Root resorption in deciduous teeth after applying orthodontic forces

2005 ◽  
Vol 29 (4) ◽  
pp. 283-286 ◽  
Author(s):  
A. Fiore Aguilar ◽  
A. Aquila ◽  
A. Ubios
Keyword(s):  
Orthodontic Treatment ◽  
Root Resorption ◽  
Deciduous Teeth ◽  
Root Fractures ◽  
Orthodontic Forces ◽  
Deciduous Molars

The relation between orthodontic forces applied to deciduous teeth and the occurrence of root resorption, as a possible outcome of these forces, has not been studied to date. The aim of this work was to study root resorption in deciduous teeth of patients receiving orthodontic treatment. Twenty-four deciduous molars extracted for therapeutic purposes were studied: nineteen molars treated with light orthodontic forces and five untreated molars that served as control. Histological and histomorphometric studies were performed to determine the magnitude of root resorption. Location of root resorption in treated deciduous teeth was different from that of physiological root resorption. Extent and volume of root resorption were more extensive and deeper in treated than in untreated teeth. These results suggest that radiographic follow-up of deciduous teeth subjected to orthodontic forces would be useful to prevent root fractures.

The long-term fate of persisting deciduous molars and canines in 42 patients with severe hypodontia: a 12-year follow-up

2019 ◽  
Vol 42 (6) ◽  
pp. 581-586 ◽  
Author(s):  
Christina L Hvaring ◽  
Kari Birkeland
Keyword(s):  
Root Resorption ◽  
Good Condition ◽  
Deciduous Tooth ◽  
Deciduous Teeth ◽  
The Mean ◽  
Deciduous Molars ◽  
Over Time ◽  
Observation Period

Summary Objectives The decision to preserve or to extract a deciduous tooth without a successor hinges upon whether it can be expected to be stable over time. This study aimed to record the number and location of deciduous teeth and to examine the condition of deciduous canines and molars in a group of patients with severe hypodontia, both at baseline and at follow-up. Material and methods A total of 50 patients participated in a follow-up study. The average age was 13.9 years (range 7–25 years) at baseline and 25.6 years (range 18–38 years) at follow-up. Of the 50 subjects, 44 had at least one persisting deciduous tooth at follow-up and 42 had at least one deciduous canine or molar at baseline. The presence of persisting deciduous teeth was identified on panoramic radiographs. Deciduous canines and second molars were classified as good or poor based on infraocclusion, root resorption, and restorations. Results The mean number of persisting deciduous teeth per patient was 6.3 (range 1–16) at baseline and 2.6 (range 0–9) at follow-up. The tooth types with the highest tendency to remain were canines and second molars, and in particular canines in the mandible. Among the 42 participants with a deciduous canine or molar, 183 teeth were present at baseline, of which 112 were classified as good. At follow-up, 86 (77 per cent) of these were still present, with 65 (58 per cent) classified as good. The number of teeth classified as poor due to infraocclusion decreased much more from baseline to follow-up than those classified as poor due to root resorptions and restorations, indicating that infraoccluded teeth were lost during the observation period. Conclusions Preserving deciduous canines and molars in good condition is often a dependable choice. Early infraocclusion is detrimental to the prognosis and often leads to tooth loss. Teeth with short roots proved to be more stable over time.

scholarly journals Is Inflammation a Friend or Foe for Orthodontic Treatment?: Inflammation in Orthodontically Induced Inflammatory Root Resorption and Accelerating Tooth Movement

2021 ◽  
Vol 22 (5) ◽  
pp. 2388
Author(s):  
Masaru Yamaguchi ◽  
Shinichi Fukasawa
Keyword(s):  
Inflammatory Mediators ◽  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Tooth Movement ◽  
Root Resorption ◽  
Orthodontic Tooth Movement ◽  
Tnf Α ◽  
Orthodontic Forces ◽  
Necrosis Factor

The aim of this paper is to provide a review on the role of inflammation in orthodontically induced inflammatory root resorption (OIIRR) and accelerating orthodontic tooth movement (AOTM) in orthodontic treatment. Orthodontic tooth movement (OTM) is stimulated by remodeling of the periodontal ligament (PDL) and alveolar bone. These remodeling activities and tooth displacement are involved in the occurrence of an inflammatory process in the periodontium, in response to orthodontic forces. Inflammatory mediators such as prostaglandins (PGs), interleukins (Ils; IL-1, -6, -17), the tumor necrosis factor (TNF)-α superfamily, and receptor activator of nuclear factor (RANK)/RANK ligand (RANKL)/osteoprotegerin (OPG) are increased in the PDL during OTM. OIIRR is one of the accidental symptoms, and inflammatory mediators have been detected in resorbed roots, PDL, and alveolar bone exposed to heavy orthodontic force. Therefore, these inflammatory mediators are involved with the occurrence of OIIRR during orthodontic tooth movement. On the contrary, regional accelerating phenomenon (RAP) occurs after fractures and surgery such as osteotomies or bone grafting, and bone healing is accelerated by increasing osteoclasts and osteoblasts. Recently, tooth movement after surgical procedures such as corticotomy, corticision, piezocision, and micro-osteoperforation might be accelerated by RAP, which increases the bone metabolism. Therefore, inflammation may be involved in accelerated OTM (AOTM). The knowledge of inflammation during orthodontic treatment could be used in preventing OIIRR and AOTM.

scholarly journals Dental trauma and itssequelae in deciduous and permanent teeth - Longitudinal study

2019 ◽  
Vol 41 (1) ◽  
pp. 34030
Author(s):  
Graziele Martioli ◽  
Helena Sandrini Venante ◽  
Gabriela Cristina Santin ◽  
Carlos Luiz Fernandes de Salles ◽  
Sandra Mara Maciel ◽  
...  
Keyword(s):  
Root Resorption ◽  
Tissue Injury ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Chi Square ◽  
Elapsed Time ◽  
Chi Square Test ◽  
Type Of Injury

Objective: This study evaluated the prevalence, clinical management and sequelae in deciduous teeth involved and permanent successors in 150 children (256 deciduous teeth. Of these, 63.3% were male, 24-35 months of age at the time of the trauma (37.9%) and the falls (78.1%) represented the major etiological factor. In relation to the type of injury, 24.6% was enamel fracture; 62.5% showed support tissue injury (lateral luxation, 22.3%). In the first and second assessments (T1 and T2), the average follow-up time was 14.5 and 26 months (256 and 131 teeth).We diagnosed clinical and radiographic sequels including discoloration of the crown (T1-15.6; T2-13.7%), inflammatory root resorption (T1-7.0; T2-8.4%); and in permanent successors, enamel hypoplasia (T1-1.2; T2-2.3%), eruption disturbances (T1-2.0; T2-1.5%).The chi-square test evidenced association, in T1, between injuries to the supporting tissues and clinical (p = 0.003) and radiographic (p = 0.004) sequelae in permanent successors; and between clinical sequelae and age at the time of trauma (p = 0.005). In T2, radiological sequelae in deciduous teeth with injuries to the tooth and supporting tissue (p = 0.035); as well as clinical sequelae with elapsed time of trauma in permanent teeth (p = 0.005). It is concluded that the follow-up of traumatized deciduous teeth is essential to prevent sequelae.

scholarly journals Correlation Between Orthodontic Forces and Root Resorption – a Systematic Review of the Literature

2016 ◽  
Vol 1 (2) ◽  
pp. 142-145 ◽  
Author(s):  
Alexandru Vlasa ◽  
Lia Yero Eremie ◽  
Luminița Lazăr ◽  
Anamaria Bud ◽  
Mariana Păcurar ◽  
...  
Keyword(s):  
Systematic Review ◽  
Orthodontic Treatment ◽  
Root Resorption ◽  
Previous History ◽  
Published Data ◽  
High Prevalence ◽  
History Of ◽  
External Apical Root Resorption ◽  
Orthodontic Forces ◽  
Apical Displacement

Abstract Orthodontically induced external apical root resorption (OIEARR) is a major concern regarding periodontal status after nonsurgical orthodontic treatment. The aim of this study was to assess this sequel by a systematic review of published data. For assessment, we performed an electronic search of one database for comprehensive data, using keywords in different combinations: “root resorption”, “periodontics” and “nonsurgical orthodontic treatment”. We supplemented the results searching by hand in published journals and we cross-referenced with the accessed articles. Patients included in the results presented a good general health status, with no previous history of OIEARR and no other associated pathologies. Finally, twenty-three studies were selected and included in this review. A high prevalence (69–98%) and moderate severity of OIEARR (<5 mm and <1/3 from original root length) were reported. No difference in root resorption was found regarding the sex of the patients. A moderate positive correlation between treatment duration and root resorption was found. Also, a mild correlation regarding antero-posterior apical displacement and root resorption was found.

scholarly journals Comprehensive orthodontic treatment in an adolescent patient with Class II Division 1 malocclusion and ankylosed maxillary central incisors

2019 ◽  
Vol 9 ◽  
pp. 190-197
Author(s):  
Matthew Wen Jian Lau
Keyword(s):  
Poor Prognosis ◽  
Orthodontic Treatment ◽  
Root Resorption ◽  
Class Ii ◽  
Anterior Teeth ◽  
External Root Resorption ◽  
Facial Esthetics ◽  
Division 1 ◽  
Traumatic Episode

While uncommon in orthodontics, the extraction of central incisors may be indicated when such teeth are of poor prognosis. This report details orthodontic treatment of a 13-year and 5-month-old Chinese female, who presented with Class II/1 malocclusion on a Class II skeletal jaw base relationship. Her maxillary central incisors were ankylosed and had undergone severe external root resorption following a previous traumatic episode. Orthodontic treatment involved removal of the maxillary central incisors and the mandibular first premolars. Pre-adjusted edgewise appliances with MBT prescription were used. To enhance anterior esthetics, prosthetic buildup of the four maxillary anterior teeth was performed before appliance removal. Tight intercuspation of teeth and optimal facial esthetics were achieved at appliance debond and maintained at 2-year follow-up.

scholarly journals Apical root resorption caused by orthodontic forces: A brief review and a long-term observation

2012 ◽  
Vol 06 (04) ◽  
pp. 445-453 ◽  
Author(s):  
Ahu Topkara ◽  
Ali I Karaman ◽  
Chung H Kau
Keyword(s):  
Root Resorption ◽  
Cone Beam ◽  
Apical Root Resorption ◽  
Long Term Follow Up ◽  
Orthodontic Patients ◽  
External Apical Root Resorption ◽  
Long Term Observation ◽  
Orthodontic Forces

ABSTRACTExternal apical root resorption (ARR) is a common iatrogenic consequence of orthodontic treatment. One of the aims of this article is to present a brief overview of the literature, including; diagnosis and etiology, with emphasis on orthodontic forces to facilitate an understand of the prevention or management of ARR in orthodontic patients. We also present a long-term follow-up observation of severe ARR, including the last obtained cone beam computed tomography (CBCT) records, to demonstrate the effect of orthodontic forces on ARR. (Eur J Dent 2012;6:445-453)

scholarly journals Spontaneous remission of internal root resorption during orthodontic treatment: A clinical follow-up report

2021 ◽  
Author(s):  
Marcio José da Silva Campos ◽  
Jocimara Domiciano Fartes de Almeida Campos ◽  
Jéssica Lívia Andrade Fontes ◽  
José Lucas dos Santos Araújo ◽  
Luciana Cláudia Diniz Tavares ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Root Resorption ◽  
Spontaneous Remission

scholarly journals Particularities of orthodontic treatment in patients with external root resorption of traumatic cause – theoretical foundation

2017 ◽  
Vol 63 (3) ◽  
pp. 124-127
Author(s):  
Anca Nicoleta Temelcea ◽  
◽  
Paula Perlea ◽  
Irina Maria Gheorghiu ◽  
Alexandru Iliescu ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Theoretical Foundation ◽  
Root Resorption ◽  
Extreme Caution ◽  
External Root Resorption ◽  
Orthodontic Forces

The therapy of dento-maxillary annomalies involves the use of orthodontic forces acting on the teeth, periodontium and alveolar bone, producing changes in their structure, resulting in final dental movement. The application of orthodontic forces should be done with extreme caution to avoid the occurrence of traumatic root resorption or aggravation when acting on a weak ground. The article aims to identify the particularities of orthodontic treatment in the etiology of external traumatic root resorbtions.

scholarly journals The correlation between external apical root resorption and electric pulp test responses: a prospective clinical trial

2021 ◽  
Vol 26 (3) ◽  
Author(s):  
Farnaz YOUNESSIAN ◽  
Mohammad BEHNAZ ◽  
Mohammadreza BADIEE ◽  
Kazem DALAIE ◽  
Arezou SARIKHANI ◽  
...  
Keyword(s):  
Root Length ◽  
Orthodontic Treatment ◽  
Root Resorption ◽  
Pearson Correlation ◽  
Multiple Linear Regression Model ◽  
Time Intervals ◽  
Apical Root Resorption ◽  
Anterior Teeth ◽  
External Apical Root Resorption

ABSTRACT Objective: The current study investigated the correlation between pulpal sensitivity to the electric pulp tester (EPT) and external apical root resorption (EARR) in four types of maxillary anterior teeth of fixed orthodontic treatment patients. Methods: In this prospective cohort study, 232 anterior teeth of 58 patients (mean age 18.96 ± 6.13 years) treated with fixed orthodontic treatment were examined. The EPT readings were recorded at twelve time points immediately before archwire insertion. Root resorption of four maxillary incisors were measured by means of parallel periapical radiographs at three time intervals (six months interval from the start) through design-to-purpose software to optimize data collection. A multiple linear regression model and Pearson correlation coefficient were used to assess the association of EPT values and observed EARR (p< 0.05). Results: The highest level of EPT measurement was recorded at initial visit, and then there was a decreasing trend in EPT level during treatment for the next six and twelve months. There was another increasing trend after six months till the finishing time of the treatment. There was a significant correlation between changes in root length and time of recording the root length (p< 0.001). There was significant positive correlation between changes in EPT level and amount of observed root resorption (p< 0.001). Conclusion: The relative decrease in electric pulp test level could be a diagnostic sign of root resorption during orthodontic treatment. Further studies with longer follow up are needed to confirm the current results.

scholarly journals What is the survival rate of deciduous molars in cases with agenesis of premolar successors? A systematic review

2021 ◽  
Author(s):  
Cibelle Cristina Oliveira dos Santos ◽  
Dandara Lopes Melo ◽  
Paula Pires da Silva ◽  
David Normando
Keyword(s):  
Survival Rate ◽  
Oral Cavity ◽  
Observational Studies ◽  
Root Resorption ◽  
Grey Literature ◽  
Synthesis Methods ◽  
Level Of Evidence ◽  
Deciduous Molar ◽  
Deciduous Molars

ABSTRACT Objectives To systematically review the literature on the survival rate of deciduous molars in cases of agenesis of premolar successors. Materials and Methods Four electronic databases and partial grey literature were searched up to November 2020. The PECOS eligibility criteria included (P) second deciduous molar (E) exposed to agenesis of a premolar successor (O) evaluated by the survival rate in the oral cavity, infraocclusion, and root resorption through (S) observational studies. Risk of bias (RoB) was assessed using the checklists from the Joanna Briggs Institute and the level of evidence was assessed using the GRADE (Grading of Recommendations, Assessment, Development and Evaluations) tool. Results Three studies were included: one with low, one with moderate, and one with high RoB. Synthesis methods included the frequency of persistent deciduous second molars during the follow-up. Approximately 82% to 89% remained in the oral cavity after 5 to 13 years. The incidence of root resorption was 11%, and the infraocclusion was 1 mm. The level of evidence was considered low for each outcome. There was considerable RoB regarding the observational studies and a need for clinical and radiographic monitoring of the deciduous molars. Conclusions Maintaining a deciduous molar in the oral cavity in patients with agenesis of the premolar successor is a viable clinical choice since 82% to 89% of the retained molars evaluated were in good condition over a follow-up ranging from 5 to 13 years. Infraocclusion and root resorption did not seem to increase considerably. The level of evidence was considered low for each outcome.

Sign in / Sign up

Export Citation Format

Share Document