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The prevalence and characteristics of external cervical resorption based on cone-beam computed tomographic imaging: a cross-sectional study

Restorative Dentistry & Endodontics 2022³â 47±Ç 4È£ p.39 ~ 39
Ferreira Matheus Diniz, Barros-Costa Matheus, Costa Felipe Ferreira, Freitas Deborah Queiroz,
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 ( Ferreira Matheus Diniz ) - University of Campinas Piracicaba Dental School Department of Oral Diagnosis Division of Oral Radiology
 ( Barros-Costa Matheus ) - University of Campinas Piracicaba Dental School Department of Oral Diagnosis Division of Oral Radiology
 ( Costa Felipe Ferreira ) - University of Sao Paulo Sao Paulo Dental School Department of Oral Diagnosis
 ( Freitas Deborah Queiroz ) - University of Campinas Piracicaba Dental School Department of Oral Diagnosis Division of Oral Radiology

Abstract


Objectives This study investigated the prevalence and characteristics of external cervical resorption (ECR) regarding sex, age, tooth, stages of progression, and portal of entry, using cone-beam computed tomography (CBCT) scans.

Materials and Methods CBCT scans of 1,313 patients from a Brazilian subpopulation comprising 883 female and 430 male patients (mean age, 55.2 years), acquired using a PreXion 3D CBCT unit, were evaluated. All permanent teeth included in the scans were evaluated for the presence of ECR according to the 3-dimensional classification and the portal of entry. The association between the presence of ECR and the factors studied was assessed using the ¥ö2 test. Intra-observer agreement was analyzed with the kappa test (¥á = 0.05).

Results In total, 6,240 teeth were analyzed, of which 84 (1.35%) were affected by ECR. A significant association was found between the presence of ECR and sex, with a higher prevalence in male patients (p = 0.002). The most frequently affected teeth were the mandibular and maxillary central incisors. The most common height was the mid-third of the root. For the portal of entry, 44% of cases were on the proximal surfaces, 40.5% on the lingual/palatal surface and 15.5% on the buccal surface. Intra-observer agreement was excellent.

Conclusions The prevalence of ECR was 1.35%, with a higher prevalence in male patients and a wide age distribution. The mandibular and maxillary central incisors were the most commonly affected teeth, and cases of ECR most frequently showed a height into the mid-third of the root and proximal entry.

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Cone-beam computed tomography; External cervical resorption; Root resorption

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