scholarly journals Orthodontic Retreatment: Dental Trauma and Root Resorption

10.5772/22293 ◽  
2011 ◽  
Author(s):  
Pedro Marcelo ◽  
Fabiana Akemy ◽  
Osmar Aparecido ◽  
Marcos Rogerio de Mendonc
Keyword(s):  
Root Resorption ◽  
Dental Trauma

Dental trauma on primary teeth at different root resorption stages-A dynamic finite element impact analysis of the effect on the permanent tooth germ

2019 ◽  
Vol 35 (2) ◽  
pp. 101-108 ◽  
Author(s):  
Andomar B. F. Vilela ◽  
Priscilla B. F. Soares ◽  
Fabiana S. de Oliveira ◽  
Tales C. Garcia-Silva ◽  
Carlos Estrela ◽  
...  
Keyword(s):  
Finite Element ◽  
Impact Analysis ◽  
Primary Teeth ◽  
Root Resorption ◽  
Dental Trauma ◽  
Tooth Germ ◽  
Permanent Tooth ◽  
Dynamic Finite Element

scholarly journals Orthodontic Forced Eruption of Permanent Anterior Teeth with Subgingival Fractures: A Systematic Review

2021 ◽  
Vol 18 (23) ◽  
pp. 12580
Author(s):  
Elisabeth Reichardt ◽  
Ralf Krug ◽  
Michael M. Bornstein ◽  
Jürgen Tomasch ◽  
Carlalberta Verna ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Statistical Significance ◽  
Case Series ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Cochrane Library ◽  
Anterior Teeth ◽  
Forced Eruption

(1) Background: To assess orthodontic forced eruption (OFE) as a pre-restorative procedure for non-restorable permanent teeth with subgingival dental hard tissue defects after dental trauma. (2) Methods: A systematic electronic search of three databases, namely, MEDLINE, Cochrane Library, and EMBASE, revealed a total of 2757 eligible publications. Randomized controlled clinical trials (RCT), retro- and prospective clinical studies, or case series (with a minimum of three patients) were reviewed. (3) Results: Thirteen full-text papers were included: one RCT, one prospective clinical trial, two retrospective cohort studies, and nine case series. Within case series, statistical significance between age and cause of fracture (p < 0.03) was determined. The mean extrusion rate of OFE was 1.5 mm a week within a four to six weeks treatment period followed by retention. Three OFE protocols for maxillary single teeth are available: 1. OFE without migration of gingiva and alveolar bone, 2. OFE with gingival migration and slight alveolar bone migration, and 3. OFE with migration of both gingiva and alveolar bone. (4) Conclusions: The current state of the evidence suggests that OFE is a feasible pre-treatment option for non-restorable permanent teeth. OFE can promote the migration of tooth surrounding hard and soft tissues in the esthetic zone. Root resorption does not seem to be a relevant side effect of OFE.

Treatment of Traumatic Dental Injuries: Shift in Strategy

1990 ◽  
Vol 6 (4) ◽  
pp. 588-602 ◽  
Author(s):  
Frances M. Andreasen ◽  
Jens O. Andreasen
Keyword(s):  
Root Resorption ◽  
Dental Trauma ◽  
Third Party ◽  
Restorative Dentistry ◽  
The Public ◽  
Bonding System ◽  
External Root Resorption ◽  
Accepted Part ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

AbsractA more conservative approach to the treatment of traumatic dental injuries has been made possible by knowledge concerning the pathogensis of external root resorption, increased knowledge about wound healing processes in the pulp and periodintium, as well as by advances in restorative dentistry (reattachment of crown fragments with a dentin bonding system, the use of adhesive bridges, and advances in autotransplantation and implantation). However, a rethinking by the public, clinicians, and third-party payers is necessary for these procedures to gain wider acceptance. The present article describes the state of the art of treating dental trauma in the hope that these advances cam become an accepted part of the dental trauma armamentarium and not merely scientific curiosities.

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 Extensive orthodontically induced dental resorption: What to do?

2020 ◽  
Vol 25 (2) ◽  
pp. 18-23
Author(s):  
Alberto Consolaro
Keyword(s):  
Dental Caries ◽  
Periodontal Disease ◽  
Dental Implants ◽  
Root Resorption ◽  
Dental Trauma ◽  
Special Care ◽  
Endodontic Treatment ◽  
Dental Arch ◽  
Bodily Movements

ABSTRACT If essential care is thorough, teeth with extensive orthodontically induced dental resorption can have the same endurance as normal teeth. These teeth are subjected to the same disturbances as normal ones, such as dental trauma, dental caries and periodontal disease, all of which are independent of severe dental resorption. Orthodontic retreatments of teeth presenting with extensive orthodontically induced dental resorption must take into consideration that these roots are shorter in length, therefore, they are more prone to root resorption. Conventional movements are not viable in severe resorption, but Orthodontics offer some alternatives, such as; 1) movement of multiple teeth, providing better distribution of force; 2) use of lesser forces along with bodily movements, as opposed to rotation; 3) anchorage using miniplates, which provide more diffuse and equally distributed force and movements upon teeth and bone. Extensive orthodontically induced dental resorption are not an indication for endodontic treatment. These teeth also should not be replaced by osseointegrated dental implants, but they must receive special care, as they must remain in the dental arch indefinitely.

scholarly journals Microapical surgery management of root resorption in anterior teeth caused by dental trauma: case report

STEMedicine ◽  
2022 ◽  
Vol 3 (1) ◽  
pp. e115
Author(s):  
Jiang Wang ◽  
Yang Yang ◽  
Yingjie Wang ◽  
Yanli Liu ◽  
Yongjin Chen ◽  
...  
Keyword(s):  
Root Resorption ◽  
Dental Trauma ◽  
Complete Healing ◽  
Root Canal Therapy ◽  
Anterior Teeth ◽  
Root Absorption ◽  
Trauma Case ◽  
History Of ◽  
Dental Injuries

Root resorption (RR) is a common complication of traumatic dental injuries (TDIs), which could result in tooth loss and affect life in severe cases. The management of a traumatized tooth with RR remains a challenge for clinicians. In our presented cases, the impacted teeth had a history of trauma and underwent thorough non-surgical endodontic treatment; however, RR still occurred months later and could be observed through a periapical radiograph. Therefore, root canal therapy was performed under a dental microscope with a quick-setting calcium silicate cement to repair the RR site. After a long follow-up, the affected teeth showed almost complete healing of the periradicular tissues without sign of RR. This report demonstrates that external root absorption is typically a consequence of traumatized teeth. However, to date, there is still no effective method for its treatment. Here, we successfully applied microscopical surgery to the traumatized teeth experiencing root absorption and provided them with a new healing opportunity.

scholarly journals Root Resorption a 6-Year Follow-up Case Report

2015 ◽  
Vol 9 (1) ◽  
pp. 103-105 ◽  
Author(s):  
Caroline Dias ◽  
Luciane Closs ◽  
Fernando Barletta ◽  
Eduardo Reston ◽  
Maximiano F Tovo ◽  
...  
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Clinical Course ◽  
Dental Trauma ◽  
Central Incisor ◽  
External Root Resorption ◽  
Dental Practitioners ◽  
Pulp Exposure ◽  
Natural Dentition

This paper describes the clinical course of a pediatric patient developing cervical external root resorption (CERR). An 11-year old male patient had sustained dental trauma and was diagnosed with crown fracture affecting the incisal and middle thirds of the maxillary right permanent central incisor and the maxillary right permanent lateral incisor with pulp exposure and CERR after 24 months. Diagnosis and treatment of CERR are a challenge for dental practitioners. In this case, preservation of natural dentition is shown as a successful treatment in a 6-year follow-up.

scholarly journals Clinical Management of Two Root Resorption Cases in Endodontic Practice

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Jozef Mincik ◽  
Daniel Urban ◽  
Silvia Timkova
Keyword(s):  
Root Canal ◽  
Clinical Management ◽  
Orthodontic Treatment ◽  
Inflammatory Process ◽  
Root Resorption ◽  
Dental Trauma ◽  
Pathological Process ◽  
Dental Tissues ◽  
Clear Sign ◽  
Hard Dental Tissues

Root resorption is a pathological process involving loss of hard dental tissues. It may occur as a consequence of dental trauma, orthodontic treatment, and bleaching, and occasionally it accompanies periodontal disease. Although the mechanism of resorption process is examined in detail, its etiology is not fully understood. Wide open apical foramen is more difficult to manage and the root canal may often overfill. In this report we present two cases of root resorption and describe means for its clinical management. We conclude that useful measure of a success or failure in managing root resorption is the persistence of the resorption process. It is a clear sign of an active ongoing inflammatory process and shows the clinical need for retreatment.

scholarly journals Combination of dentoalveolar traumatic injury: a case report (10-year follow-up)

2015 ◽  
Vol 18 (4) ◽  
pp. 121
Author(s):  
Jacqueline Dolphine Grenier ◽  
Marcos Sergio Endo ◽  
Joana Yumi Teruya Uchimura ◽  
Elen De Souza Tolentino ◽  
Nair Narumi Orita Pavan
Keyword(s):  
Root Resorption ◽  
Color Change ◽  
Treatment Plan ◽  
Traumatic Injury ◽  
Dental Trauma ◽  
Clinical Analysis ◽  
Clinical Approach ◽  
Dystrophic Calcification ◽  
Clinical Conditions

<p>Tooth Injury comprises a group of clinical conditions that can have the separation or breakage of the tooth and its surrounding tissues. A case of multiple concomitant dental trauma is reported. In 2004, a female patient, 11 years old, visited the dental office a half hour after a dental trauma caused by a fall in the pool. She complained of mild discomfort in the tooth 11; in a clinical analysis, it was partially displaced from its socket and showed grade 2 mobility; in a radiographic analysis, the tooth showed an increase in the periodontal ligament space, a diagnosis of extrusive luxation. The adjacent teeth 21 and 22, presented subgingival bleeding, diagnosed with subluxation. After preparing the treatment plan, clinical approach consisted of manual reduction of the tooth 11 and non-rigid splint of affected teeth. The patient received a prescription of antibiotic and anti-inflammatory. After 15 days, the splint was removed and the teeth 11, 21 and 22 showed pulpal sensibility, maintaining the same results for 4 months. In the 4<sup>th</sup> month, tooth 11 was diagnosed with pulp necrosis, thus requiring endodontic treatment. After 10 years, teeth were asymptomatic, with a slight color change in tooth 11; the cone beam scan indicated root resorption in the apical third of the three elements and the presence of dystrophic calcification of teeth 21 and 22. In conclusion, the injured teeth remain in function with relevant follow-up period, highlighting the search for a response, upon the purpose of the study. </p>

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