Mercante HS, Nunes GP, de Toledo PTA, Sostena MMDS, Nunes LP, Gonçalves HR, Martins TP, Vieira APM. Internal root resorption: understanding the pink tooth of mummery and its clinical implications. J Clin Exp Dent. 2026;18(5):e616-27.

 

doi:10.4317/jced.63932

https://doi.org/10.4317/jced.63932

___

 

References

1. Ne RF, Witherspoon DE, Gutmann JL. Tooth Resorption. Quintessence Int. 1999;30(1):9-25.

 

2. Patel S, Krastl G, Weiger R, Lambrechts P, Tjäderhane L, Gambarini G, Teng PH. ESE Position Statement on Root Resorption. Int Endod J. 2023;56(7):792-801.
https://doi.org/10.1111/iej.13916
PMid:36942472

 

3. Patel S, Ricucci D, Durak C, Tay F. Internal Root Resorption: A Review. J Endod. 2010;36(7):1107-1121.
https://doi.org/10.1016/j.joen.2010.03.014
PMid:20630282

 

4. Bell T. The anatomy, physiology, and diseases of the teeth: Carey, Lea & Blanchard; 1837.

 

5. Haapasalo M, Endal U. Internal Inflammatory Root Resorption: The Unknown Resorption of the Tooth. Endod Top. 2006;14(1):60-79.
https://doi.org/10.1111/j.1601-1546.2008.00226.x

 

6. Mummery F. The pathology of" pinksports" on teeth. Br Dent J. 1920;41:7-12.

 

7. Souza JAS, de Oliveira Alves R, de Toledo PTA, Mota HC, Martins TP, Danelon M, Duque C, Nunes GP. Effect of Disinfection and Tissue Repair with Chloramphenicol-Tetracycline-ZOE Paste on Pulp Therapy of Primary Teeth: A Systematic Review. Clin Oral Investig. 2025;29(10):488.
https://doi.org/10.1007/s00784-025-06603-y
PMid:41047436

 

8. Heboyan A, Avetisyan A, Karobari MI, Marya A, Khurshid Z, Rokaya D, et al. Tooth root resorption: A review. Sci Prog. 2022;105:368504221109217.
https://doi.org/10.1177/00368504221109217
PMid:35759366 PMCid:PMC10358711

 

9. Mulumoodi RS, Antony SDP, Adimulapu HS. Association of Age and Gender of Patients with the Type of Tooth Resorption Treated: A Retrospective Analysis. Int J Res Pharm Sci. 2020;11(SPL3):1581-1586.
https://doi.org/10.26452/ijrps.v11iSPL3.3479

 

10. J kovljevic A, Kuzmanovic Pficer J, Dragan IF, Knezevic A, Miletic M, Beljic-Ivanovic K, Milasin J, Andric M. The Role of Varicella Zoster Virus in the Development of Periapical Pathoses and Root Resorption: A Systematic Review. J Endod. 2017;43(8):1230-1236.
https://doi.org/10.1016/j.joen.2017.04.021
PMid:28662875

 

11. Oliveira LCS, Santos DCL, Negrete D, Flaiban E, Bortolin R, Santos RL. Reabsorção Radicular em Tratamento Ortodôntico. Rev Odontol Univ Cid São Paulo. 2018;30(3):275-289.
https://doi.org/10.26843/ro_unicidv3032018p275-89

 

12. Ruškytė G, Juozėnaitė D, Kubiliūtė K. Types of Root Resorptions Related to Orthodontic Treatment. Stomatologija. 2019;21(1):22-27.

 

13. de Souza BDM, Dutra KL, Reyes-Carmona J, Bortoluzzi EA, Kuntze MM, Teixeira CS, Porporatti AL, De Luca Canto G. Incidence of Root Resorption after Concussion, Subluxation, Lateral Luxation, Intrusion, and Extrusion: A Systematic Review. Clin Oral Investig. 2020;24(3):1101-1111.
https://doi.org/10.1007/s00784-020-03199-3
PMid:31953685

 

14. Qassem A, Martins Nda M, da Costa VP, Torriani DD, Pappen FG. Long-Term Clinical and Radiographic Follow-Up of Subluxated and Intruded Maxillary Primary Anterior Teeth. Dent Traumatol. 2015;31(1):57-61.
https://doi.org/10.1111/edt.12135
PMid:25351433

 

15. Kallel I, Douki N, Amaidi S, Ben Amor F. The Incidence of Complications of Dental Trauma and Associated Factors: A Retrospective Study. Int J Dent. 2020;2020:2968174.
https://doi.org/10.1155/2020/2968174
PMid:32256593 PMCid:PMC7086444

 

16. Marasca B, Ndokaj A, Duś-Ilnicka I, Nisii A, Marasca R, Bossù M, Ottolenghi L, Polimeni A. Management of Transverse Root Fractures in Dental Trauma. Dent Med Probl. 2022;59(4):637-645.
https://doi.org/10.17219/dmp/145895
PMid:36537854

 

17. Holan G, Yodko E. Radiographic Evidence of Traumatic Injuries to Primary Incisors without Accompanying Clinical Signs. Dent Traumatol. 2017;33(2):133-136.
https://doi.org/10.1111/edt.12315
PMid:27960046

 

18. Abela S, Murtadha L, Bister D, Andiappan M, Kwok J. Survival Probability of Dental Autotransplantation of 366 Teeth over 34 Years within a Hospital Setting in the United Kingdom. Eur J Orthod. 2019;41(5):551-556.
https://doi.org/10.1093/ejo/cjz012
PMid:31144709

 

19. Conway F. Primary Pulpotomies - What Should We Be Using? Evid Based Dent. 2022;23(4):150-151.
https://doi.org/10.1038/s41432-022-0840-z
PMid:36526840

 

20. Atasever G, Keceli TI, Uysal S, Gungor HC, Olmez S. Primary Molar Pulpotomies with Different Hemorrhage Control Agents and Base Materials: A Randomized Clinical Trial. Niger J Clin Pract. 2019;22(3):305-312.
https://doi.org/10.4103/njcp.njcp_369_18
PMid:30837416

 

21. Lourenço Neto N, Moretti ABS, Sakai VT, Machado MAAM, Abdo RCC, Oliveira TM. Clinical and Radiographic Outcomes of the Use of Capping Materials in Vital Pulp Therapy of Human Primary Teeth. BDS. 2015;18(1):75-80.
https://doi.org/10.14295/bds.2015.v18i1.1107

 

22. Abiraamasri BL, Gurunathan D. Comparison of Ferric Sulphate and Calcium Hydroxide as a Pulpotomy Agent. Res J Pharm Technol. 2018;11(5):1881-1883.
https://doi.org/10.5958/0974-360X.2018.00349.9

 

23. Santa KN, Bashar A, Hossain M, Sheikh MAH, Alim MA, Moral AA. Clinical and Radiographic Efficacy of Portland Cement as Pulpotomy Material in Human Primary Molar. Bangladesh Med Res Counc Bull. 2018;43:71.
https://doi.org/10.3329/bmrcb.v43i2.35186

 

24. Ebrahimi M, Changiz S, Makarem A, Ahrari F. Clinical and Radiographic Effectiveness of Mineral Trioxide Aggregate (MTA) Partial Pulpotomy with Low Power or High Power Diode Laser Irradiation in Deciduous Molars: A Randomized Clinical Trial. Lasers Med Sci. 2022;37(4):2293-2303.
https://doi.org/10.1007/s10103-022-03503-5
PMid:35075598

 

25. Jamali Z, Alavi V, Najafpour E, Aminabadi NA, Shirazi S. Randomized Controlled Trial of Pulpotomy in Primary Molars Using MTA and Formocresol Compared to 3Mixtatin: A Novel Biomaterial. J Clin Pediatr Dent. 2018;42(5):361-366.
https://doi.org/10.17796/1053-4625-42.5.7
PMid:29763354

 

26. Haideri S, Koul M, Raj R, Salam SA, Kalim MS, Gupta V. To Evaluate and Compare the Clinical and Radiographic Outcomes of Formocresol, Mineral Trioxide Aggregate, Electrocautery, and Bioactive Glass When Used for Pulpotomy in Human Primary Teeth. J Pharm Bioallied Sci. 2021;13(Suppl 2):S1251-S1258.
https://doi.org/10.4103/jpbs.jpbs_23_21
PMid:35017965 PMCid:PMC8686867

 

27. Taha NA, Abdulkhader SZ. Full Pulpotomy with Biodentine in Symptomatic Young Permanent Teeth with Carious Exposure. J Endod. 2018;44(6):932-937.
https://doi.org/10.1016/j.joen.2018.03.003
PMid:29681479

 

28. Patel S, Saberi N, Pimental T, Teng PH. Present Status and Future Directions: Root Resorption. Int Endod J. 2022;55 Suppl 4:892-921.
https://doi.org/10.1111/iej.13715
PMid:35229320 PMCid:PMC9790676

 

29. Abbott PV, Lin S. Tooth Resorption-Part 2: A Clinical Classification. Dent Traumatol. 2022;38(4):267-285.
https://doi.org/10.1111/edt.12762
PMid:35605161 PMCid:PMC9543863

 

30. Aidos H, Diogo P, Santos JM. Root Resorption Classifications: A Narrative Review and a Clinical Aid Proposal for Routine Assessment. Eur Endod J. 2018;3(3):134-145.
https://doi.org/10.14744/eej.2018.33043
PMid:32161869 PMCid:PMC7006572

 

31. Lin S, Moreinos D, Kaufman AY, Abbott PV. Tooth Resorption-Part 1: The Evolvement, Rationales and Controversies of Tooth Resorption. Dent Traumatol. 2022;38(4):253-266.
https://doi.org/10.1111/edt.12757
PMid:35559593 PMCid:PMC9546147

 

32. Andreasen J, Andreasen FM. Textbook and colours atlas of traumatic injuries of the teeth. Copenhagen: Munksgaard. 1994;151:383-425.

 

33. Wedenberg C, Lindskog S. Evidence for a Resorption Inhibitor in Dentin. Scand J Dent Res. 1987;95(3):205-211.
https://doi.org/10.1111/j.1600-0722.1987.tb01832.x
PMid:3474762

 

34. Soares AJ, Souza GA, Pereira AC, Vargas-Neto J, Zaia AA, Silva EJ. Frequency of Root Resorption Following Trauma to Permanent Teeth. J Oral Sci. 2015;57(2):73-78.
https://doi.org/10.2334/josnusd.57.73
PMid:26062854

 

35. Karthikeson PS, Mahalakshmi J, Kiran Kumar Pandurangan. Assessment of Internal Root Resorption Cases Reported to Private Dental Hospital: A Retrospective Study. Int J Dent Oral Sci. 2021;8(6):2885-2888.
https://doi.org/10.19070/2377-8075-21000585

 

36. Nageh M, Ibrahim LA, AbuNaeem FM, Salam E. Management of Internal Inflammatory Root Resorption Using Injectable Platelet-Rich Fibrin Revascularization Technique: A Clinical Study with Cone-Beam Computed Tomography Evaluation. Clin Oral Investig. 2022;26(2):1505-1516.
https://doi.org/10.1007/s00784-021-04123-z
PMid:34387731

 

37. Hemmanuer S, Nasim I. Management of Internal Resorption-A Decision Analysis. Int J Pharm Res. 2020;12.
https://doi.org/10.31838/ijpr/2020.12.02.347

 

38. Talpos-Niculescu RM, Nica LM, Popa M, Talpos-Niculescu S, Rusu LC. External Cervical Resorption: Radiological Diagnosis and Literature Review. Exp Ther Med. 2021;22(4):1065.
https://doi.org/10.3892/etm.2021.10499
PMid:34434279 PMCid:PMC8353645

 

39. Patel S, Mavridou AM, Lambrechts P, Saberi N. External Cervical Resorption-Part 1: Histopathology, Distribution and Presentation. Int Endod J. 2018;51(11):1205-1223.
https://doi.org/10.1111/iej.12942
PMid:29704466

 

40. Digholkar RS, Aggarwal SD, Kurtarkar PS, Dhatavkar PB, Neil VL, Agarwal DN. Imaging Techniques and Various Treatment Modalities Used in the Management of Internal Root Resorption: A Systematic Review. Endodontology. 2023;35(2):85-93.
https://doi.org/10.4103/endo.endo_186_21

 

41. Dao V, Mallya SM, Markovic D, Tetradis S, Chugal N. Prevalence and Characteristics of Root Resorption Identified in Cone-Beam Computed Tomography Scans. J Endod. 2023;49(2):144-154.
https://doi.org/10.1016/j.joen.2022.11.006
PMid:36509167

 

42. Martins CM, de Moraes AR, Cruz AJ, Barboza LC, Batista VS, Mori GG, do Prado RL, Matos J, Herrera B, Lacerda PB, Andrada AC. Survey-Based Assessment of Diagnosis through Periapical Radiograph and CBCT and Treatment of Root Resorption with Brazilian and American Dentists and Endodontists. J Clin Exp Dent. 2021;13(8):e745-e754.
https://doi.org/10.4317/jced.57774
PMid:34512912 PMCid:PMC8412804

 

43. Vidya Bhat S, Sham SB, Musfirat K. Efficacy of 5.25% Sodium Hypochlorite and 810 Diode Laser in Reduction of Microbial Count in Root Canals of Primary Teeth: An In Vivo Study. Res J Pharm Technol. 2023;16(4):1790-1796.
https://doi.org/10.52711/0974-360X.2023.00294

 

44. Sahebalam R, Sarraf A, Jafarzadeh H, Jouybari-Moghaddam M, Seyed-Musavi S. Clinical and Radiographic Success of Electrosurgical Pulpectomy in Primary Teeth. Bull Tokyo Dent Coll. 2017;58(2):77-83.
https://doi.org/10.2209/tdcpublication.2016-0006
PMid:28724862

 

45. Estrela C, Decurcio DA, Rossi-Fedele G, Silva JA, Guedes OA, Borges ÁH. Root Perforations: A Review of Diagnosis, Prognosis and Materials. Braz Oral Res. 2018;32(suppl 1):e73.
https://doi.org/10.1590/1807-3107bor-2018.vol32.0073

 

46. Cervino G, Laino L, D'Amico C, Russo D, Nucci L, Amoroso G, Gorassini F, Tepedino M, Terranova A, Gambino D, Mastroieni R, Tözüm MD, Fiorillo L. Mineral Trioxide Aggregate Applications in Endodontics: A Review. Eur J Dent. 2020;14(4):683-691.
https://doi.org/10.1055/s-0040-1713073
PMid:32726858 PMCid:PMC7536098

 

47. Deep A, Thakur S, Singhal P, Chawla D. Management of Root Perforation due to Internal Resorption: A 1-Year Follow-Up Study. Int J Clin Pediatr Dent. 2021;14(4):593-595.
https://doi.org/10.5005/jp-journals-10005-1992
PMid:34824521 PMCid:PMC8585888

 

48. Scott JH. Nasmyth's membrane. Irish Journal of Medical Science (1926-1967). 1951;26:334-7.
https://doi.org/10.1007/BF02957750

 

49. Thomas P, Krishna Pillai R, Ramakrishnan BP, Palani J. An Insight into Internal Resorption. ISRN Dent. 2014;2014:759326.
https://doi.org/10.1155/2014/759326
PMid:24944822 PMCid:PMC4040189

 

50. Hiremath H, Yakub SS, Metgud S, Bhagwat SV, Kulkarni S. Invasive Cervical Resorption: A Case Report. J Endod. 2007;33(8):999-1003.
https://doi.org/10.1016/j.joen.2007.02.014
PMid:17878092

 

51. Ngoc VTN, Son TM, Linh LTT, Anh LQ, Duc NM, Chu DT. An Unusual Tooth Shedding with Internal Resorption: A Case Report. Biomed Hub. 2019;4(1):1-5.
https://doi.org/10.1159/000496450
PMid:31988965 PMCid:PMC6945903

 

52. Warnsinck CJ, Shemesh H. Externe Cervicale Wortelresorptie [External Cervical Root Resorption]. Ned Tijdschr Tandheelkd. 2018;125(2):109-115.
https://doi.org/10.5177/ntvt.2018.02.17203
PMid:29461543

 

53. Marshall PS. Perforating hyperplasia of the dental pulp: "pink spot". J R Nav Med Serv. 1960;46:42-6.
https://doi.org/10.1136/jrnms-46-42
PMid:14421550

 

54. Brady J, Lewis DH. Internal Resorption Complicating Orthodontic Tooth Movement. Br J Orthod. 1984;11(3):155-157.
https://doi.org/10.1179/bjo.11.3.155
PMid:6591954

 

55. Nakano K, Shimizu N, Komura T, Ooshima T. Unusual case of internal resorption in cervical region of maxillary left lateral incisor. Pediatric Dental Journal. 2005;15:139-42.
https://doi.org/10.1016/S0917-2394(05)70043-4

 

56. Silveira FF, Nunes E, Soares JA, Ferreira CL, Rotstein I. Double "Pink Tooth" Associated with Extensive Internal Root Resorption after Orthodontic Treatment: A Case Report. Dent Traumatol. 2009;25(3):e43-e47.
https://doi.org/10.1111/j.1600-9657.2008.00755.x
PMid:19239482

 

57. Segura-Egea JJ, Castellanos-Cosano L, Martín-González J, Alonso-Ezpeleta LO, López Frías FJ. Green Discoloration of the Crown after Internal Root Resorption Treatment with Grey Mineral Trioxide Aggregate (MTA). J Clin Exp Dent. 2011;3(Suppl 1):e404-e407.
https://doi.org/10.4317/jced.3.e404

 

58. Gassmann G, Arnold WH. Case Report of an Internal Granuloma Investigated by Light and Scanning Electron Microscopy. Head Face Med. 2015;11:20.
https://doi.org/10.1186/s13005-015-0077-6
PMid:26065880 PMCid:PMC4465001

 

59. Petel R, Fuks A. Pink Spot: Literature Review and Case Report. J Clin Pediatr Dent. 2016;40(5):353-355.
https://doi.org/10.17796/1053-4628-40.5.353
PMid:27617374

 

60. Korkmaz YN, Yagci F. Multidisciplinary Treatment of Severe Upper Incisor Root Resorption Secondary to Transposed Canine. J Esthet Restor Dent. 2017;29(1):5-12.
https://doi.org/10.1111/jerd.12237
PMid:27491509

 

61. Melo NM, Oliveira LJ, Cardoso CAA, et al. Pink Spot with an Internal Resorption: Case Report. J Dent Health Oral Disord Ther. 2017;8(3):517-519.
https://doi.org/10.15406/jdhodt.2017.08.00284

 

62. Korolevsky EV, Komabayashi T, Foran D. Pink Tooth of Mummery in the Maxillary Left Canine after Fixed Partial Denture (FPD) Preparation. Case Rep Dent. 2019;2019:2096120.
https://doi.org/10.1155/2019/2096120
PMid:31815020 PMCid:PMC6877977

 

63. Tunçer Nİ, Köseoğlu-Seçgin C, Arman-Özçırpıcı A. An Unusual Case of Invasive Cervical Resorption after Piezosurgery-Assisted En Masse Retraction. Am J Orthod Dentofacial Orthop. 2019;156(1):137-147.
https://doi.org/10.1016/j.ajodo.2019.02.012
PMid:31256827

 

64. Munoz-Sanchez ML, Decerle N, Devoize L, Nicolas E, Cousson PY, Veyrune JL. Dental Trauma Management in a Young Teenager through Endodontics and Implantology: A Case Report. Healthcare (Basel). 2021;9(5):542.
https://doi.org/10.3390/healthcare9050542
PMid:34066633 PMCid:PMC8148519

 

65. Rodrigues MA, Silva MR, Carvalho AM, Souza CC, Rosas CAP, Cardoso RM, Limoeiro AGS. Invasive Cervical Resorption: Case Report. Res Soc Dev. 2021;10(14):e39101421787.
https://doi.org/10.33448/rsd-v10i14.21787

 

66. Asgary S. Management of Pink Spot Due to Class IV Invasive Cervical Root Resorption Using Vital Pulp Therapy: A Case Report. Iran Endod J. 2023;18(2):110‑112.
https://doi.org/10.1016/j.jds.2022.07.012
PMid:36643283 PMCid:PMC9831804

 

67. Kriplani S, Mahapatra J, Sedani S, Ikhar A, Patel A. Clinical Chronicles: A Case Report on Pink Tooth of Mummery. Iran Endod J. 2024;19(4):291-295.