scholarly journals Intentional Replantation and 3d Obturation with Biodentine of a Resorbed Root in Young People: A Case Report

2021 ◽  
Vol 2 (9) ◽  
pp. 839-845
Author(s):  
Giovanni Messina ◽  
Luca Boschini ◽  
Luigi Stagno dAlcontres ◽  
Stefano Milani ◽  
Maria Elena Cipollina ◽  
...  
Keyword(s):  
Case Report ◽  
Young People ◽  
Orthodontic Treatment ◽  
Root Resorption ◽  
Root Anatomy ◽  
Cone Beam ◽  
Retrograde Approach ◽  
Precise Position ◽  
X Ray ◽  
Adult Age

Referred patient 14 years old (in orthodontic treatment) for a suspected resorption on a 2.1 that was exposed to a trauma [1]. After an apical x ray, a cone beam was performed to have a complete diagnosis [2,3]. Almost the 80% of the root is resorbed, after achieving the parents’ consent to the treatment, was planned an intentional replantation [4] and a retrograde approach. In case like this the treatment’s goal is an intentional replantation to stop the root resorption, removing all the resorbing tissue and rebuild the root by biodentine’s use [5]. The tooth was replanted and splinted to the ortho appliances to allow a precise position of replantation. The final X ray control confirmed the correct rebuilding of the root anatomy. After two weeks the endodontic treatment was performed at all. After 6 months the patient has completed the ortho treatment and the X ray control revealed a good response, the biodentine‘s stability and no sign of tissue inflammation. Since the good preliminary results at six months of the intentional replantation with Biodentine root rebuilding, this treatment, in young patient, can be considered as a good option to the maintainability of the tooth till the adult age and to long lasting prosthetic treatments.

Orthodontically induced root resorption – a literature review

2019 ◽  
Vol 24 (2) ◽  
Author(s):  
Anna Pogorzelska ◽  
Anna Stróżyńska-Sitkiewicz ◽  
Kazimierz Szopiński
Keyword(s):  
Orthodontic Treatment ◽  
Root Resorption ◽  
Dental Treatment ◽  
Diagnostic Methods ◽  
Cone Beam ◽  
Permanent Teeth ◽  
Therapeutic Measures ◽  
Cervical Area ◽  
Periapical Radiography

Root resorption in moved teeth is a common undesirable side effect of orthodontic treatment. This pathology usually affects permanent teeth. Although any part of the root may be involved, the apical or cervical area is usually affected. The formation and development of these changes are a long-term process and depend on various factors. The etiology of resorptive changes associated with orthodontic treatment has been widely discussed by many authors, who proposed numerous classifications. Particularly noteworthy are the works on techniques for the treatment of malocclusion and their potential adverse effects. Modern diagnostic methods allow for an early detection of this pathology and the implementation of appropriate therapeutic measures. These techniques include periapical radiography (paralleling technique) combined with cone-beam computed tomography. Dentists not only notice the need to achieve a beautiful smile, but they also take into account possible root shortening. This process is not fully understood, but realizing its existence is important for planning and implementing both orthodontic and general dental treatment.

scholarly journals Orthodontic management of a complete and an incomplete maxillary canine-first premolar transposition

2019 ◽  
Vol 90 (3) ◽  
pp. 457-466 ◽  
Author(s):  
Carmen Lorente ◽  
Pedro Lorente ◽  
Maria Perez-Vela ◽  
Cristina Esquinas ◽  
Teresa Lorente
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Early Diagnosis ◽  
Orthodontic Treatment ◽  
The Other ◽  
Cone Beam ◽  
Normal Position ◽  
Maxillary Canine ◽  
Apical Position ◽  
Complete Transposition

ABSTRACT Maxillary canine and first premolar transposition is a complicated dental anomaly to treat, especially if the clinician's goal is to orthodontically move the canine into its normal position. Early diagnosis with cone-beam computed tomography simplifies the treatment of this pathology. This case report describes a patient with bilateral transposition, one complete and the other incomplete, involving the maxillary canine and the first premolar (Mx.C.1P). The orthodontic treatment involved the correction of both transpositions. In the complete transposition, the traction was mesial and upward to move the canine into a more apical position with a wider dentoalveolar process for easier crown interchange.

Double ‘pink tooth’ associated with extensive internal root resorption after orthodontic treatment: a case report

2009 ◽  
Vol 25 (3) ◽  
pp. e43-e47 ◽  
Author(s):  
Frank F Silveira ◽  
Eduardo Nunes ◽  
Janir A Soares ◽  
Cynthia L Ferreira ◽  
Ilan Rotstein
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Root Resorption

scholarly journals Apical Resorption of Upper Incisors and Canines During Orthodontic Treatment in Class III Orthognathic Surgery Patients – a Longitudinal Cone Beam Computer Tomography Study

2017 ◽  
Vol 17 (1) ◽  
pp. 23-28
Author(s):  
Ieva Gavare ◽  
Ilga Urtane ◽  
Gundega Jakobsone ◽  
Laura Neimane
Keyword(s):  
Root Length ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Root Resorption ◽  
Cone Beam ◽  
Class Iii ◽  
Crown Root ◽  
Post Surgery ◽  
Dentofacial Deformity ◽  
Cone Beam Computer Tomography

Summary Introduction. Although severe root resorption is rare, it is a side effect of orthodontic treatment which affects tooth prognosis. Patients with severe dentofacial deformity, for whom orthodontic treatment and orthognathic surgery was done at the age of 18 and later, had long duration orthodontic treatment and orthognathic surgery, and are at a high risk of root resorption. The impact of orthognathic surgery on root resorption has not been sufficiently studied, and therefore is an interesting topic to research. Aim of the Study. To identify the risk factors for apical root resorption of maxillary incisors and canines as a result of orthodontic and surgical treatment of Class III malocclusion involving LeFort I osteotomy. Material and methods. The root lengths of upper incisors and canines were measured on cone beam computer tomography (CBCT) scans obtained from a database of orthognathic surgery patients. As a criteria for root resorption was chosen the difference in root lengths between different time points. The measurements were performed using the scans taken before orthodontic treatment (T1), before surgery (T2), and after post surgery orthodontic treatment (T3), of 28 subjects, aged 20.5 ± 3.81 years, with the mean presurgery treatment time of 19.9 ± 8.8 months, and post-surgery time of 7.1 ± 3.1 months. Changes in root lengths during different time spans were correlated with treatment duration, the initial crown/root ratio, and the severity of dentofacial deformity (Wits appraisal, ANB angle, and overjet). Results. During T1 - T2 the roots of the lateral incisors shortened by a maximum of 0.78 ± 0.83 mm (p < 0.001), at a rate of 0.04 mm per month. During T2 - T3 the lengths of the central incisor roots decreased most by 0.49 ± 0.52 (p < 0.001) at a rate of 0.07 mm per month. The resorption speed for canines increased from 0.03 mm to 0.1 mm per month before and after surgery. There were statistically significant correlations between the crown-root ratio and the incisor root length (r = 0.319 for lateral and r = 303 for central, both p<0,05) and for canines (r = 482, p<0.01). The associations between the shortened root length, in different time spans for different teeth, and the severity of malocclusion were inconsistent. Conclusions. Overall, the shortened root length during combined orthodontic and surgical treatment might not be clinically significant. After surgery, the rate of root resorption (mm per month) increased, especially for canines. The teeth with initially shorter roots showed more resorption during treatment.

scholarly journals Quantitative Analysis of the Relationship between Maxillary Incisors and the Incisive Canal by Cone-Beam Computed Tomography in an Adult Population of Mangaluru

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Vaishnavi D ◽  
◽  
Harshitha V ◽  
Kishore K ◽  
◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Interindividual Variation ◽  
Cone Beam ◽  
Maxillary Incisor ◽  
Incisive Canal ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Maxillary Incisors

Background: Maxillary anterior teeth play a crucial role in aesthetics, phonetics, and mastication. For successful orthodontic treatment evaluating the morphology of the alveolar bone and incisive canal would help in avoiding root resorption, dehiscence, and fenestration. This study is aimed to research the configurational relationships among maxillary incisors, alveolar bone, and incisive canal through Cone Beam Computerated Tomography (CBCT). Methods: CBCT images of 35 orthodontic patients were evaluated for length of the canal (L); angles between the palatal plane and the maxillary alveolar border (01),the incisive canal (02), and maxillary incisor (03); distance from the right maxillary incisor to the incisive canal (D). All the measurements were performed on sagittal plane with the exception of (D) which was made on axial plane. Statistical analysis was performed on the above parameters using two sample test and Pearson’s correlation analysis. Results: There was no statistically significant difference between males and females for all the variables although there were large interindividual variation. There was a positive moderate correlation between 01 and 02 (0.480), 01 and 03 (0.487), 02 and 03 (0.345). The mean value for L and D were 10.38mm and 4.14mm respectively. Conclusion: There exists a large interindividual variability for incisive canal, proximity of incisors with that of incisive canal which could not be precisely predicted by the conventional cephalograms. The results of the study could be helpful clinically in planning orthodontic treatment for significant intrusion and retraction of maxillary incisors

Rehabilitative treatment after unsuccessful teeth replantation: a case report

2003 ◽  
Vol 26 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Paulo Floriani Kramer ◽  
Sady Horst ◽  
Joice König ◽  
Eduardo Galia Reston ◽  
Ernani Calvete
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Root Resorption ◽  
Facial Trauma ◽  
Rehabilitative Treatment ◽  
Patient’S Satisfaction ◽  
Dental Profession

A nine-year-old boy suffered a severe facial trauma in a bicycle crash, which resulted in the avulsion and subluxation of upper central incisors.Teeth were repositioned and stabilized, attempting to achieve a successful replantation. Root resorption occurred, teeth were extracted, followed by orthodontic treatment, and esthetic procedures, modifying laterals and canines. This article reports an attempt and failure of replantation, providing alternatives for achieving patient's satisfaction, applying a variety of techniques and areas of dental profession.

scholarly journals Analisis ameloblastoma unilokuler menggunakan radiograf cone beam computed tomography (CBCT) 3D sebagai penunjang diagnosis

2020 ◽  
Vol 3 (3) ◽  
pp. 33
Author(s):  
Siska Damayanti Saifuddin ◽  
Farina Pramanik ◽  
Ria Noerianingsih Firman
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Cone Beam ◽  
The Past ◽  
Lower Jaw ◽  
Imaging Characteristics ◽  
Radiolucent Lesion ◽  
Inferior Border ◽  
The Right ◽  
Cortical Perforation

Objectives: This purpose of this  case report is to explain the imaging characteristics of unilocular ameloblastoma in CBCT 3D radiograph. Case Report: A 32-year-old male patient came to the dentist complaining his painful right lower jaw over the past few days. Clinical examination showed extensive swelling in the posterior region of the right mandible to cause asymmetry at the inferior border of the mandibular corpus. Panoramic radiography showed radiolucent area in periapical mesial root of 46 tooth, extending to the right angular mandibular with a clearly demarcated shape,  and there was a root resorption of 47 tooth. CBCT 3D examination showed the presence of unilocular radiolucent lesion in a regular shape and a clear borderline, extending to the inferior border of the mandible and causing buccal-lingual cortical perforation accompanied with the resorption of adjacent 47 tooth. Conclusion: CBCT is a supporting radiography that may act as a more accurate diagnostic tool for the diagnosis of unique ameloblastoma lesions.

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