scholarly journals Diagnosis, Screening and Treatment of Root Resorption in Orthodontic Practices in Greece and Sweden

2008 ◽  
Vol 78 (2) ◽  
pp. 248-253 ◽  
Author(s):  
Dimitrios Makedonas ◽  
Ken Hansen
Keyword(s):  
Orthodontic Treatment ◽  
Root Resorption ◽  
Treatment Approach ◽  
Treatment Plan ◽  
Total Duration ◽  
Radiographic Evaluation ◽  
Specific Approach ◽  
Planning Approach ◽  
End Of Treatment

Abstract Objective: To evaluate the perception of Greek and Swedish orthodontic practitioners regarding the possible occurrence and prognosis of root resorption occurring during orthodontic treatment and to estimate practitioners' approaches to the diagnosis of preexisting root resorption, screening of prevalence, and treatment planning approach when moderate or severe root resorption is present. Materials and Methods: Questionnaires were received from randomly selected Greek (n = 90) and Swedish (n = 106) practitioners. Topics of the questions included (a) the presence of history; (b) the radiographic evaluation of root resorption before, during, and after treatment; (c) the treatment approach of initial prevention and protocols in cases of radiographic diagnosis of root resorption during treatment. Results: Of the respondents, 47.1% of the Swedish practitioners and 32.3% of the Greek practitioners use periapical and panoramic radiographs to diagnose root resorption, mostly in the anterior region. Both groups recognize trauma, root form, and oral habits as predisposing factors. The majority of Swedish orthodontists perform radiographic follow-up in the first 6 months. In contrast, the Greek orthodontists perform it at 1 year or at the end of treatment. The treatment approach for root resorption that is most frequently used by Swedish orthodontists is altering the treatment plan, using light forces, and allowing resting periods, while the Greek orthodontists most frequently use lighter forces and reduce the total duration of the treatment. Conclusions: Because there is no specific approach offered in the literature, the prevention and treatment reassessment in cases of root resorption relies on individual practitioner perception.

scholarly journals Orthodontic Treatment Including Autotransplantation of a Mature Tooth

2009 ◽  
Vol 79 (2) ◽  
pp. 387-393 ◽  
Author(s):  
Kazuaki Nishimura ◽  
Shinobu Amano ◽  
Kimihisa Nakao ◽  
Shigemi Goto
Keyword(s):  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Root Resorption ◽  
Treatment Plan ◽  
Primary School Student ◽  
Appropriate Treatment ◽  
Japanese Female ◽  
Old Japanese ◽  
Chief Complaints

Abstract The patient was a 24-year-old Japanese female. The chief complaints were crowding and masticatory dysfunction due to the missing right first molar. Her maxillary first premolars had been extracted when she was a primary school student. We planned orthodontic treatment with extraction of the mandibular first premolars and transplantation of the mandibular left first premolar into the maxillary right first molar area. We made a diagnostic setup model to initiate an appropriate treatment plan for the discrepancy in tooth size ratio. Following the diagnostic setup model, the space in the maxillary right first molar area was closed by a small amount of tooth movement, and a good occlusion was achieved. The patient had been in retention for 7 years, and the occlusion has been maintained very well during this time. In the follow-up, 10 years after autotransplantation, no signs of inflammatory or replacement root resorption were found, and marginal bone support appeared similar to that of neighboring teeth.

Reimplantation of an Inverted Maxillary Premolar: Case Report of a Multidiscplinary Treatment Approach

2009 ◽  
Vol 33 (4) ◽  
pp. 279-282 ◽  
Author(s):  
Ayca Ulusoy ◽  
Murat Akkocaoglu ◽  
Seden Akan ◽  
Ilken Kocadereli ◽  
Zafer Cehreli
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Treatment Approach ◽  
Multidisciplinary Treatment ◽  
Rare Condition ◽  
Treatment Alternative ◽  
Normal Position ◽  
Sufficient Space ◽  
Viable Treatment

Inversion of premolars is an extremely rare condition, which usually requires extraction. This case report describes the inversion of an impacted maxillary second premolar in an 11-year-old male, and the multidisciplinary treatment approach for bringing the tooth into a normal position within the arch. In order to provide sufficient space for surgical reimplantation of the tooth, the mesially-drifted neighbouring maxillary first molar was first endodontically treated, followed by orthodontic distalization of the tooth. The inverted tooth was removed surgically and reimplanted without the use of splints for stabilization. After a 12-month follow-up period, the tooth maintained its vitality without any root resorption. Reimplantation of impacted inverted premolars can be a viable treatment alternative to extraction

scholarly journals Transdiagnostic CBT Treatment of Co-morbid Anxiety and Depression in an Older Adult: Single Case Experimental Design

2014 ◽  
Vol 43 (1) ◽  
pp. 119-124 ◽  
Author(s):  
Ben Hague ◽  
Shonagh Scott ◽  
Stephen Kellett
Keyword(s):  
Older Adults ◽  
Experimental Design ◽  
Treatment Approach ◽  
Single Case ◽  
Anxiety And Depression ◽  
Unified Protocol ◽  
End Of Treatment ◽  
Routine Clinical Setting ◽  
Clinical Models

Background: Despite the prevalence of co-morbid anxiety and depression in older adults, evaluation of suitable clinical models is rare. Aims: This study tested the acceptability and effectiveness of a transdiagnostic approach to treating co-morbid anxiety and depression in an older adults in a routine clinical setting. Method: In an A/B single case experimental design, a patient completed five daily ideographic measures of anxiety and depression across baseline and treatment and the HADS at five time points over time, including 3-month follow-up. The 8-session treatment was transdiagnostic CBT informed by the Unified Protocol. Results: All sessions were attended. Significant baseline-treatment improvements were found for daily structure, mood, confidence and worry, with large associated effect sizes. The HADS showed that the patient met recovery criteria by the end of treatment, with some evidence of anxious relapse at follow-up. Conclusion: Transdiagnostic CBT offers promise as a treatment approach to mixed anxiety and depression in older adults. The model needs to be further tested using more rigorous and suitably powered methodologies.

scholarly journals Surgical-orthodontic treatment for severe malocclusion in a patient with osteopetrosis and bilateral cleft lip and palate: Case report with a 5-year follow-up

2021 ◽  
Author(s):  
Jin-Kyu Kim ◽  
Jun-Young Kim ◽  
Hwi-Dong Jung ◽  
Young-Soo Jung
Keyword(s):  
Functional Outcomes ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Chief Complaint ◽  
Radiographic Evaluation ◽  
Bone Metabolism Markers ◽  
Normal Bone ◽  
Bilateral Cleft Lip

ABSTRACT Orthognathic surgery in patients with craniofacial osteopetrosis, a condition associated with osteoclast dysfunction, is usually avoided because of the risk of osteomyelitis. A 19-year-old woman presented with the chief complaint of severe malocclusion and anterior crossbite. After radiographic evaluation, craniofacial osteopetrosis was diagnosed. Surgical-orthodontic treatment was performed after meticulous history taking and verification of normal bone turnover using bone-metabolism markers for endocrine evaluation. Favorable esthetic and functional outcomes were achieved.

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.

Retrospective Clinical and Radiologic Evaluation of Nonsurgical Endodontic Treatment in Human Immunodeficiency Virus (HIV) Infection

2006 ◽  
Vol 7 (1) ◽  
pp. 1-8 ◽  
Author(s):  
John A. Suchina ◽  
Debora Levine ◽  
Catherine M. Flaitz ◽  
C. Mark Nichols ◽  
M. John Hicks
Keyword(s):  
Human Immunodeficiency Virus ◽  
Hiv Infection ◽  
Root Resorption ◽  
Lesion Size ◽  
Endodontic Treatment ◽  
Radiographic Evaluation ◽  
Posterior Teeth ◽  
Radiologic Evaluation ◽  
Immunodeficiency Virus

Abstract Purpose This retrospective study evaluated the clinical and radiographic status of nonsurgical endodontic treatment (ET) of anterior and posterior teeth in HIV-seropositive patients. Methods ET was analyzed in 26 anterior and 34 posterior teeth from 54 consecutive HIV patients (gender ratio 3 Male : 1 Female, mean age 40.2 years, mean CD4 240, CD4<500 in 88%, 12 with AIDS) over a six year period with a minimum of six months follow-up. ET was evaluated as successful, questionable, or failure based upon clinical factors (palpation, mobility, sinus tract, percussion, function, infection/swelling, occlusion, symptoms) and radiographic factors (periodontal ligament space, rarefaction, lamina dura, root resorption, obturation) during post-treatment examinations with a mean follow up of 26 months. Results Clinical evaluation at follow up found ET outcome was successful in 88%, questionable in 10% (tenderness with percussion, mobility, widened ligament), and a failure in 2% (developed lesion after ET). Periapical lesions were present in 37% of cases (mean lesion size 6.2 mm). Following ET, mean lesion size (1.8 mm) had decreased by 71%. Obturation was evaluated as optimal or acceptable in 68%. Radiographic evaluation was considered successful in 80%, no change in 15%, and a failure in 5%. Conclusions Despite obturation deficiencies and the immunocompromised state of the patients, endodontic therapy has a relatively high degree of success in the majority of HIV/AIDS patients. HIV infection and AIDS should not be considered as a contraindication to endodontic therapy in this patient population. Citation Suchina JA, Levine D, Flaitz CM, Nichols CM, Hicks MJ. Retrospective Clinical and Radiologic Evaluation of Nonsurgical Endodontic Treatment in Human Immunodeficiency Virus (HIV) Infection. J Contemp Dent Pract 2006 February;(7)1:001-008.

Results of JESS (Joshi’s External Stabilizing System) in Relapsed, Neglected and Neurogenic Clubfoot in an Age Group of 2-10 Years

2020 ◽  
Vol 22 (2) ◽  
pp. 121-129
Author(s):  
Kawoosa A Altaf ◽  
Syed Baasit Shafi Shah ◽  
Shafeeq Ahmad ◽  
Umar Mumtaz ◽  
Sayar Ahmad Mantoo
Keyword(s):  
Total Duration ◽  
Lateral View ◽  
Age Group ◽  
Metatarsal Angle ◽  
End Of Treatment ◽  
Severe Group ◽  
The Mean ◽  
Pin Tract Infection ◽  
Mean Time

Background. Joshi’s External Stabilization System (JESS) is an external fixator based methodology to correct different deformities of club foot using differential distraction. Material and methods. 31 difficult clubfeet feet in 24 patients who were neglected, neurogenic or relapsed were treated using JESS between July 2013 to June 2015 with an average follow-up of 4. 2 years. There were 16 males and 8 females in an age group of 2–10 years. 30 feet belonged to the severe and most severe group as per the Dimeglio Scoring System. All patients achieved correction of all components of the clubfoot. Results. However, one patient required tibialis anterior transfer for dynamic forefoot adduction at the end of treatment. The mean total duration in JESS fixation was 69.5 days/foot (range 44-123 days) and the mean time to achieve correction within JESS averaged 52 days. The deformities improved from a mean Dimeglio score of 14.06 to 2.93. The objective radiological assessment of the deformities revealed improvements in the talocalcaneal angle on AP view from 16.39° to 34.52° and on lateral view from 15.97° to 33.03°. The Talo-1st metatarsal angle (AP view) improved from 35.29° to 7°. Complications included 11 cases of superficial pin tract infection, two instances of pin loosening and a case of pin cut out. There were three cases of 1st metatarsophalangeal dislocation that were managed by reversing the process of distraction. Conclusion. JESS is an effective method for managing difficult clubfeet.

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 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.

Results of JESS (Joshi’s External Stabilizing System) in Relapsed, Neglected and Neurogenic Clubfoot in an Age Group of 2-10 Years

2020 ◽  
Vol 22 (1) ◽  
pp. 35-43
Author(s):  
Kawoosa A Altaf ◽  
Syed Baasit Shafi Shah ◽  
Shafeeq Ahmad ◽  
Umar Mumtaz ◽  
Sayar Ahmad Mantoo
Keyword(s):  
Total Duration ◽  
Lateral View ◽  
Age Group ◽  
Metatarsal Angle ◽  
End Of Treatment ◽  
Severe Group ◽  
The Mean ◽  
Pin Tract Infection ◽  
Mean Time

Background. Joshi’s External Stabilization System (JESS) is an external fixator based methodology to correct different deformities of club foot using differential distraction. Material and methods. 31 difficult clubfeet feet in 24 patients who were neglected, neurogenic or relapsed were treated using JESS between July 2013 to June 2015 with an average follow-up of 4. 2 years. There were 16 males and 8 females in an age group of 2–10 years. 30 feet belonged to the severe and most severe group as per the Dimeglio Scoring System. All patients achieved correction of all components of the clubfoot. Results. However, one patient required tibialis anterior transfer for dynamic forefoot adduction at the end of treatment. The mean total duration in JESS fixation was 69.5 days/foot (range 44-123 days) and the mean time to achieve correction within JESS averaged 52 days. The deformities improved from a mean Dimeglio score of 14.06 to 2.93. The objective radiological assessment of the deformities revealed improvements in the talocalcaneal angle on AP view from 16.39° to 34.52° and on lateral view from 15.97° to 33.03°. The Talo-1st metatarsal angle (AP view) improved from 35.29° to 7°. Complications included 11 cases of superficial pin tract infection, two instances of pin loosening and a case of pin cut out. There were three cases of 1st metatarsophalangeal dislocation that were managed by reversing the process of distraction. Conclusion. JESS is an effective method for managing difficult clubfeet.

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