scholarly journals Extensive orthodontically induced dental resorption: What to do?

2020 ◽  
Vol 25 (2) ◽  
pp. 18-23
Author(s):  
Alberto Consolaro

ABSTRACT If essential care is thorough, teeth with extensive orthodontically induced dental resorption can have the same endurance as normal teeth. These teeth are subjected to the same disturbances as normal ones, such as dental trauma, dental caries and periodontal disease, all of which are independent of severe dental resorption. Orthodontic retreatments of teeth presenting with extensive orthodontically induced dental resorption must take into consideration that these roots are shorter in length, therefore, they are more prone to root resorption. Conventional movements are not viable in severe resorption, but Orthodontics offer some alternatives, such as; 1) movement of multiple teeth, providing better distribution of force; 2) use of lesser forces along with bodily movements, as opposed to rotation; 3) anchorage using miniplates, which provide more diffuse and equally distributed force and movements upon teeth and bone. Extensive orthodontically induced dental resorption are not an indication for endodontic treatment. These teeth also should not be replaced by osseointegrated dental implants, but they must receive special care, as they must remain in the dental arch indefinitely.

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Usha Radke ◽  
Rajesh Kubde ◽  
Aditi Paldiwal

Advances in dentistry, as well as the increased desire of patients to maintain their dentition, have led to treatment of teeth that once would have been removed. Mandibular first molars are the most commonly extracted teeth due to dental caries and periodontal disease. These teeth are the major standpoint for occlusion, and also have a wide pericemental area. Hence, any defect in the root either mesial or distal, extraction is the most common treatment planned. Under specific conditions, only the diseased part of the tooth can be extracted after an endodontic treatment. A modified fixed partial denture design is fabricated to splint the remaining portion of the tooth to adjacent teeth. This procedure though daunting can be easily achieved and maintained successfully.


2020 ◽  
Vol 61 (2) ◽  
pp. 136-141
Author(s):  
Maria Arianna Lima Ribeiro ◽  
Kamila Nogueira Borges da Costa ◽  
Tacíria Machado Bezerra ◽  
Meire Coelho Ferreira

The alveolysis is a pathological condition classified as partial or total dehiscence (the root exposure is partial or total and involves the marginal bone) and apical fenestration (the root exposure doesn’t involve the marginal bone). Usually occurs by vestibular and in the anterior region of the maxilla. It’s commonly associated with chronic infections provoked by dental caries and dental trauma. This study aims to report a clinical alveolysis case in a previous traumatized deciduous tooth of a 4 years old child. Clinical examination noticed aveolysis apical fenestration type associated to partial dehiscence (tooth 51) and presence of mobility. In the radiographic examination it was found thickening of the pericementary space and external root resorption. The indicated treatment was extraction of the affected tooth and the use of maintainer of space. Based on the reported case, it is concluded that early care and the control of traumatized and decayed teeth are essential for the prevention of alveolysis.


2005 ◽  
Vol 53 (3) ◽  
pp. 430-437 ◽  
Author(s):  
Poul Holm-Pedersen ◽  
Kirsten Avlund ◽  
Douglas E. Morse ◽  
Kaj Stoltze ◽  
Ralph V. Katz ◽  
...  

2019 ◽  
Vol 35 (2) ◽  
pp. 101-108 ◽  
Author(s):  
Andomar B. F. Vilela ◽  
Priscilla B. F. Soares ◽  
Fabiana S. de Oliveira ◽  
Tales C. Garcia-Silva ◽  
Carlos Estrela ◽  
...  

2009 ◽  
Vol 13 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Julio César Cavasin Filho ◽  
Élcio Magdalena Giovani

Author(s):  
Elisabeth Reichardt ◽  
Ralf Krug ◽  
Michael M. Bornstein ◽  
Jürgen Tomasch ◽  
Carlalberta Verna ◽  
...  

(1) Background: To assess orthodontic forced eruption (OFE) as a pre-restorative procedure for non-restorable permanent teeth with subgingival dental hard tissue defects after dental trauma. (2) Methods: A systematic electronic search of three databases, namely, MEDLINE, Cochrane Library, and EMBASE, revealed a total of 2757 eligible publications. Randomized controlled clinical trials (RCT), retro- and prospective clinical studies, or case series (with a minimum of three patients) were reviewed. (3) Results: Thirteen full-text papers were included: one RCT, one prospective clinical trial, two retrospective cohort studies, and nine case series. Within case series, statistical significance between age and cause of fracture (p < 0.03) was determined. The mean extrusion rate of OFE was 1.5 mm a week within a four to six weeks treatment period followed by retention. Three OFE protocols for maxillary single teeth are available: 1. OFE without migration of gingiva and alveolar bone, 2. OFE with gingival migration and slight alveolar bone migration, and 3. OFE with migration of both gingiva and alveolar bone. (4) Conclusions: The current state of the evidence suggests that OFE is a feasible pre-treatment option for non-restorable permanent teeth. OFE can promote the migration of tooth surrounding hard and soft tissues in the esthetic zone. Root resorption does not seem to be a relevant side effect of OFE.


2021 ◽  
Vol 6 (2) ◽  
pp. 13-22
Author(s):  
Azlan Jaafar ◽  
Normaliza AB Malik ◽  
aws hashim ali alkadhim

Objective: To identify the prevalence of caries, plaque score, and periodontal disease and explore the correlations between oral health literacy scores and oral health status among undergraduate students. Materials and Methods: A cross-sectional study was conducted with a group of undergraduate students using the Malay version of the Oral Health Literacy (OHL) Index. A stratified random sampling technique was used to select the samples. Clinical oral examinations were conducted by a single trained examiner using a Community Periodontal Index (CPI) probe and a mouth mirror. Data analysis was conducted using statistical tests contained in SPSS version 26, and statistical significance was set at p<0.05. Results: A total of 280 students were recruited into the study. The prevalence of caries and periodontal disease was 58.9 and 13.2%, respectively. There was a significant association between OHL and field of study (p<0.001). There was also a significant negative but weak correlation between OHL and dental plaque scores (r= -0.147; p=0.014). A significant positive but weak correlation was found between dental plaque scores and dental caries (r= 0.135; p=0.024) and periodontal pocket depth (r= 0.168; p=0.005). Conclusion: The prevalence of dental caries was high, while the prevalence of periodontal diseases was low in this study. OHL correlated significantly with dental plaque scores and field of the study. Thus, OHL assessment is essential to understand a person’s OHL levels and can be considered a screening tool for early detection of poor oral hygiene.


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