Morphology of resorption of apical cement in destructive forms of periodontitis in the acute stage

Aim. To study morphology of external resorption of apical root area of teeth with destructive forms of apical periodontitis in the acute stage. Materials and methods. Microrelief of 10 previously untreated teeth with destructive forms of apical periodontitis in the acute stage was investigated. The material was taken at the moment of dental manipulation of tooth extraction after injecting anesthesia with 2% lidocaine solution or Septanest if indicated with the information consent of the patient. Results. Damaged cement of heterogeneous structure with areas of resorption alternating with areas of undamaged cement in the area of the root tips was found. The resorbed cement looks like large lacunae with clearly outlined ribs, filled with rounded cell clusters – cementocytes. Conclusions. Resorbed tooth root cement of heterogeneous structure with different area and degree of destruction depth was found in the places of periodontal absence. In some cases the resorption of the root cement partially affected the inner area of the apical orifice. © 2022, Endo Press LLC. All rights reserved.