Multiple Idiopathic Apical Root Resorption Involving All Permanent Teeth: A Case Report
Abstract
Multiple idiopathic apical root resorption (MIARR) is a rare condition that affects multiple teeth of unknown etiology. This phenomenon is usually identified in clinical examinations or routine radiographs, is painless, and is sometimes accompanied by tooth mobility. Involvement of all permanent dentition is extremely rare. It is mostly seen in females and is usually asymptomatic. Diagnosis and treatment of these resorptive lesions are challenging for clinicians, and usually, the only available treatment is the extraction of all involved teeth. The prognosis for affected teeth is often poor; no treatment or prevention method is known for this phenomenon. The present report describes a 28-year-old male patient who had all his permanent teeth involved. This case is unique in that all teeth are involved in the absence of any systemic disease or local factors. Keywords: Idiopathic root resorption; Multiple root resorption; Root resorption.
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2. Apajalahti S, Hölttä P, Turtola L, Pirinen S. Prevalence of short-root anomaly in healthy young adults. Acta Odontologica Scandinavica. 2002;60(1):56-9.
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5. Kanungo M, Khandelwal V, Nayak UA, Nayak PA. Multiple idiopathic apical root resorption. Case Reports. 2013;2013:bcr2013009696.
6. Cholia S, Wilson P, Makdissi J. Multiple idiopathic external apical root resorption: report of four cases. Dentomaxillofacial Radiology. 2005;34(4):240-6.
7. Mueller E, Rony H. Laboratory studies of an unusual case of resorption. The Journal of the American Dental Association (1922). 1930;17(2):326-34.
8. Chen X, Yu X, Yan K, Liu S, Sun Z, Li S. Multiple idiopathic cervical root resorption involving all permanent teeth. Australian Endodontic Journal. 2020;46(2):263-71.
9. Mikušková K, Vaňuga P, Adamicová K, Statelová D, Janíčková M, Malachovský I, et al. Multiple idiopathic external cervical root resorption in patient treated continuously with denosumab: a case report. BMC Oral Health. 2022;22(1):129.
10. Mavridou AM, Bergmans L, Barendregt D, Lambrechts P. Descriptive analysis of factors associated with external cervical resorption. Journal of endodontics. 2017;43(10):1602-10.
11. Wu J, Lin L, Yang J, Chen X, Ge J, Wu J, et al. Multiple idiopathic cervical root resorption: a case report. International endodontic journal. 2016;49(2):189-202.
12. Postlethwaite K, Hamilton M. Multiple idiopathic external root resorption. Oral Surgery, Oral Medicine, Oral Pathology. 1989;68(5):640-3.
13. Wang N, Zhang M, Zhu J, Zhu Y, Wu J. Multiple idiopathic cervical root resorption: A systematic review. Oral Dis. 2022.
14. Von Arx T, Schawalder P, Ackermann M, Bosshardt DD. Human and feline invasive cervical resorptions: the missing link?—Presentation of four cases. Journal of endodontics. 2009;35(6):904-13.
15. Löe H, Waerhaug J. Experimental replantation of teeth in dogs and monkeys. Archives of oral biology. 1961;3(3):176-84.
16. Schätzle M, Tanner SD, Bosshardt DD. Progressive, generalized, apical idiopathic root resorption and hypercementosis. Journal of periodontology. 2005;76(11):2002-11.
17. Soğur E, Soğur HD, Baksı BG, Şen BH. Idiopathic root resorption of the entire permanent dentition: systematic review and report of a case. Dental Traumatology. 2008;24(4):490-5.
18. Neff P. Trauma from occlusion: Restorative concerns. Dental Clinics of North America. 1995;39(2):335-54.
19. Stafne EC, Slocumb CH. Idiopathic resorption of teeth. American Journal of Orthodontics and Oral Surgery. 1944;30(1):C41-C9.
20. Newman WG. Possible etiologic factors in external root resorption. American journal of orthodontics. 1975;67(5):522-39.
21. Pankgurst CL, Eley B, Moniz C. Multiple idiopathic external root resorption: a case report. Oral Surgery, Oral Medicine, Oral Pathology. 1988;65(6):754-6.
22. Soni NN, La Velle WE. Idiopathic root resorption: report of a case. Oral Surgery, Oral Medicine, Oral Pathology. 1970;29(3):387-9.
23. Rawlinson A. Treatment of root and alveolar bone resorption associated with bruxism. British Dental Journal. 1991;170(12):445-7.
24. Jabali AH. Management of Multiple Idiopathic Root Resorption in a Rheumatoid Arthritis Patient: A Case Report with 4-year Follow-up. J Contemp Dent Pract. 2022;23(6):652-8.
25. Kalender A, Oztan MD, Basmaci F, Aksoy U, Orhan K. CBCT evaluation of multiple idiopathic internal resorptions in permanent molars: case report. BMC Oral Health. 2014;14:39.
26. Sharma S, Kumar P, Jain V, Logani A. Multiple idiopathic cervical root resorption: Diagnosis, clinical/radiographical/histological presentation, and rehabilitation–A 7-year follow-up case report. Journal of conservative dentistry: JCD. 2019;22(3):313.
27. Neely AL, Thumbigere‐Math V, Somerman MJ, Foster BL. A familial pattern of multiple idiopathic cervical root resorption with a 30‐year follow‐up. Journal of periodontology. 2016;87(4):426-33.
28. Richert R, Santamaria J, Laforest L, Maurin J-C. The Medical, Clinical, and Radiographic Aspects of Multiple Idiopathic Tooth Resorption: A Systematic Review. Journal of Personalized Medicine. 2022;12(7):1182.
29. Samara E, Kelly E, Walker R, Borumandi F. Multiple idiopathic cervical root resorption: Case report of an unusual presentation. Special Care in Dentistry. 2021;41(1):98-102.
2. Apajalahti S, Hölttä P, Turtola L, Pirinen S. Prevalence of short-root anomaly in healthy young adults. Acta Odontologica Scandinavica. 2002;60(1):56-9.
3. Choong C. GENETICS OF SHORT ROOT ANOMALIES 2022.
4. Chu EY, Deeb JG, Foster BL, Hajishengallis E, Somerman MJ, Thumbigere-Math V. Multiple idiopathic cervical root resorption: a challenge for a transdisciplinary medical-dental team. Frontiers in dental medicine. 2021;2:652605.
5. Kanungo M, Khandelwal V, Nayak UA, Nayak PA. Multiple idiopathic apical root resorption. Case Reports. 2013;2013:bcr2013009696.
6. Cholia S, Wilson P, Makdissi J. Multiple idiopathic external apical root resorption: report of four cases. Dentomaxillofacial Radiology. 2005;34(4):240-6.
7. Mueller E, Rony H. Laboratory studies of an unusual case of resorption. The Journal of the American Dental Association (1922). 1930;17(2):326-34.
8. Chen X, Yu X, Yan K, Liu S, Sun Z, Li S. Multiple idiopathic cervical root resorption involving all permanent teeth. Australian Endodontic Journal. 2020;46(2):263-71.
9. Mikušková K, Vaňuga P, Adamicová K, Statelová D, Janíčková M, Malachovský I, et al. Multiple idiopathic external cervical root resorption in patient treated continuously with denosumab: a case report. BMC Oral Health. 2022;22(1):129.
10. Mavridou AM, Bergmans L, Barendregt D, Lambrechts P. Descriptive analysis of factors associated with external cervical resorption. Journal of endodontics. 2017;43(10):1602-10.
11. Wu J, Lin L, Yang J, Chen X, Ge J, Wu J, et al. Multiple idiopathic cervical root resorption: a case report. International endodontic journal. 2016;49(2):189-202.
12. Postlethwaite K, Hamilton M. Multiple idiopathic external root resorption. Oral Surgery, Oral Medicine, Oral Pathology. 1989;68(5):640-3.
13. Wang N, Zhang M, Zhu J, Zhu Y, Wu J. Multiple idiopathic cervical root resorption: A systematic review. Oral Dis. 2022.
14. Von Arx T, Schawalder P, Ackermann M, Bosshardt DD. Human and feline invasive cervical resorptions: the missing link?—Presentation of four cases. Journal of endodontics. 2009;35(6):904-13.
15. Löe H, Waerhaug J. Experimental replantation of teeth in dogs and monkeys. Archives of oral biology. 1961;3(3):176-84.
16. Schätzle M, Tanner SD, Bosshardt DD. Progressive, generalized, apical idiopathic root resorption and hypercementosis. Journal of periodontology. 2005;76(11):2002-11.
17. Soğur E, Soğur HD, Baksı BG, Şen BH. Idiopathic root resorption of the entire permanent dentition: systematic review and report of a case. Dental Traumatology. 2008;24(4):490-5.
18. Neff P. Trauma from occlusion: Restorative concerns. Dental Clinics of North America. 1995;39(2):335-54.
19. Stafne EC, Slocumb CH. Idiopathic resorption of teeth. American Journal of Orthodontics and Oral Surgery. 1944;30(1):C41-C9.
20. Newman WG. Possible etiologic factors in external root resorption. American journal of orthodontics. 1975;67(5):522-39.
21. Pankgurst CL, Eley B, Moniz C. Multiple idiopathic external root resorption: a case report. Oral Surgery, Oral Medicine, Oral Pathology. 1988;65(6):754-6.
22. Soni NN, La Velle WE. Idiopathic root resorption: report of a case. Oral Surgery, Oral Medicine, Oral Pathology. 1970;29(3):387-9.
23. Rawlinson A. Treatment of root and alveolar bone resorption associated with bruxism. British Dental Journal. 1991;170(12):445-7.
24. Jabali AH. Management of Multiple Idiopathic Root Resorption in a Rheumatoid Arthritis Patient: A Case Report with 4-year Follow-up. J Contemp Dent Pract. 2022;23(6):652-8.
25. Kalender A, Oztan MD, Basmaci F, Aksoy U, Orhan K. CBCT evaluation of multiple idiopathic internal resorptions in permanent molars: case report. BMC Oral Health. 2014;14:39.
26. Sharma S, Kumar P, Jain V, Logani A. Multiple idiopathic cervical root resorption: Diagnosis, clinical/radiographical/histological presentation, and rehabilitation–A 7-year follow-up case report. Journal of conservative dentistry: JCD. 2019;22(3):313.
27. Neely AL, Thumbigere‐Math V, Somerman MJ, Foster BL. A familial pattern of multiple idiopathic cervical root resorption with a 30‐year follow‐up. Journal of periodontology. 2016;87(4):426-33.
28. Richert R, Santamaria J, Laforest L, Maurin J-C. The Medical, Clinical, and Radiographic Aspects of Multiple Idiopathic Tooth Resorption: A Systematic Review. Journal of Personalized Medicine. 2022;12(7):1182.
29. Samara E, Kelly E, Walker R, Borumandi F. Multiple idiopathic cervical root resorption: Case report of an unusual presentation. Special Care in Dentistry. 2021;41(1):98-102.
| Files | ||
| Issue | Vol 13, No 2 (Spring 2026) | |
| Section | Case Report(s) | |
| Keywords | ||
| Idiopathic root resorption; Multiple root resorption; Root resorption. | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Tonkaboni A, Hafezi Motlagh K, Mahjourian Qomi R. Multiple Idiopathic Apical Root Resorption Involving All Permanent Teeth: A Case Report. J Craniomaxillofac Res. 2026;2026(2):251-256.
