PROTOCOLO ORTODÓNCICO EN PACIENTES CON ANTECEDENTE DE RAÍCES DE TAMAÑO DISMINUIDO EN INCISIVOS CENTRALES SUPERIORES: SERIE DE CASOS
Palabras clave:
Resorción radicular, ortodoncia correctiva, extracción dental
Resumen
La resorción radicular es un efecto adverso indeseable durante el tratamiento de ortodoncia. Existen diversas causas que la producen, tales como fuerzas excesivas, morfología radicular o factores genéticos predisponentes; sin embargo, no hay suficiente evidencia científica acerca del tratamiento de ortodoncia en pacientes con el proceso de resorción como antecedente importante. El propósito del presente artículo es darle a entender al clínico sobre la resorción radicular y su posible manejo cuando existan raíces de tamaño disminuido previo al inicio del tratamiento de ortodoncia. Se presenta una serie de casos con raíces de tamaño disminuido de incisivos centrales superiores; en todos ellos se hace tratamiento de ortodoncia correctivo con extracciones de primeros premolares superiores e inferiores por necesidad tanto funcional de selle labial como de estética facial. Los pacientes finalizan el tratamiento con adecuadas relaciones oclusales, funcionales y estéticas, sin detrimento del estado radicular y pulpar de los dientes afectados. Pacientes con antecedente de tamaño radicular disminuido pueden ser sometidos a tratamiento de ortodoncia con cierre de espacios y retracción incisiva, mediante un correcto diagnóstico, eficiente biomecánica y el uso de fuerzas ligeras, sin empeorar la severidad de la longitud radicular y de la vitalidad dental.
[Puerta GE, Herrera S. Protocolo ortodóncico en pacientes con antecedente de raíces de tamaño disminuido en incisivos centrales superiores: serie de casos. Ustasalud 2015;14:59-66]
Referencias
1. Belinda W, Katherine WLV, Henry WF, Shiva S, Eloise EK. Root resorption associated with orthodontic tooth movement: A systematic review. Am J Orthod Dentofacial Orthop. 2010;137:462-76.
2. Ballard DJ, Jones AS, Petocz P, Darendeliler MA. Physical properties of root cementum: Part 11. Continuous vs intermittent controlled orthodontic forces on root resorption. A microcomputed-tomography study. Am J Orthod Dentofacial Orthop. 2009;136(1):e1-8.
3. Aras B, Cheng LL, Turk T, Elekdag-Turk S, Jones AS, Darendeliler MA. Physical properties of root cementum: part 23. Effects of 2 or 3 weekly reactivated continuous or intermittent orthodontic forces on root resorption and tooth movement: a microcomputed tomography study. Am J Orthod Dentofacial Orthop. 2012;141(2):29-37.
4. Srivicharnkul P, Kharbanda OP, Swain MV, Pectocz P, Darendeliler MA. Physiscal properties of root cementum: Part 3. Hardness and elastic modulus after application of light and heavy forces. Am J Orthod Dentofacial Orthop. 2005;127(2):168-76.
5. Chan E, Darendeliler MA. Physical properties of root cementum: Part 5. Volumetric analysis of root resorption craters after application of light and heavy orthodontic forces. Am J Orthod Dentofacial Orthop. 2005;127(2):186-95.
6. Harris DA, Jones AS, Darendeliler MA. Physical properties of root cementum: Part 8. Volumetric analysiis of root resorption craters after application of controlled intrusive light and heavy orthodontic forces: a microcomputed tomography scan study. Am J Orthod Dentofacial Orthop. 2006;130(5):639-47.
7. Barbagallo LJ, Jones AS, Petocz P, Darendeliler MA. Physical properties of root cementum: Part 10. Comparison of the effects of invisible removable thermoplastic appliances with light and heavy orthodontic forces on premolar cementum. A microcomputed tomography study. Am J Orthod Dentofacial Orthop. 2008;133(2):218-27.
8. Chen LL, Turk T, Elekdag-Turk S, Jones AS, Petocz P, Darandeliler MA. Physical properties of root cementum: Part 13. Repair of root resorption 4 and 8 weeks after the application of continuous light and heavy forces for 4 weeks: a microcomputed tomography study. Am J Orthod Dentofacial Orthop. 2009;136(3):e1-10.
9. Paetyangkul A, Turk T, Elekdag-Turk S, Jones AS, Petocz P, Cheng LL et al. Physical properties of root cementum: Part 16. Comparisons of root resorption and resorption craters after the application of light and heavy continuous and controlled orthodontic forces for 4, 8, and 12 weeks. Am J Orthod Dentofacial Orthop. 2011;139(3):279-84.
10. Bartley N, Turk T, Colak C, Elekdag-Turk S, Jones AS, Petocz P et al. Physical properties of root cementum: Part 17. Root resorption after the application of 2.5 and 15 of buccal root torque for 4 weeks: a microcoputed tomography study. Am J Orthod Dentofacial Orthop. 2011|;139(4):e353-60.
11. Wu AT, Turk T, Colak C, Elekdag-Turk S, Jones AS, Petocz P, et al. Physical properties of root cementum: Part 18. The extent of root resorption after the application of light and heavy controlled rotational orthodontic forces for 4 weeks: a microcomputed tomography study. Am J Orthod Dentofacial Orthop. 2011;139(5):495-503.
12. Montenegro VC, Jones A, Petocz P, Gonzales C, Darendeliler MA. Physical properties of root cementum: Part 22. Root resoption after the application of light and heavy extrusive orthodontic forces: a microcomputed tomography study. Am J Orthod Dentofacial Orthop. 2012;141(1):e1-9.
13. Vaquero P, Perea B, Labajo E, Santiago A, García F. Reabsorción radicular durante el tratamiento ortodóncico: causas y recomendaciones de actuación. Cient Dent. 2011;8(1):61-70.
14. Malek S, Darendeliler MA, Swain MV. Physical properties of root cementum: Part I. A new method for 3-dimensional evaluation. Am
J Orthod Dentofacial Orthop. 2001;120(2):198-208.
15. Silva-Marques L, Teixeira-Chaves KC, Rey AC, Pereira LJ, de Oliveira-Ruelas AC. Severe root resorption and orthodontic treatment: clinical implications after 25 years of follow up. Am J Orthod Dentofacial Ortop. 2011;139:s166-9.
16. Puerta G, Herrera-Guardiola S. Tratamiento de ortodoncia con extracciones en paciente con antecedentes de reabsorción radicular severa. Reporte de caso. Revista Científica de la Sociedad Colombiana de Ortodoncia. 2014;1(1):61-70.
17. Yu JH, Shu KW, Tsai MT, Hsu JT. A cone-beam computed tomography study of orthodontic apical root resorption. J Dent Sci. 2013;8(1):74-79.
18. Dudic A, Giannopoulou C, Leuzinger M, Kiliaridis S. Detection of apical root resorption after orthodontic treatment by using panoramic radiography and cone-beam computed tomography of super high resolution. Am J Orthod Dentofacial Orthop. 2009; 135:434-7.
19. Andreasen JO, Andreasen FM. Textbook and color atlas of traumatic injuries to the teeth. 3rd ed. Copenhagen: Munksgaard; 1994.
20. Levander E, Malmgren O. Evaluation of the risk of root resorption during orthodontic treatment: a study of upper incisiors. Eur J Orthod. 1988;10:30-8.
21. Janson GRP, de Luca Canto G, Rodriguez D, Castanha JF, de Freitas MR. A radiographic comparison of apical root resorption after orthodontic treatment with 3 different fixed appliance techniques. Am J Orthod Dentofacial Orthop. 2000;118(3):262-73.
22. Deane S, Jones AS, Petocz P, Darendeliler MA. Physical properties of root cementum: Part 12. The incidence of physiologicroot resorption on unerupted third molars and its comparison with orthodontically treated premolars. A microcomputed tomography study. Am J Orthod Dentofacial Orthop. 2009;136:e148-9.
23. Sameshima GT. Predicting and preventing root resorption: Part I. Diagnostics factors. Am J Orthod Dentofacial Orthop. 2001;119:505-10.
24. Picanco GV, de Freitas KM, Cançado RH, Valarelli FP, Feijao CP. Predisposing factors to severe external root resorption associated to orthodontic treatment. Dental Press J Orthod. 2013;18(1):110-20.
25. Blake M, Woodside DG, Pharoah MJ. A radiographic comparison of apical root resorption after orthodontic treatment whit the edgewise and Speed appliances. Am J Orthod Dentofacial Orthop. 1995;108(1):76-84.
26. Dawson P. Functional Oclussion from TMJ to smile design. 1st ed. St. Louis: Mosby Elsevier; 2006.
27. Lupi JE, Handelman CS, Sadowsky c. Prevalence and severity of apical root resorption and alveolar bone loss in orthodontically treated adults. Am J Orthod Dentofacial Orthop. 1996;109(1):28-37.
28. Levander E, Malmgren A. Apical root resorption during orthodontic treatment of patients with multiple aplasia: a study of maxillary incisors. European Journal of Orthodontics. 1998;20:427-34.
29. Sehr K, Bock NC, Serbesis C, Honemann M, Ruf S. Severe external apical root resorption-local cause or genetic predisposition? J Orofac Orthop. 2011;72:321-31.
30. González F, Robles V, Rivero L, Palis M, Pulido J. Reabsorción radicular inflamatoria en sujetos con tratamiento ortodóntico. Cartagena (Colombia). Rev Salud Uninorte. 2012;28(3):382-90.
31. Costopoulos G, Nanda R. An evaluation of root resorption incident to orthodontic intrusion. Am J Orthod Dentofacial Orthop. 1996;109:543-8.
32. Inubushi T, Tanaka E, Rego Eb, Ohtani J, Kawazoe A, Tanne K et al. Ultrasound stimulation attenuates resorption of tooth root induced by experimental force application. Bone. 2013;53(2):497-506.
2. Ballard DJ, Jones AS, Petocz P, Darendeliler MA. Physical properties of root cementum: Part 11. Continuous vs intermittent controlled orthodontic forces on root resorption. A microcomputed-tomography study. Am J Orthod Dentofacial Orthop. 2009;136(1):e1-8.
3. Aras B, Cheng LL, Turk T, Elekdag-Turk S, Jones AS, Darendeliler MA. Physical properties of root cementum: part 23. Effects of 2 or 3 weekly reactivated continuous or intermittent orthodontic forces on root resorption and tooth movement: a microcomputed tomography study. Am J Orthod Dentofacial Orthop. 2012;141(2):29-37.
4. Srivicharnkul P, Kharbanda OP, Swain MV, Pectocz P, Darendeliler MA. Physiscal properties of root cementum: Part 3. Hardness and elastic modulus after application of light and heavy forces. Am J Orthod Dentofacial Orthop. 2005;127(2):168-76.
5. Chan E, Darendeliler MA. Physical properties of root cementum: Part 5. Volumetric analysis of root resorption craters after application of light and heavy orthodontic forces. Am J Orthod Dentofacial Orthop. 2005;127(2):186-95.
6. Harris DA, Jones AS, Darendeliler MA. Physical properties of root cementum: Part 8. Volumetric analysiis of root resorption craters after application of controlled intrusive light and heavy orthodontic forces: a microcomputed tomography scan study. Am J Orthod Dentofacial Orthop. 2006;130(5):639-47.
7. Barbagallo LJ, Jones AS, Petocz P, Darendeliler MA. Physical properties of root cementum: Part 10. Comparison of the effects of invisible removable thermoplastic appliances with light and heavy orthodontic forces on premolar cementum. A microcomputed tomography study. Am J Orthod Dentofacial Orthop. 2008;133(2):218-27.
8. Chen LL, Turk T, Elekdag-Turk S, Jones AS, Petocz P, Darandeliler MA. Physical properties of root cementum: Part 13. Repair of root resorption 4 and 8 weeks after the application of continuous light and heavy forces for 4 weeks: a microcomputed tomography study. Am J Orthod Dentofacial Orthop. 2009;136(3):e1-10.
9. Paetyangkul A, Turk T, Elekdag-Turk S, Jones AS, Petocz P, Cheng LL et al. Physical properties of root cementum: Part 16. Comparisons of root resorption and resorption craters after the application of light and heavy continuous and controlled orthodontic forces for 4, 8, and 12 weeks. Am J Orthod Dentofacial Orthop. 2011;139(3):279-84.
10. Bartley N, Turk T, Colak C, Elekdag-Turk S, Jones AS, Petocz P et al. Physical properties of root cementum: Part 17. Root resorption after the application of 2.5 and 15 of buccal root torque for 4 weeks: a microcoputed tomography study. Am J Orthod Dentofacial Orthop. 2011|;139(4):e353-60.
11. Wu AT, Turk T, Colak C, Elekdag-Turk S, Jones AS, Petocz P, et al. Physical properties of root cementum: Part 18. The extent of root resorption after the application of light and heavy controlled rotational orthodontic forces for 4 weeks: a microcomputed tomography study. Am J Orthod Dentofacial Orthop. 2011;139(5):495-503.
12. Montenegro VC, Jones A, Petocz P, Gonzales C, Darendeliler MA. Physical properties of root cementum: Part 22. Root resoption after the application of light and heavy extrusive orthodontic forces: a microcomputed tomography study. Am J Orthod Dentofacial Orthop. 2012;141(1):e1-9.
13. Vaquero P, Perea B, Labajo E, Santiago A, García F. Reabsorción radicular durante el tratamiento ortodóncico: causas y recomendaciones de actuación. Cient Dent. 2011;8(1):61-70.
14. Malek S, Darendeliler MA, Swain MV. Physical properties of root cementum: Part I. A new method for 3-dimensional evaluation. Am
J Orthod Dentofacial Orthop. 2001;120(2):198-208.
15. Silva-Marques L, Teixeira-Chaves KC, Rey AC, Pereira LJ, de Oliveira-Ruelas AC. Severe root resorption and orthodontic treatment: clinical implications after 25 years of follow up. Am J Orthod Dentofacial Ortop. 2011;139:s166-9.
16. Puerta G, Herrera-Guardiola S. Tratamiento de ortodoncia con extracciones en paciente con antecedentes de reabsorción radicular severa. Reporte de caso. Revista Científica de la Sociedad Colombiana de Ortodoncia. 2014;1(1):61-70.
17. Yu JH, Shu KW, Tsai MT, Hsu JT. A cone-beam computed tomography study of orthodontic apical root resorption. J Dent Sci. 2013;8(1):74-79.
18. Dudic A, Giannopoulou C, Leuzinger M, Kiliaridis S. Detection of apical root resorption after orthodontic treatment by using panoramic radiography and cone-beam computed tomography of super high resolution. Am J Orthod Dentofacial Orthop. 2009; 135:434-7.
19. Andreasen JO, Andreasen FM. Textbook and color atlas of traumatic injuries to the teeth. 3rd ed. Copenhagen: Munksgaard; 1994.
20. Levander E, Malmgren O. Evaluation of the risk of root resorption during orthodontic treatment: a study of upper incisiors. Eur J Orthod. 1988;10:30-8.
21. Janson GRP, de Luca Canto G, Rodriguez D, Castanha JF, de Freitas MR. A radiographic comparison of apical root resorption after orthodontic treatment with 3 different fixed appliance techniques. Am J Orthod Dentofacial Orthop. 2000;118(3):262-73.
22. Deane S, Jones AS, Petocz P, Darendeliler MA. Physical properties of root cementum: Part 12. The incidence of physiologicroot resorption on unerupted third molars and its comparison with orthodontically treated premolars. A microcomputed tomography study. Am J Orthod Dentofacial Orthop. 2009;136:e148-9.
23. Sameshima GT. Predicting and preventing root resorption: Part I. Diagnostics factors. Am J Orthod Dentofacial Orthop. 2001;119:505-10.
24. Picanco GV, de Freitas KM, Cançado RH, Valarelli FP, Feijao CP. Predisposing factors to severe external root resorption associated to orthodontic treatment. Dental Press J Orthod. 2013;18(1):110-20.
25. Blake M, Woodside DG, Pharoah MJ. A radiographic comparison of apical root resorption after orthodontic treatment whit the edgewise and Speed appliances. Am J Orthod Dentofacial Orthop. 1995;108(1):76-84.
26. Dawson P. Functional Oclussion from TMJ to smile design. 1st ed. St. Louis: Mosby Elsevier; 2006.
27. Lupi JE, Handelman CS, Sadowsky c. Prevalence and severity of apical root resorption and alveolar bone loss in orthodontically treated adults. Am J Orthod Dentofacial Orthop. 1996;109(1):28-37.
28. Levander E, Malmgren A. Apical root resorption during orthodontic treatment of patients with multiple aplasia: a study of maxillary incisors. European Journal of Orthodontics. 1998;20:427-34.
29. Sehr K, Bock NC, Serbesis C, Honemann M, Ruf S. Severe external apical root resorption-local cause or genetic predisposition? J Orofac Orthop. 2011;72:321-31.
30. González F, Robles V, Rivero L, Palis M, Pulido J. Reabsorción radicular inflamatoria en sujetos con tratamiento ortodóntico. Cartagena (Colombia). Rev Salud Uninorte. 2012;28(3):382-90.
31. Costopoulos G, Nanda R. An evaluation of root resorption incident to orthodontic intrusion. Am J Orthod Dentofacial Orthop. 1996;109:543-8.
32. Inubushi T, Tanaka E, Rego Eb, Ohtani J, Kawazoe A, Tanne K et al. Ultrasound stimulation attenuates resorption of tooth root induced by experimental force application. Bone. 2013;53(2):497-506.
Publicado
2018-06-25
Cómo citar
Puerta Salazar, G., & Herrera Guardiola, S. (2018). PROTOCOLO ORTODÓNCICO EN PACIENTES CON ANTECEDENTE DE RAÍCES DE TAMAÑO DISMINUIDO EN INCISIVOS CENTRALES SUPERIORES: SERIE DE CASOS. Ustasalud, 14, 59-66. https://doi.org/https://doi.org/10.15332/us.v14i1.1902
Número
Sección
Serie de casos
