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1.
Head Face Med ; 17(1): 3, 2021 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-33531044

RESUMO

BACKGROUND: Orthodontic root resorptions are frequently investigated in small animals, and micro-computed tomography (µCT) enables volumetric comparison. Despite, due to overlapping histograms from dentine and bone, accurate quantification of root resorption is challenging. The present study aims at (i) validating a novel automated approach for tooth segmentation (ATS), (ii) to indicate that matching of contralateral teeth is eligible to assess orthodontic tooth movement (OTM) and root resorption (RR), (iii) and to apply the novel approach in an animal trial performing orthodontic tooth movement. METHODS: The oral apparatus of three female mice were scanned with a µCT. The first molars of each jaw and animal were segmented using ATS (test) and manually (control), and contralateral volumes were compared. Agreement in root volumes and time efficiency were assessed for method validation. In another n = 14 animals, the left first upper molar was protracted for 11 days at 0.5 N, whereas the contralateral molar served as control. Following ATS, OTM and RR were estimated. RESULTS: ATS was significantly more time efficient compared to the manual approach (81% faster, P < 0.01), accurate (volume differences: - 0.01 ± 0.04 mm3), and contralateral roots had comparable volumes. Protracted molars had significantly lower root volumes (P = 0.03), whereas the amount of OTM failed to reveal linear association with RR (P > 0.05). CONCLUSIONS: Within the limits of the study, it was demonstrated that the combination of ATS and registration of contralateral jaws enables measurements of OTS and associated RR in µCT scans.


Assuntos
Reabsorção da Raiz , Animais , Feminino , Camundongos , Dente Molar/diagnóstico por imagem , Roedores , Reabsorção da Raiz/diagnóstico por imagem , Técnicas de Movimentação Dentária , Raiz Dentária , Microtomografia por Raio-X
2.
Am J Orthod Dentofacial Orthop ; 159(2): 193-201, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33388196

RESUMO

INTRODUCTION: This study was performed to evaluate the effect of isotretinoin on tooth displacement and tissues related to induced tooth movement (ITM) in rats. METHODS: Wistar rats were randomly divided into 4 groups: vegetable oil (O; n = 40), 7.5 mg/kg isotretinoin (I; n = 40), vegetable oil + ITM (OM; n = 44), and 7.5 mg/kg isotretinoin and ITM (IM; n = 39). After the daily application of the solutions for 30 days, an orthodontic appliance was installed to mesially displace the maxillary first right molar (30 cN) of rats in the OM and IM groups. The animals were killed 2, 7, 14, or 21 days after placement of the devices. The animals in the O and I groups did not undergo ITM but were killed simultaneously. The animals were examined for tooth displacement, the neoformation of mature collagen, bone and root resorption, the presence of hyalinized areas, and trabecular bone modeling by microcomputed tomography. RESULTS: There was no difference in tooth displacement, the number of osteoclasts, the presence of hyalinized areas, or trabecular bone among the O, I, OM, and IM groups across the periods tested (P >0.05). A lower percentage of mature collagen was found in the IM group than in the OM group on day 7 (P <0.05). A lower frequency of root resorption was found in the IM group than in the OM group on days 2 and 21 (P <0.05). CONCLUSIONS: Isotretinoin at 7.5 mg/kg decreased root resorption in rats subjected to ITM.


Assuntos
Isotretinoína , Reabsorção da Raiz , Animais , Isotretinoína/toxicidade , Osteoclastos , Ratos , Ratos Wistar , Reabsorção da Raiz/induzido quimicamente , Técnicas de Movimentação Dentária , Raiz Dentária , Microtomografia por Raio-X
3.
J Endod ; 47(3): 366-373, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33359534

RESUMO

INTRODUCTION: The objective of this case-control study was to investigate the association between denosumab use and the risk of developing external cervical resorption (ECR). METHODS: Thirty-three patients ≥45 years old who were diagnosed with ECR were selected. Controls were matched to the cases based on sex and age (±5 years) in a 1:1 ratio. Confounders were classified into systemic factors, including a history of systemic sclerosis, hepatitis B, denosumab use, and bisphosphonate use, or local factors, including a history of traumatic occlusion, periodontal procedures (scaling and root planing and periodontal surgeries), and tooth extraction (excluding third molar extraction). Additionally, the number of remaining teeth in each subject was recorded using panoramic radiographs. The baseline characteristics of the 2 groups, including age, sex, and the number of remaining teeth, were compared using the chi-square and Mann-Whitney U tests. Binary logistic regression was used to determine the possible association between denosumab use and the risk of developing ECR (α < 0.05). RESULTS: No significant differences in baseline characteristics were observed between the case and control groups (P > .05). After adjusting for systemic and local cofounders, denosumab use was significantly associated with the occurrence of ECR (odds ratio = 7.317; 95% confidence interval, 1.410-37.966; P < .05). CONCLUSIONS: Based on the binary logistic regression model, denosumab use could significantly predict the risk of developing ECR.


Assuntos
Reabsorção da Raiz , Dente , Estudos de Casos e Controles , Pré-Escolar , Denosumab/efeitos adversos , Humanos , Pessoa de Meia-Idade , Colo do Dente
4.
Angle Orthod ; 90(4): 524-531, 2020 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-33378490

RESUMO

OBJECTIVE: To determine the effect of alveolar decortication on orthodontically induced root resorption. MATERIALS AND METHODS: A total of 24 male Wistar rats (14 week old) were used. The rats were randomly divided into one of the following three groups: group 1 (control group), orthodontic tooth movement (OTM) for 2 weeks; group 2, OTM for 2 weeks + two alveolar decortications (2AD); group 3, OTM for 2 weeks + four alveolar decortications (4AD). The first molar was moved mesially for 2 weeks. Micro computed tomography was used to analyze root volume. In addition, histological sections were stained with Tartrate Resistant Acid Phosphatase (TRAP) to quantify the osteoclast number. RESULTS: The buccal root volume in OTM + 4AD group was decreased by 8.92% and 6.11% when compared with the OTM-only group and OTM + 2AD group, respectively. Similarly, the other four root volumes in the OTM + 4AD group was decreased by 8.99% and 5.24% when compared with the OTM-only group and OTM + 2AD group, respectively. There was a decrease in buccal root density in the OTM + 4AD group by 4.66% and 3.56% when compared with the OTM-only group and the OTM + 2AD group, respectively. In addition, there was an increase in the number of osteoclasts by 195.73% and 98.74% in OTM + 4AD group in comparison with the OTM and OTM + 2AD group. CONCLUSIONS: The amount of orthodontically induced root resorption was positively correlated with the extent of surgical injury used to accelerate orthodontic tooth movement.


Assuntos
Reabsorção da Raiz , Animais , Masculino , Osteoclastos , Ratos , Ratos Wistar , Reabsorção da Raiz/diagnóstico por imagem , Reabsorção da Raiz/etiologia , Técnicas de Movimentação Dentária/efeitos adversos , Raiz Dentária/diagnóstico por imagem , Microtomografia por Raio-X
5.
Int J Oral Sci ; 12(1): 35, 2020 12 23.
Artigo em Inglês | MEDLINE | ID: mdl-33353934

RESUMO

Coffin-Lowry-Syndrome (CLS) is a X-linked mental retardation characterized by skeletal dysplasia and premature tooth loss. We and others have previously demonstrated that the ribosomal S6 kinase RSK2, mutated in CLS, is essential for bone and cementum formation; however, it remains to be established whether RSK2 plays also a role in mechanically induced bone remodeling during orthodontic tooth movement (OTM). We, therefore, performed OTM in wild-type (WT) mice and Rsk2-deficient mice using Nitinol tension springs that were fixed between the upper left molars and the incisors. The untreated contralateral molars served as internal controls. After 12 days of OTM, the jaws were removed and examined by micro-computed tomography (µCT), decalcified histology, and immunohistochemistry. Our analysis of the untreated teeth confirmed that the periodontal phenotype of Rsk2-deficient mice is characterized by alveolar bone loss and hypoplasia of root cementum. Quantification of OTM using µCT revealed that OTM was more than two-fold faster in Rsk2-deficient mice as compared to WT. We also observed that OTM caused alveolar bone loss and root resorptions in WT and Rsk2-deficient mice. However, quantification of these orthodontic side effects revealed no differences between WT and Rsk2-deficient mice. Taken together, Rsk2 loss-of-function accelerates OTM in mice without causing more side effects.


Assuntos
Síndrome de Coffin-Lowry , Reabsorção da Raiz , Animais , Cemento Dentário , Camundongos , Técnicas de Movimentação Dentária , Microtomografia por Raio-X
6.
Rev. Asoc. Odontol. Argent ; 108(3): 104-112, dic. 2020. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-1147587

RESUMO

Objetivo: Evaluar ex vivo, mediante reconstrucción tridimensional con tomografía computarizada de haz cónico, la presencia de vacíos, el volumen y la adaptación de la obturación a las paredes de conductos con reabsorciones dentinarias internas simuladas empleando gutapercha inyectable o cono único de gutapercha más sellador biocerámico. Materiales y métodos: Se utilizaron 10 incisivos centrales superiores humanos extraídos, en cada uno de los cuales se talló una reabsorción artificial para su obturación. La muestra fue sometida, de manera sucesiva, a dos condiciones experimentales diferentes: grupo 1, gutapercha inyectable con sistema EQ-V Master; grupo 2, cono de gutapercha más sellador biocerámico BioRoot RCS. Luego, se realizaron tomografías computarizadas de haz cónico y se hizo el estudio tridimensional. A continuación, se utilizó un programa para identificar los vacíos en la obturación y analizar cuantitativamente el volumen y la superficie cubierta por la obturación en los tercios coronario, medio (ampolla) y apical. Los datos fueron evaluados con la prueba de Wilcoxon (P<0,05). Resultados: El volumen de obturación y la superficie dentinaria en contacto con la obturación fueron similares para las dos técnicas empleadas. Las diferencias entre ambos grupos no fueron estadísticamente significativas (P>0,05). Conclusión: Aunque se observaron vacíos con ambas técnicas (en contacto con la superficie dentinaria cuando se empleó gutapercha inyectable, y en el interior de la obturación cuando se usó cono único de gutapercha más sellador BioRoot RCS), las dos rellenaron adecuadamente las reabsorciones simuladas (AU)


Aim: Ex vivo, tridimensional evaluation with cone beam computed tomography (CBCT), of the presence of voids, the obturation volume and adaption to the root canal walls with simulated internal root resorption, using injected gutta-percha or bioceramic sealer with single gutta-percha cone. Materials and methods: Ten maxillary extracted central human incisors were used and artificial internal root resorption was created in each one. For the root canal obturation, each tooth was subjected to two different experimental conditions successively, conforming two matched groups: Group I: EQ-V Master injected thermo plasticized gutta-percha system. Group II: gutta- percha point plus BioRoot RCS bioceramic sealer. First, the root canals were filled with injected gutta-percha and then, with the bioceramic sealer. Then the teeth were scanned with CBCT and subsequently a digital three-dimensional reconstruction was performed. The presence of voids, obturation volumne and the dentin wall surface covered by the filling material was quantitative analyzed through a software; at the coronal, middle (blister) and apical thirds. The data was analyzed by using Wilcoxon test (P<0.05). Results: The filling material volume and the dentin wall surface covered by it, was similar in both root canal obturation techniques. There was no significant difference between both groups (P>0.05). Conclusion: Although voids were observed in both groups (when the injected thermo plasticized gutta-percha system was used the voids were at the external surface and when BioRoot RCS + gutta-percha cone was used the voids were into the filling material), the obturation of simulated root canal resorption cavities was similar with both obturation techniques (AU)


Assuntos
Humanos , Materiais Restauradores do Canal Radicular , Materiais Biocompatíveis , Cerâmicas Modificadas Organicamente , Guta-Percha , Reabsorção da Raiz , Teste de Materiais , Análise Estatística , Imageamento Tridimensional , Tomografia Computadorizada de Feixe Cônico
7.
Rev. Asoc. Odontol. Argent ; 108(3): 143-152, dic. 2020. ilus
Artigo em Espanhol | LILACS | ID: biblio-1147970

RESUMO

Las fuerzas ejercidas durante el tratamiento ortodóncico son consideradas un tipo particular de traumatismo dental. El movimiento ortodóncico de una pieza dentaria puede producir inflamación o necrosis pulpar y reabsorción radicular. Estos efectos colaterales indeseables son difíciles de tratar, especialmente cuando las fuerzas aplicadas son excesivas y no controladas. Diferentes estudios han evaluado el impacto de las fuerzas excesivas durante el movimiento dentario. Sin embargo, los resultados son confusos y contradictorios. La predisposición genética y la variabilidad biológica individual de los pacientes son factores importantes que deben ser tenidos en cuenta. Por eso es necesario contar con una historia clínica completa, utilizar imágenes 3D y realizar diferentes pruebas clínicoradiográficas con el fin de obtener información precisa acerca del diagnóstico, la indicación de tratamiento y el posible pronóstico a distancia. El objetivo de este artículo es realizar una revisión de la patología pulpar y la reabsorción radicular en relación con el tratamiento ortodóncico (AU)


Orthodontic forces are recognised as a particular type of dental trauma. During orthodontic tooth movement, the occurrence of pulp inflammation or necrosis and subsequent root resorption are undesirable side effects that are difficult to treat, especially when uncontrolled excessive forces are applied. Several studies have evaluated the impact of excessive forces during teeth movement. However their results are confused and contradictory. Genetic disposition and individual biological variability are important factors that must be always considered. Therefore, a complete clinical history, the use of 3D images along with different clinical and radiographic diagnostic methods are necessary to provide accurate diagnosis and prognosis of the treatment. The objective of this article is to review the possibility of pulp pathology and root resorption related to orthodontic treatment (AU)


Assuntos
Reabsorção da Raiz , Técnicas de Movimentação Dentária , Doenças da Polpa Dentária , Prognóstico , Traumatismos Dentários , Necrose da Polpa Dentária
8.
Rev. cuba. estomatol ; 57(4): e3076, Oct.-Dec. 2020. tab
Artigo em Português | LILACS, CUMED | ID: biblio-1144450

RESUMO

Resumo Introdução: Os pinos de fibra de vidro têm sido amplamente utilizados na reconstrução de elementos com perda excessiva de estrutura dentária. Objetivo: Avaliar a força de adesão de pinos de fibra de vidro após diferentes tratamentos radiculares em diferentes regiões (terço cervical, médio e apical) da dentina radicular. Métodos: Este é um estudo experimental in vitro. Quarenta dentes bovinos foram selecionados, preparados e distribuídos em quatro grupos de acordo com o tratamento de superfície utilizado: adesivo (1), agente quelante (2), ácido poliacrílico (3), não tratado (4). A cimentação dos pinos de fibra de vidro foi realizada com cimento resinosante autocondicionante. Após vinte dias, cada raiz foi cortada em três fatias (um milímetro de espessura) obtidas de três regiões. A resistência de união de cada seção foi determinada usando um teste de resistência da junta de encaixe. Os dados de resistência à flexão (MPa) foram analisados pelos testes ANOVA e Tukey (α = 0,05). Resultados: Na porção cervical, o grupo com tratamento prévio com ácido poliacrílico apresentou menor resistência ao cisalhamento por extrusão (push-out) do que o grupo sem tratamento prévio. O grupo com aplicação do sistema adesivo (28,89 ± 6,64 MPa) e o grupo com tratamento prévio com EDTA (21,58 ± 6,39 MPa) não apresentaram diferenças estatisticamente significantes em relação ao grupo sem tratamento prévio (grupo controle) no terço cervical. Nas porções média e apical, o grupo tratado com adesivo FGM Ambar apresentou maiores valores de ligação em comparação com os outros grupos. Conclusão: A aplicação prévia do adesivo aumentou a resistência de união nos terços médio e apical, em comparação aos outros grupos, podendo ter um efeito benéfico no sucesso clínico do tratamento restaurador(AU)


Resumen Introducción: Los postes de fibra de vidrio se han utilizado ampliamente en la reconstrucción de elementos con pérdida excesiva de estructura dental. Objetivo: Evaluar la fuerza de adhesión de postes de fibra de vidrio después de distintos tratamientos de raíz en diferentes regiones (tercios cervical, medio y apical) de dentina de raíz. Métodos: Estudio experimental in vitro. Se seleccionaron cuarenta dientes bovinos, se prepararon y se distribuyeron en cuatro grupos de acuerdo con el tratamiento de superficie utilizado: (1) adhesivo, (2) agente quelante, (3) ácido poliacrílico, (4) sin tratar. La cementación de los postes de fibra de vidrio se realizó con cemento de resina autograbante. Después de 20 días, cada raíz se seccionó transversalmente en tres rodajas (1 mm de espesor) obtenidas de tres regiones. La resistencia a la unión de cada sección se determinó usando una prueba de resistencia al corte por extrusión (push-out). Los datos de resistencia a la flexión (MPa) se analizaron mediante pruebas ANOVA y Tukey (α = 0,05). Resultados: En la porción cervical, el grupo con tratamiento previo de ácido poliacrílico mostró menor resistencia que el grupo sin tratamiento previo. El grupo con aplicación del sistema adhesivo (28,89 ± 6,64 MPa) y el grupo con tratamiento previo de EDTA (21,58 ± 6,39 MPa) no presentaron diferencias estadísticamente significativas en comparación con el grupo sin tratamiento previo (grupo control) en el tercio cervical. En las porciones media y apical, el grupo tratado con adhesivo Ambar® de FGM Dental Group mostró valores más altos de unión en comparación con los otros grupos. Conclusión: La aplicación previa del adhesivo aumentó la fuerza de unión en los tercios medio y apical, en comparación con los otros grupos, puede tener un efecto beneficioso sobre el éxito clínico del tratamiento restaurador(AU)


ABSTRACT Introduction: Glass fiber posts have been widely used for the reconstruction of elements with excessive dental structure loss. Objective: Evaluate the bond strength of glass fiber posts after various root dentin treatments in different regions (cervical, middle and apical thirds). Methods: An experimental in vitro study was conducted. Forty bovine teeth were selected, prepared and distributed into four groups according to the surface treatment used: (1) adhesive, (2) chelating agent, (3) polyacrylic acid, (4) not treated. The glass fiber posts were cemented with self-etch resin cement. After 20 days, each root was sectioned crosswise into three slices (1 mm in thickness) obtained from three regions. Bond strength was determined in each section with a push-out bond strength test. Flexural strength data (MPa) were analyzed with ANOVA and Tukey's tests. Results: In the cervical portion, the group with previous polyacrylic acid treatment displayed lower push-out strength than the group without previous treatment. The group with application of the adhesive system (28.89 ± 6.64 MPa) and the group with previous EDTA treatment (21.58 ± 6.39 MPa) did not exhibit any statistically significant differences in comparison with the group without previous treatment (control group) in the cervical third. In the middle and apical portions, the group treated with the adhesive Ambar® of FGM Dental Group showed higher bond values in comparison with the other groups. Conclusion: Previous adhesive application increased bond strength in the middle and apical thirds in comparison with the other groups, and may thus have a beneficial effect on the clinical success of the restorative treatment(AU)


Assuntos
Humanos , Reabsorção da Raiz/terapia , Preparo de Canal Radicular/métodos
9.
Ned Tijdschr Tandheelkd ; 127(12): 691-698, 2020 Dec.
Artigo em Holandês | MEDLINE | ID: mdl-33367296

RESUMO

Apical root resorption is a biological process induced when orthodontic force is exerted on a tooth and local necrosis of the periodontal ligament occurs. Macrophages remove the necrotic tissue. In this way, differentiating osteoclasts can both attach to the now available dental surface and can then provoke root resorption. There is considerable uncertainty among dental practitioners on how to deal with clinically relevant apical root resorption (bigger/equal 2 mm) during or after orthodontic treatment. To increase understanding and to improve the quality of care, the Dutch Association of Orthodontists has developed a clinical practice guideline. Recommendations have been formulated for the diagnosis of apical root resorption, possible risk factors and treatment management in order to respond adequately to this problem in practice.


Assuntos
Reabsorção da Raiz , Odontólogos , Humanos , Ligamento Periodontal , Papel Profissional , Reabsorção da Raiz/etiologia , Técnicas de Movimentação Dentária , Raiz Dentária
10.
Orthod Fr ; 91(4): 303-321, 2020 Dec 01.
Artigo em Francês | MEDLINE | ID: mdl-33355535

RESUMO

The aim of this systematic review and meta-analysis was to compare self-ligating brackets (SLBs) considered as a whole to conventional brackets (CBs). An electronic search was performed in three databases (PubMed, MEDLINE via Web of Science, Cochrane Library) from their origin up to June 2017. Additional articles were hand searched from January 2006 to June 2017. This meta-analysis was restricted to randomized controlled trials (RCTs) and split mouth design studies (SMDs). No distinction was made between active and passive SLBs. The following variables were investigated : treatment duration, number of visits, alignment rate, rate of space closure, perception of discomfort during the initial phase of treatment, pain experience during wire insertion or removal, bond failure rate, time to ligate in or to untie an archwire, periodontal indices, occlusal outcomes, transverse arch dimensional changes and root resorption. 25 RCTs and 9 SMDs were finally selected. It was more painful to insert or remove a 0.019× 0.025 SS archwire in/from SLBs. It was significantly quicker to insert or remove an archwire from SLBs. There was less bleeding on probing with SLBs 4 or 5 weeks after bonding. All other variables did not exhibit any significant difference between SLBs and CBs. Out of the 31 comparisons between self-ligating and conventional brackets, 9 only revealed statistically significant differences. This meta-analysis contradicts most of the promotional statements put forward by the distributors.


Assuntos
Braquetes Ortodônticos , Reabsorção da Raiz , Face , Humanos , Boca , Desenho de Aparelho Ortodôntico , Fios Ortodônticos
11.
Angle Orthod ; 90(5): 648-654, 2020 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-33378476

RESUMO

OBJECTIVES: To compare the amount of en-masse retraction with or without piezocision corticotomy, to assess the type of tooth movement, to evaluate root integrity after retraction, and to record reported pain levels. MATERIALS AND METHODS: This randomized, controlled clinical trial included 26 orthodontic patients requiring premolar extraction. The patients were divided into two groups: (1) an extraction with piezocision corticotomy group (PCG) and (2) an extraction-only group, which served as the control group (CG). Cone-beam computed tomography images were acquired before and 4 months after the initiation of en-masse retraction utilizing miniscrews. The following variables were assessed: the amount of en-masse retraction, incisor inclination, incisor and canine root resorption, and patient-reported pain. RESULTS: Twelve and 11 participants completed the entire study in the PCG and CG, respectively. The amount of en-masse retraction was significantly greater in the PCG compared to the CG (mean = 4.8 ± 0.57 mm vs 2.4 ± 0.33 mm, respectively [P < .001]). There was also significantly less tipping and root resorption of incisors in the PCG (P < .05). The reported pain was significantly higher on the first day in the PCG compared to the CG (P < .001); however, it became similar between the groups after 24 hours. CONCLUSIONS: Piezocision corticotomy enhanced the amount of en-masse retraction two times more with less root resorption. However, future studies are required to assess the long-term effects of this technique.


Assuntos
Procedimentos de Ancoragem Ortodôntica , Reabsorção da Raiz , Dente Pré-Molar/diagnóstico por imagem , Dente Pré-Molar/cirurgia , Humanos , Incisivo , Reabsorção da Raiz/diagnóstico por imagem , Reabsorção da Raiz/etiologia , Técnicas de Movimentação Dentária
12.
J Clin Pediatr Dent ; 44(5): 302-306, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-33181844

RESUMO

OBJECTIVES: The current investigation evaluated parameters leading to the utilization of pulpectomy versus extraction for treatment of nonvital primary second molars. STUDY DESIGN: This retrospective chart review identified patients up to 8-years of age with primary second molars treated by pulpectomy or extraction. Patients in the extraction group were age and gender-matched to the pulpectomy group. Demographic, clinical, radiographic and behavioral data were extracted for comparison. Chi-square, Fisher and T-test were performed for statistical analysis. RESULTS: There were 23 patients in each group, with a mean age of 5 years (ranging 3-8 years, ±1.5 for pulpectomy and ±1.3 for extraction). Significantly more pulpectomies were performed in the mandible (p=0.002), specifically on the left side (p=0.0035). Internal and external root resorption were significantly higher in the extraction group (p=0.033 and p=0.007 respectively). Restorability was significantly lower in the extraction group (p<0.0001). Pre-procedural pain was reported by 76.5 percent of all patients, but pharmacologically treated in 15.2 percent. Nitrous oxide was administered to 73.9 percent of patients for behavior guidance. CONCLUSION: Pathologic root resorption and non-restorability were significantly higher in the extraction group. Behavior and pathologic bone resorption did not influence treatment choice. A higher proportion of children reported pre-treatment pain and needed adjunctive behavior guidance than children who did not have pre-treatment pain or did not need adjunctive behavior guidance.


Assuntos
Pulpectomia , Reabsorção da Raiz , Criança , Pré-Escolar , Humanos , Dente Molar/cirurgia , Estudos Retrospectivos , Dente Decíduo
13.
Artigo em Inglês | MEDLINE | ID: mdl-33151188

RESUMO

The fusion of orthodontic treatment and periodontal tissue-regeneration therapy has attracted attention. However, regenerated bone has a higher density than physiologic bone, which may cause problems including root resorption or stagnation of orthodontic movement. Therefore, the optimized periodontal regeneration for orthodontic movement (O-PRO) approach was developed with the aim of regenerating periodontal tissues with sparse bone quality. Unlike conventional methods, this concept is specifically suited for orthodontic movement. A new classification for the preoperative evaluation of periodontal tissues was also devised, and results are reported from cases where orthodontic treatment was implemented using each type of O-PRO method.


Assuntos
Ortodontia , Reabsorção da Raiz , Humanos , Regeneração , Técnicas de Movimentação Dentária
14.
Dental Press J Orthod ; 25(5): 24-29, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33206825

RESUMO

OBJECTIVE: The present study aimed at comparing the external lateral root resorption (ELRR) and external apical root resorption (EARR) between teeth moved through the atrophic edentulous ridge and those undergoing the usual orthodontic movement. METHODS: Fifty-four premolars were evaluated, where 27 of them had been moved toward the edentulous ridge (Group 1) and 27 from the same patient, had not been translated, which comprised the control group (Group 2). ELRR was evaluated by 0-3 scores and EARR was evaluated by 0-4 scores, before and after movement. Measurements were compared by Kruskal-Wallis and Student-Newman-Keuls tests. RESULTS: ELRR increased statistically only in the Group 1 (p< 0.05). After orthodontic treatment, it was observed that almost 56% (n = 15) of teeth in Group 1 presented scores 2 and 3, while Group 2 presented scores 2 and 3 in about 11% (n= 3) of the teeth. EARR increased in both groups after orthodontic movement, however, statistically analyses showed no significant differences between groups (p> 0.05). CONCLUSIONS: Orthodontic movement into the atrophic edentulous ridge is subject to a greater lateral external root resorption.


Assuntos
Reabsorção da Raiz , Dente Pré-Molar , Humanos , Reabsorção da Raiz/diagnóstico por imagem , Reabsorção da Raiz/etiologia , Técnicas de Movimentação Dentária
15.
Pediatr Dent ; 42(5): 337-349, 2020 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-33087217

RESUMO

Purpose: To present an evidence-based guideline for non-vital pulp therapies due to deep caries or trauma in primary teeth. Methods: The authors, working with the American Academy of Pediatric Dentistry, conducted a systematic review/meta-analysis for studies on non-vital primary teeth resulting from trauma or caries and used the GRADE approach to assess level of certainty of evidence for clinical recommendations. Results: GRADE was assessed from high to very low. Comparing teeth with/without root resorption, pulpectomy success was better (P<0.001) in those without preoperative root resorption. Zinc oxide plus iodoform plus calcium hydroxide ([ZO/iodoform/CH]; Endoflas TM ) and zinc oxide and eugenol (ZOE) pulpectomy success did not differ from iodoform (iodoform plus calcium hydroxide; VitapexTM, MetapexTM) (P=0.55) after 18-months; however, ZO/iodoform/CH and ZOE success rates remained near 90 percent while iodoform was 71 percent or less. Network analysis ratings showed ZO/iodoform/CH and ZOE better than iodoform. Lesion sterilization tissue repair (LSTR) was better (P<0.001) than pulpectomy in teeth with preoperative root resorption, but pulpectomy results were better (P=0.09) if roots were intact. Rotary instrumentation of root canals was significantly faster (P<0.001) than manual, but the quality of fill did not differ (P=0.09) and both had comparable success. Network analysis ranked ZO/iodoform/CH the best, ZOE second, and iodoform lowest at 18 months. Success rates were not impacted by method of obturation or root length determination, type of tooth, number of visits, irrigants, smear layer removal, or timing/type of final restoration. Conclusions: Pulpectomy 18-month success rates supported ZO/iodoform/CH and ZOE pulpectomy over iodoform. LSTR had limited indication for teeth with resorbed roots and requires close monitoring.


Assuntos
Reabsorção da Raiz , Dente Decíduo , Criança , Humanos , Pulpectomia , Reabsorção da Raiz/terapia , Cimento de Óxido de Zinco e Eugenol/uso terapêutico
16.
J Am Dent Assoc ; 151(11): 857-862, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33121607

RESUMO

BACKGROUND AND OVERVIEW: Ectopic eruption of permanent molars is one of the challenges that arise in the early mixed dentition period, particularly when the root of the primary second molar is resorbed due to mesial angulation of the impacted first molar. The authors introduce a simple and efficient method to unlock ectopically erupting first molars using a light wire. CASE DESCRIPTION: The authors describe the cases of 2 girls (8 and 7 years old) who sought treatment for locking of their maxillary and mandibular first molars, respectively. A 0.012-inch nickel titanium wire was compressed and bonded to the first molars and primary second molars to unlock the first molars. The primary second molars were splinted to the adjacent primary first molars and canines using bonded multistranded wires. As the compressed wires straightened over time, the locked first molars were tipped back without any substantial mesial movement of the primary teeth. After unlocking the molars, the nickel titanium wires were removed to allow spontaneous eruption of the first molars. CONCLUSIONS AND PRACTICAL IMPLICATIONS: Although the primary molar roots were considerably resorbed, the ectopically erupting first molars were unlocked successfully without any substantial movement of the primary teeth. The clinical procedure was simple, and no laboratory procedures were needed. In addition, the anchorage burden was reduced with the use of light forces. The authors suggest that primary second molars with substantial root resorption due to ectopic eruption of permanent first molars can be saved simply and efficiently.


Assuntos
Reabsorção da Raiz , Erupção Ectópica de Dente , Dente Impactado , Feminino , Humanos , Maxila , Dente Molar/cirurgia , Erupção Dentária , Técnicas de Movimentação Dentária , Dente Impactado/cirurgia
19.
Dental Press J Orthod ; 25(4): 16-22, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32965382

RESUMO

INTRODUCTION: When miniplates are used as anchoring for orthodontic mechanics for anterior open bite correction by retraction of anterior teeth and posterior teeth intrusion and retraction, orthodontically induced inflammatory external apical root resorption is clinically negligible. METHODS: A homogeneous sample of 32 patients was used, and the roots of the teeth were compared on CT scans performed before and after orthodontic treatment. RESULTS: The observed root resorption was minimal, and this can be explained by the uniform distribution of forces in several teeth, simultaneously, in the set of the dental arch and in the bone that supports the teeth. CONCLUSION: The most important thing to prevent root resorption in orthodontic practice, besides being concerned with the intensity of the applied forces, is to be careful with its distribution along the roots of each tooth, in the dental arch and in the bone that supports the teeth.


Assuntos
Mordida Aberta/diagnóstico por imagem , Mordida Aberta/terapia , Procedimentos de Ancoragem Ortodôntica , Reabsorção da Raiz/diagnóstico por imagem , Reabsorção da Raiz/etiologia , Reabsorção de Dente , Humanos , Técnicas de Movimentação Dentária/efeitos adversos
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