Orthodontic movement of endodontically treated teeth

Consolaro, Alberto; Consolaro, Renata Bianco

doi:10.1590/s2176-94512013000400002

Cited by 23 publications

(34 citation statements)

References 3 publications

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“…Furthermore, the orthodontic forces applied to root canal treated teeth do not affect biofilm nor the virulence of microbiota in root canal. To that end, inflammatory periapical lesions should be interpreted to result from the limitations of endodontic treatment [ 74 ]. The experimental study on dogs carried out by de Souza et al [ 75 ] indicated that orthodontic movement of teeth with chronic periapical lesion delayed the healing process but did not prevent the periapical lesion to heal.…”

Section: Discussionmentioning

confidence: 99%

Apical periodontitis in southern Estonian population: prevalence and associations with quality of root canal fillings and coronal restorations

et al. 2017

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BackgroundApical periodontitis (AP) is an inflammatory disease around the apex of a tooth root. Reported prevalence of AP ranges from 27% to 83% while the data about most post-Soviet countries are still missing. Knowing the prevalence of AP within a certain population helps to plan the treatment need and evaluate the success of endodontic interventions. We aimed to collect data about prevalence and determining factors of AP for the first time in Estonia.MethodsThe cross-sectional study included 6552 patients (age 35.5±19.2 years). Radiographic examination was applied to investigate the prevalence of AP and quality of endodontic treatment.ResultsAP was diagnosed in 54.7% of subjects. Endodontically treated teeth were present in 58.2% of subjects. Periapical finding was present in 44.6% of endodontically treated and in 30.8% of untreated teeth.Out of 181,495 teeth, 52.7% were intact. AP was diagnosed in 6.3% of teeth, 6.9% of teeth were endodontically treated.Risk factors for AP included caries (OR = 2.30), male gender (OR = 1.44), too short (OR = 1.76) or too long root canal filling (OR = 2.51), root canal filling of low density (OR = 1.61) while not orthodontic appliance. Lower AP risk was associated with restoration of the tooth – filling (OR = 0.45), crown (OR = 0.34) and bridge (OR = 0.33).ConclusionsAP is highly prevalent in Southern Estonian population. Most cases are associated with root canal-treated teeth. The overall quality of root canal fillings tends to be low, consistent with the mediocre outcome of treatment. Considerable efforts are required to improve the standards of endodontic treatment.Electronic supplementary materialThe online version of this article (10.1186/s12903-017-0429-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Apical periodontitis in southern Estonian population: prevalence and associations with quality of root canal fillings and coronal restorations

et al. 2017

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“…One of the issues that raises the most questions and uncertainties in the orthodontic and endodontic clinical practice is the time at which a tooth may be moved after the completion of an endodontic procedure. This study extrapolates experimental and clinical knowledge accumulated from studies and clinical cases [1][2][3][4][5][6][7][8][9][10][11] , particularly as there are no specific data about it in the relevant literature.…”

Section: Orthodontic Insightmentioning

confidence: 98%

Orthodontics and Endodontics: clinical decision-making

Consolaro

Miranda

Consolaro

2020

Dental Press J. Orthod.

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Endodontically treated teeth may be moved, as endodontic treatment is not a contraindication for orthodontic treatment. Apical periodontal repair begins when the periapical or pulp lesion has completely resolved. This may happen immediately after treatment if the filling material causes little or no irritation of periapical tissues, and particularly if the material is fully contained within the canal. When it leaks, a foreign body granuloma forms and persists for some months or indefinitely, depending on the composition of the filling material. Materials containing calcium hydroxide with no resin components undergo phagocytosis and disappear in some months, as macrophages gradually remove them. Materials containing resins, silicone, ionomers, zinc oxide-eugenol, bioceramics or gutta-percha remain in the site and induce the formation of foreign body granulomas. Although this does not preclude tooth movement, patients should be followed up every three months using periapical images to control the position of the material in relation to the tooth apex. “Pseudo” overfilling may be avoided if permanent filling is delayed until the time when orthodontic treatment is completed.

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“…The use of strong forces and prolonged treatment is directly related to anincrease in root resorption associated with orthodontics and these risks are well understood by orthodontists. 3 Alqerban A et al( 2018) conducted a study to evaluate the periapical status of endodontically treated teeth and the integrity of endodontic treatment before and after orthodontic treatment. They observed that the risk for periapical lesions and bone destruction after orthodontic treatment was significantly increased for teeth receiving inadequate endodontic treatment compared with those receiving adequate endodontic treatment.…”

Section: Root Resorption Due To Otmmentioning

confidence: 99%

“…However, the factors that forms the basis for clinical decisions and biological alignments normally applied is based on the collective data relevant to inflammation, tissue repair, tooth movement biology and accompanying resorptions, pulpal and periapical disease. 3 There still remains scarcity of information on the crisp liaison between endodontics and orthodontics during treatment planning decisions. This association varies from outcomes on the pulp and the probability for its resorption due to OTM, to the clinical treatment of teeth demanding both endodontic and orthodontic procedures.…”

Section: Introductionmentioning

confidence: 99%

Adverse effects of orthodontic tooth movement on endodontically treated teeth-An overview

Sengupta¹,

Sisodia²,

Verma³

et al. 2020

IJCE

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Orthodontic tooth movement (OTM) can be possibly be performed on endodontically treated teeth with remarkable outcomes. There is however a scarcity of adequate knowledge and data regarding the crisp association between endodontics and orthodontic treatment. This association comprises of various effects involving the pulp and periodontium that occurs as a result of orthodontic treatment. It is hence always suggested to apply adequate and appropriate amount of occasional forces that would bring about satisfactory tooth movement. This would in turn restrict pulpal damage, and also aid in its healing. Thus, proper evaluation of such endodontically treated case with a thorough clinical and radiographical assessment before orthodontic treatment is primarily important prior to orthodontic treatment. Hence, this review portrays a brief image about the various adverse effects of OTM on endodontically treated tooth.

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Orthodontic movement of endodontically treated teeth

Cited by 23 publications

References 3 publications

Apical periodontitis in southern Estonian population: prevalence and associations with quality of root canal fillings and coronal restorations

Apical periodontitis in southern Estonian population: prevalence and associations with quality of root canal fillings and coronal restorations

Orthodontics and Endodontics: clinical decision-making

Adverse effects of orthodontic tooth movement on endodontically treated teeth-An overview

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