Assessment of the Effect of Orthodontic Treatment on the Periodontal Health of Endodontically Restored Tooth

Abstract

Intorduction Patients usually undergo orthodontic treatment for achieving ideal interocclusal relationship between the dental tissue and bony tissue along with improving the speech, mastication, and facial esthetic appearance. Literature quotes paucity in the studies evaluating the effect of orthodontic treatment on the periodontal health of endodontically treated teeth. Hence, we planned the present study to assess the effect of orthodontic treatment on the periodontal health of endodontically restored tooth. Materials and methods The present study included assessment of 80 patients who underwent orthodontic treatment. All the patients were divided broadly into two study groups: groups I and II. Group I included patients with the absence of endodontically treated teeth, while group II included patients which maxillary central incisors were resorted endodontically. Examination of the periodontal health of the patients was done using the community periodontal index of treatment need (CPITN) around the selected teeth. All the values were recorded during the preorthodontic time, postorthodontic time, and after the first 6 months of starting of the orthodontic treatment. All the results were recorded separately and analyzed. Results In the groups I and II, 28 and 25 patients respectively, had score of 1, while 10 patients in group I and 12 patients in group II had score of 2. Nonsignificant results were obtained while comparing the CPITN score in between the two study groups when measured at the pre-, intra-, and postortho time. Conclusion In patients undergoing orthodontic treatment, having endodontically resorted teeth, no difference exists in relation to the periodontal health. Clinical significance Orthodontic treatment can be safely carried in patients with endodontically restored teeth. How to cite this article Jalaluddin M, Goyal V, Naqvi ZA, Gupta B, Asnani MM, Sonigra HM. Assessment of the Effect of Orthodontic Treatment on the Periodontal Health of Endodontically Restored Tooth. J Contemp Dent Pract 2017;18(7):587-590.

Orthodontics and Endodontics Clinical Practice Correlation: A Narrative Review

“…While orthodontic treatment has been shown to have limited effects on the healing process of periapical lesions, it is important to acknowledge that complications can arise [ 15 ]. Complications associated with orthodontic treatment on endodontically treated teeth include apical root resorption and periodontal problems [ 16 ]. However, it should be noted that these complications are relatively rare and can be managed effectively with proper treatment protocols [ 16 ].…”

“…Complications associated with orthodontic treatment on endodontically treated teeth include apical root resorption and periodontal problems [ 16 ]. However, it should be noted that these complications are relatively rare and can be managed effectively with proper treatment protocols [ 16 ]. In the case of vital teeth, they may be more susceptible to root resorption compared to pulp-less teeth [ 17 ].…”

“…Additionally, regular monitoring of the periapical region during orthodontic treatment through radiographic evaluations to detect any changes or progression of existing periapical lesions [ 23 ]. Avoiding excessive forces during orthodontic treatment to minimize the risk of inflammation and trauma to periapical tissues [ 16 ]. Lastly, collaboration between orthodontists and endodontists ensures comprehensive care for patients with periapical disease undergoing orthodontic treatment.…”

“…Orthodontists should be aware of the potential risks and take preventive measures to minimize the impact on periapical health [ 23 ]. This includes conducting thorough examinations, promoting proper oral hygiene, monitoring the periapical region during treatment, applying controlled force, and collaborating with endodontists to provide comprehensive care [ 16 , 21 - 23 ]. In conclusion, periapical disease can have an impact on orthodontic treatment due to the potential for increased inflammatory reactions, root resorption, and delayed healing [ 23 ].…”

“…Orthodontic treatment factors include the length of treatment, type of tooth movement, and the amount of force applied during orthodontic treatment [ 28 ]. Some sources suggest that heavy orthodontic forces can increase the risk of root resorption [ 16 , 28 ]. Patient-related factors include individual variations in root morphology, genetic predisposition, and systemic conditions such as hormonal imbalance or certain medications that may affect root resorption [ 29 ].…”