ORTHODONTIC TREATMENT PROTOCOL IN PATIENTS WITH PREVIOUS SHORT ROOT LENGTH OF UPPER CENTRAL INCISORS. CASE SERIES
DOI:
https://doi.org/10.15332/us.v14i1.1902Keywords:
Root resorption, corrective orthodontics, tooth extractionAbstract
Root resorption is a side effect of orthodontic treatment. There are factors involve in this phenomenon such as excessive applying forces, root anatomy or genetic predisposition. However, there are not enough literature about the orthodontic treatment on patients with severe root resorption as a previous finding. The purpose of this report is explain to the clinician this pathology, and a possible orthodontic treatment. We present a several cases with previous short root length of the upper central incisors. The orthodontic treatment requires the extraction of four bicuspids to improve the functional lip gap and facial aesthetics. The patients finish the orthodontic treatment with oclusal stability, functional relationship and good aesthetics without detriment of the root condition of the upper incisors. Patients with a history of reduced radicular size can undergo orthodontic treatment with closure of spaces and incisive retraction, through a correct diagnosis, efficient biomechanics and the use of light forces, without worsening the severity of root length and dental vitality.
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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Andreasen JO, Andreasen FM. Textbook and color atlas of traumatic injuries to the teeth. 3rd ed. Copenhagen: Munksgaard; 1994.
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.
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.
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.
Sameshima GT. Predicting and preventing root resorption: Part I. Diagnostics factors. Am J Orthod Dentofacial Orthop. 2001;119:505-10.
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.
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.
Dawson P. Functional Oclussion from TMJ to smile design. 1st ed. St. Louis: Mosby Elsevier; 2006.
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.
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.
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.
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.
Costopoulos G, Nanda R. An evaluation of root resorption incident to orthodontic intrusion. Am J Orthod Dentofacial Orthop. 1996;109:543-8.
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.
