Abstract
Resorption of second molars caused by third molars – clinical cases
Department of Orthodontics, Medical University of Warsaw
Forum Ortod 2026; 22 (1): 49-57
Tooth germs of third
molars develop at around 9 years of age and erupt between the ages of 17 and
25. Their agenesis affects approximately 20% of the population. Resorption is
a physiological or pathological process that leads to a loss of dental hard
tissue. As a result of odontoclastic activity, cementum and/or dentin are lost.
External resorption of second molars caused by pressure from third molars is a
pathological process. The severity of resorption can be classified as mild
(loss of less than half the dentin thickness), moderate (resorption of at least
half the dentin thickness), or severe (extending to the pulp chamber). The
risk of resorption depends on the position of the tooth germs of the third
molars. The prognosis for second molars with asymptomatic resorption is
favorable after the extraction of the causative third molars. These teeth usually require only periodic follow-up.
Aim
To present clinical cases in which radiographic examination confirmed resorption of second molars caused by the presence and abnormal eruption pathway of third molars.
Material and methods
In the seven presented clinical cases, patient history was obtained, clinical examination was performed, and radiographic imaging was planned, including panoramic radiography and CBCT.
Results
Resorption of second molars caused by third molars may be diagnosed in patients of various ages, both during the development of third molars and after their development is complete.
Conclusions
The occurrence of complications in the form of second molar resorption caused by third molars is difficult to predict. Correct positioning of the tooth germ on routine radiographic examination does not guarantee the absence of resorption in the future.
Keywords
third molars, resorption, second molars
Integrated with
