Evaluation of Risk Factors for Severe Apical Root Resorption in the Maxillary Incisors Following Fixed Orthodontic Treatment

Shahrure, Bashar; Açar, Abdullah

doi:10.5152/turkjorthod.2022.20139

Cited by 5 publications

(1 citation statement)

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“…External root resorption (EER) often occurs in subjects treated with rapid maxillary expansion. The first molars and the upper incisors are the teeth most affected by the resorption process, with a significant reduction in radicular volume and length [ 34 , 35 ]. The choice to use a bone-borne expansion and not traditional tooth-borne expansion, as in this patient, does not significantly reduce this risk [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Type I Dentin Dysplasia: The Literature Review and Case Report of a Family Affected by Misrecognition and Late Diagnosis

Putrino,

Caputo,

Galeotti

et al. 2023

Medicina

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Background and Objectives: Type I dentin dysplasia (DD-I) is a rare genetic disorder with autosomal dominant or recessive inheritance at risk of late or long-misunderstood diagnosis because the teeth, compared to other degenerative dentin diseases, do not have coronal defects and/or alterations but only at the root level (absent, conical, pointed roots, and obliterated pulp canals). The first radiographic suspicion often occurs only in case of sudden mobility and/or abscesses of the permanent teeth. Genetic tests confirm the diagnosis. Case Presentation: This case report describes the oral and radiographic characteristics of two siblings, 12 and 10 years old, a male and a female, at an early age affected by DD-I, whose diagnosis was made for a first orthodontic visit. The father and the older child had already undergone dental and orthodontic treatments, respectively, without the disease being suspected by the dentist. Results: Genetic tests support the diagnosis of DD-I. Following the diagnosis, the patients began a process of close periodic checks every 3–4 months to monitor their situation. The male child lost upper lateral incisors, which were then replaced with a light nylon removable prosthesis. Conclusions: The ability to recognize the radiographic features characteristic of DD-I is very important to avoid prejudicial diagnostic delays and to be able to plan the long-term treatment of these patients better, especially when the pathology was primarily misrecognized in the family.

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Section: Discussionmentioning

confidence: 99%