What does this root resorption look consistent with?

[Duppy813]

I plan to keep an eye on it since I cannot handle my teeth being prodded at this moment.(my whole mouth is irritated it’s not even this particular tooth)

I’d also like to know: how bad does it look?
Does it appear long standing? What does it look like is going on here?
I know full examination in person is needed. Just trying to get an opinion.

Here’s some history:

The crown with the resorption and the surrounding crowns don’t contact right. Theres catching and they hit at painful angles and slopes. Definite bite trauma.

History of Invisalign (2 years)
Full braces(2 years) (however from what I know, it’s only this tooth, not multiple)

What does this look consistent with in your opinion? I was already told no infection.
If it comes into contact it gets sooo painful.
Working on getting everything replaced.
Idk if it’s the crowns doing it or just irritating it.

 

[Dr M]

It is difficult to say without having previous x-rays to compare. It might be that there was some resorption during the orthodontic treatment, depending on the size and duration of forces exerted on the tooth. It also might be normal development and anatomy of your molar, or it might appear shorter on the x-ray, due to the roots running in a different direction, since a PAN is only a 2D image.
Currently there looks like no peri-apical pathology, but there might be a small gap distal on the crown, which could lead to leakage.

The crown can be adjusted if the occlusal forces are too high. This could alleviate some of your pain, when biting down on it. Otherwise the new crown should be reduced, so that there is minimal forces on the tooth when biting down.
A general check-up with regards to potential bruxism, should also be taken into consideration.

 

[Duppy813]

It is difficult to say without having previous x-rays to compare. It might be that there was some resorption during the orthodontic treatment, depending on the size and duration of forces exerted on the tooth. It also might be normal development and anatomy of your molar, or it might appear shorter on the x-ray, due to the roots running in a different direction, since a PAN is only a 2D image.
Currently there looks like no peri-apical pathology, but there might be a small gap distal on the crown, which could lead to leakage.

The crown can be adjusted if the occlusal forces are too high. This could alleviate some of your pain, when biting down on it. Otherwise the new crown should be reduced, so that there is minimal forces on the tooth when biting down.
A general check-up with regards to potential bruxism, should also be taken into consideration.

Thankyou!!! You may have just explained why I have really bad pain and redness on the backside/inbetween crown and implant of the crown on the gums along the base. Making an apt to possibly get this sealed tomorrow if that’s a problem.

Also this crown is not new. It’s about eight years old and have had non stop problems with it plus 3 adjustments.The entire thing is shaped weird and wider/taller than the neighboring teeth. I’m about to go in and have all this crown work redone by a prosthodontist.

Thanks again!