Ts. Tsvetanov

Medical University – Plovdiv, Bulgaria,

Department of Oral Surgery, Dental Faculty

Еxternal root resorption is a rarely clinical phenomenon, localized on various outer root surfaces, followed by resorption of lamina dura and alveolar bone. Еxternal root resorption can lead to degeneration of dental cementum and dentine. According to literature dates prevails in the upper jaw and molars. The most common localization of resorption is root apex. According to age, the most frequent resorption is in aged between 21 and 30 years. According to gender, the more common is among the female population. Clinical symptoms are pain, swelling and mobility of the tooth. Occur following stimuli such as infection, pressure, trauma or orthodontic tooth movement.

Case presentation: A 45 year old male patient with a chief complaint of slowly progressing swelling on the left side of the maxilla approximately 0.5×0.5 cm in size since 1 week. Intraoral examination revealed well-defined localized swelling (soft, fluctuant, and tender on palpation) in the region of 24. Radiological examination revealed a upper first premolar with external root resorption and localized periodontitis. The maxillary first premolar was extracted by using a mucoperiosteal flap.

Results and discussion: In the postoperative period we did not observe any swelling or pain in the area intervened. The healing took place within a week without any complications.

Conclusion: Presented case report illustrates a rare case of external root resorption around maxillary first premolar. To conclude radiological examination is necessary to provide an adequate diagnosis and treatment.

Keywords: dental radiography, diagnosis, root resorption, treatment