, Universitas Airlangga. Its diciplinary focus is dental science and dental hygiene. The Dental Journal (Majalah Kedokteran Gigi) is published in English on a quarterly ...