case report
Pre-eruptive intracoronal resorption (PEIR) Literature review and case report
Michael Hülsmann, Prof. Dr. 1
Joséfine Gehrig, Dr. 2
https://doi.org/10.71347/lz1jgbo6
1 Center of Dental Medicine, Clinic for Preventive Dentistry, Periodontology and Cariology, University of Zurich, Plattenstr. 11, CH-8032 Zurich, Switzerland.
2 Private Practice, Hameln, Germany.
Corresponding author:
Prof. Dr. Michael Hülsmann, Center of Dental Medicine, Clinic for Preventive Dentistry, Periodontology and Cariology, University of Zurich, Plattenstr. 11, CH-8032 Zurich, Switzerland
michael.huelsmann@med.uni-goettingen.de
Key words: pre-eruptive resorption, intracoronal resorption, PEIR, pulpotomy, Biodentine, vital pulp therapy.
Acknowledgements: The authors deny any conflicts of interest. Both authors equally contributed to the manuscript. Due to the young patients` age and their limited compliance not all of the figures and radiographs could be taken in optimal quality.
Abstract
Background: Pre-eruptive intracoronal resorption (PEIR) is a rare pathology in permanent teeth and occurs even less frequently in primary teeth.
Case description: This case report describes vital pulp therapy in a permanent and a primary tooth, respectively, presenting with pre-eruptive intracoronal resorptions. The literature on this rare dental pathology is reviewed.
Conclusion: Timely diagnosis of PEIR is important to prevent early loss of the tooth involved. Maintaining pulp vitality may be possible.
Introduction
The term pre-eruptive intracoronal resorption (PEIR), also referred to as PIR in some publications, describes a form of dental hard tissue resorption that begins before tooth eruption and affects the inner structure of the fully formed crown of a still unerupted tooth (Figs. 1a-b). Single case reports on this rare phenomenon can be found already in the 40ies of the last century.
Al-Batayneh OB, AlJamal GA, AlTawashi EK (2014) Pre-eruptive intra-coronal dentine radiolucencies in the permanent dentition of Jordanian children. European Archives of Paediatric Dentistry 15:229-236.
Al-Batayneh OB, AlTawashi EK (2020) Pre-eruptive intra-coronal resorption of dentine: a review of aetiology, diagnosis, and management. European Archives of Paediatric Dentistry 21:1-11.
Alon E, Amato RA, Ptak DM (2023) Pre-eruptive intracoronal resorption (PEIR): A case report. Journal of Endodontics 49:224-228.
Al-Tuwirqi, Seow WK (2017) A controlled study of pre-eruptive intracoronal resorption and dental development. Journal of Clinical Pediatric Dentistry 41:374-380.
Ari T (2014) Management of „hidden caries”: a case of severe pre-eruptive intracoronal resorption. Journal of the Canadian Dental Association 80:e59
Asokan S, Geethapriya PR, Varshini KR, Darshini SC (2022) Pre-eruptive intracoronal radiolucencies in permanent dentition of children in Tamil Nadu-A cross-sectional study. International Journal of Paediatric Dentistry. 32:428-435.
Chen Y, Huang Y, Deng X (2021) A review of external cervical resorption. Journal of Endodontics 47: 883-894.
Chouchene F, Hammami W, Ghedira A, Masmoudi F, Baaziz A, Fethi M, Ghedira H (2020) Treatment of pre-eruptive intracoronal resorption: A scoping review. European Journal of Paediatric Dentistry 21:227-235.
Counihan KP, O`Connell AC (2012) Case report: Pre-eruptive intra-coronal radiolucencies revisited. European Archives of Paediatric Dentistry 13:221-226.
Davidovich E, Kreiner B, Pereiz B (2005) Treatment of severe pre-eruptive intracoronal resorption of a permanent second molar. Pediatric Dentistry 27:74-77.
Demirtas O, Dane A, Yildirim E (2016a) A comparison of the use of cone-beam computed tomography and panoramic radiography in the assessment of pre-eruptive intracanal resorption. Acta Odontologica Scandinavica 74:636-641.
Demirtas O, Ertas ET, Dane A, Kalabalik F, Sozen E (2016b) Evaluation of pre-eruptive intracoronal resorption on cone-beam computed tomography: a retrospective study. Scanning 38:442-447.
Grundy GE, Pyle RJ, Adkins KF (1984) Intra-coronal resorption of unerupted molars. Australian Dental Journal 29:175-179.
Gurdan Z, Balazs D, Pasti D, Fathi M, Maroti P, Kardos K Pacheco A, Szalma J (2023) Pre-eruptive intracoronal resorption in orthodontic patients: A retrospective analysis of 3,143 patients. Heliyon 9:e18699.
Holan G, Eidelman E, Mass E (1994) Pre-eruptive coronal resorption of permanent teeth: report of three cases and their treatments. Pediatric Dentistry 16:373-377.
Ilha MC, Kramer PF, Ferreira SH, Ruschel HC (2018) Pre-eruptive intracoronal radiolucency in first permanent molar. International Journal of Clinical Pediatric Dentistry 11:151-154.
Ingnielzi MA, Fields HW, White RP, Bergenholtz G, Booth FA (1990) Intracoronal radiolucencies within unerupted teeth. Case report and review of the literature. Oral Surgery, Oral Medicine, and Oral Pathology 70: 214-20.
Le VN, Kim JG, Yang YM, Lee DW (2020) Treatment or pre-eruptive intracoronal resorption: A systematic review and case report. Journal of Dental Sciences 15:373-282.
Manmontri C, Chompu-Inwai P, Mahasantipiya P, Prapayasatok S (2018) Prevalence of pre-eruptive intracoronal radiolucencies in Thai children and adolescents: a retrospective study. Journal of Investigative and Clinical Dentistry 9:e12303. https://doi.org/10.1111/jicd.12303.
Manmontri C, Mahasantipiya P, Chompu-Inwai P (2017) Pre-eruptive intracoronal radiolucencies: Detection and nine years monitoring with a series of dental radiographs. Case reports in Dentistry; https://doi.org/10.1155/2017/6261407
Neuvald L, Consolaro A (2000) Cementoenamel junction: microscopic analysis and external cervical resorption. Journal of Endodontics 26:503-508.
Ngamsom S, Arayapisit T, Asavanamuang P, Anurakwongsri R, Sonthinane K, Kretapirom K (2024) Pre-eruptive intramural resorption in unerupted teeth: a cone-beam computed tomography evaluation of prevalence and related factors. Clinical Oral Investigations 28: 279-287.
Omar S, Choi J, Nelson B, Shin M, Chen JW (2015). Pre-eruptive intracoronal resorption (PEIR): Literature review and case report. Journal of the California Dental Association 43:255-260.
Özden B, Acikgoz A (2009) Prevalence and characteristics of intracoronal resorption in unerupted teeth in the permanent dentition: a retrospective study. Oral Radiology 25:6-13.
Patel S, Kanagasingam S, Pitt Ford T (2009) External cervical resorption: a review. Journal of Endodontics 35: 616-625.
Rankow H, Croll T, Miller AS (1986) Pre-eruptive idiopathic coronal resorption of permanent teeth in children. Journal of Endodontics 12:36-39.
Seow WK(2003) Diagnosis and management of unusual dental abscesses in children. Australian Dental Journal 48:156-168.
Seow WK, Hackley D (1996) Pre-eruptive idiopathic coronal resorption of permanent teeth in children. Pediatric Dentistry 18:67-71.
Seow WK, Lu PC, McAllan LH (1999a) Prevalence of pre-eruptive intracoronal dentin defects from panoramic radiographs. Pediatric Dentistry 21:332-339.
Seow WK, Wan A, McAllan LH (1999b) The prevalence of preeruptive dentin radiolucencies in the permanent dentition. Pediatric Dentistry 21:26-33.
Seow WK. Pre-eruptive intracoronal resorption as an entity of occult caries. Pediatric Dentistry 2000;2:370-375.
Shimabukuro K, Koniski M, Wongratwanich P, Nagasaki T, Ohtsuka M, Suei Y, Nakamoto T, Kakimoto N (2014) Cone-beam computed tomography-base investigation of pre-eruptive intracoronal resorption prevalence. Odontology 112:256-263.
Skillen WG (1941) So-called “intra-follicular caries”. Ill Dent J 10:307-308.
Spierer Weil A, Fuks AB (2014) Pre-eruptive intra-canal resorption: controversies and treatment options. Journal of Clinical Pediatric Dentistry 38:326-328.
Uzun I, Gunduz K, Canitezer G, Avsever H, Orhan K (2015) A retrospective analysis of prevalence and characteristics of pre-eruptive intracoronal resorption in unerupted teeth of the permanent dentition: a multicenter study. International Endodontic Journal 48:1069-1076.
Walton JL (1980) Dentine radiolucencies in unerupted teeth: report of two cases. ASDC Journal of Dentistry for Children 47:183-186.
Yüksel HT, Türkmenoglu A, Celikkol B, Evorgen S, Gulsahi K, Gulsahi A (2023) Pre-eruptive intracoronal resorption of permanent dentition: A new classification and a multidisciplinary study. Australian Endodontic Journal 49 (suppl 1):162-169.