COMPARATIVE ASSESSMENT OF RE-INFECTION & DEGREE OF RESORPTION IN ORTHODONTIC MOVEMENT OF ENDODONTICALLY TREATED TEETH WITHOUT PERIAPICAL INFECTION, WITH PERIAPICAL INFECTION & WITH ASEPTIC PULP NECROSIS BY DENTAL TRAUMA; A PRE-POST OBSERVATIONAL STUDY
Main Article Content
Keywords
Endodontically Treated Teeth, Orthodontic Tooth Movement, Periapical Infection, Degree of Root Resorption.
Abstract
It is common practice to relocate teeth that have received endodontic treatment or are undergoing treatment. Facts on inflammation, tissue repair, tooth movement, resorption, pulp diseases, and periapical illness serve as the foundation for clinical decisions and biological orientations. Teeth that have had or are currently undergoing endodontic therapy often need to be moved. External apical root resorption is an iatrogenic side effect of orthodontic therapy, and orthodontics is arguably the only dental specialty that truly leverages the inflammatory process to address functional and aesthetic issues. The objective of this study was to examine the orthodontic movement of endodontically treated teeth with and without periapical lesions, aseptic pulp necrosis from dental trauma, teeth that were vital, and the degree of resorption in each of these cases. Periapical, cephalometric studies and OPG x-rays were used to assess 80 patients in this observational study prior to treatment and at 1-, 3-, 6-, 12 and 24-month intervals to check for re-infection and the extent of resorption in endodontically treated teeth undergoing orthodontic tooth movement. The findings demonstrated that teeth with aseptic pulp necrosis induced by dental trauma had a higher risk of periapical infection recurrence, followed by teeth with an inflammatory periapical lesion. The degree of resorption was also seen to be higher in cases of teeth impacted by dental trauma, with moderate dental trauma resulting in increased root resorption. Vital teeth (control group) demonstrated reduced periapical infection and resorption.
References
1. Spurrier SW, Hall SH, Joondeph DR, Shapiro PA, Riedel RA. A comparison of apical root resorption during orthodontic treatment in endodontically treated and vital teeth. Am J Orthod Dentofacial Orthop. 1990;97(2):130-4.
2. Consolaro A, Consolaro RB. There is no pulp necrosis or calcific metamorphosis of pulp induced by orthodontic treatment: biological basis. Dental Press J Orthod. 2018;23(4):36-42.
3. Ahmed H, Durr-e-Sadaf, Rahman M. Frequency and distribution of endodontically treated teeth. J Coll Physicians Surg Pak 2009;19:605-8.
4. Kim S, Hwang SJ, Seo MS. Effect of orthodontic treatment on the periapical radiolucency of endodontically treated teeth: a CBCT analysis. BMC Oral Health. 2023 May 13;23(1):289. doi: 10.1186/s12903-023-02907-1. PMID: 37179291; PMCID: PMC10183127.
5. Consolaro A. Reabsorções dentárias nas especialidades clínicas. 3ª ed. Maringá: Dental Press; 2012.
6. Consolaro A, Consolaro RB. Orthodontic movement of endodontically treated teeth. Dental press journal of orthodontics. 2013;18:2-7.
7. Estrela C, Guedes OA, Rabelo LEG, Decurcio DA, Alencar AHG, Estrela CRA, et al.. Detection of Apical Inflammatory Root Resorption Associated with Periapical Lesion Using Different Methods. Braz Dent J [Internet]. 2014Sep;25(5):404–8. https://doi.org/10.1590/0103-6440201302432
8. Heboyan A, Avetisyan A, Markaryan M, Manrikyan M, Vardanyan I. Tooth root resorption conditioned by orthodontic treatment. Oral Health Dental Sci. 2019;3(3):1-8.
9. Aggarwal V, Logani A, Shah N. Complicated crown fractures - management and treatment options. Int Endod J 2009;42:740-53.
10. Brezniak N. Orthodontically inducted inflammatory root resorption. Part I: The basic science aspects. Angle Orthod 2002;72:175-9.
11. Healey D. Root resorption. 2004. Available from: URL: www.orthodontists.org.nz/root_resorption.htm
12. Chadwick B, Pendry L. Children's Dental Health in the United Kingdom, 2003. Non-carious Dental Conditions. London: Office for National Statistics, 2004;13-21.
13. Khan RS, Horrocks EN. A study of adult orthodontic patients and their treatment. Br J Orthod 1991;18:183-94.
14. Ahmed H, Durr-e-Sadaf, Rahman M. Frequency and distribution of endodontically treated teeth. J Coll Physicians Surg Pak 2009;19:605-8.
15. Brezniak N, Wasserstein A. Root resorption after orthodontic treatment: Part 2. Literature review. American Journal of Orthodontics and Dentofacial Orthopedics. 1993 Feb 1;103(2):138-46.
16. Brezniak N, Wasserstein A. Biology of Orthodontic Tooth Movement. Springer International Publishing. 2016; 67-101.
17. Mah R, Holland GR, Pehowich E. Periapical changes after orthodontic movement of root-filled ferret canines. J Endod 1996;22:298-303.
18. Gong XY, Jian XC, Lei YH, Yao ZY, Hong T, Ma DY. An experimental study of the effects of root-canal treatment on orthodontic movement in cat cuspids. Shanghai Kou Qiang Yi Xue 2007;16:206-10.
19. Consolaro A, Miranda DAO, Consolaro RB. Orthodontics and Endodontics: clinical decision-making. Dental Press J Orthod. 2020 May;25(3):20-29. doi: 10.1590/2177-6709.25.3.020-029.oin. Epub 2020 Aug 19. PMID: 32844973; PMCID: PMC7437146.
20. Consolaro RB. Análise do complexo dentinopulpar em dentes submetidos à movimentação dentária induzida em ratos [dissertação]. Bauru (SP): Universidade de São Paulo; 2005.
21. Andreasen JO, Farik B, Munksgaard EC. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Taumatol 2002;18:134-7
22. Pacios S, Xiao W, Mattos M, Lim J, Tarapore RS, Alsadun S, Yu B, Wang CY, Graves DT. Osteoblast Lineage Cells Play an Essential Role in Periodontal Bone Loss Through Activation of Nuclear Factor-Kappa B. Sci Rep. 2015 Dec 15;5:16694.doi: 10.1038/srep16694. PMID: 26666569; PMCID: PMC4678879.
23. Pejicic, A., Bertl, M. & Čelar, A. Extent and prognosis of apical root resorption due to orthodontic treatment. J. Stomat. Occ. Med. 5, 147–154 (2012). https://doi.org/10.1007/s12548-012-0056-5
2. Consolaro A, Consolaro RB. There is no pulp necrosis or calcific metamorphosis of pulp induced by orthodontic treatment: biological basis. Dental Press J Orthod. 2018;23(4):36-42.
3. Ahmed H, Durr-e-Sadaf, Rahman M. Frequency and distribution of endodontically treated teeth. J Coll Physicians Surg Pak 2009;19:605-8.
4. Kim S, Hwang SJ, Seo MS. Effect of orthodontic treatment on the periapical radiolucency of endodontically treated teeth: a CBCT analysis. BMC Oral Health. 2023 May 13;23(1):289. doi: 10.1186/s12903-023-02907-1. PMID: 37179291; PMCID: PMC10183127.
5. Consolaro A. Reabsorções dentárias nas especialidades clínicas. 3ª ed. Maringá: Dental Press; 2012.
6. Consolaro A, Consolaro RB. Orthodontic movement of endodontically treated teeth. Dental press journal of orthodontics. 2013;18:2-7.
7. Estrela C, Guedes OA, Rabelo LEG, Decurcio DA, Alencar AHG, Estrela CRA, et al.. Detection of Apical Inflammatory Root Resorption Associated with Periapical Lesion Using Different Methods. Braz Dent J [Internet]. 2014Sep;25(5):404–8. https://doi.org/10.1590/0103-6440201302432
8. Heboyan A, Avetisyan A, Markaryan M, Manrikyan M, Vardanyan I. Tooth root resorption conditioned by orthodontic treatment. Oral Health Dental Sci. 2019;3(3):1-8.
9. Aggarwal V, Logani A, Shah N. Complicated crown fractures - management and treatment options. Int Endod J 2009;42:740-53.
10. Brezniak N. Orthodontically inducted inflammatory root resorption. Part I: The basic science aspects. Angle Orthod 2002;72:175-9.
11. Healey D. Root resorption. 2004. Available from: URL: www.orthodontists.org.nz/root_resorption.htm
12. Chadwick B, Pendry L. Children's Dental Health in the United Kingdom, 2003. Non-carious Dental Conditions. London: Office for National Statistics, 2004;13-21.
13. Khan RS, Horrocks EN. A study of adult orthodontic patients and their treatment. Br J Orthod 1991;18:183-94.
14. Ahmed H, Durr-e-Sadaf, Rahman M. Frequency and distribution of endodontically treated teeth. J Coll Physicians Surg Pak 2009;19:605-8.
15. Brezniak N, Wasserstein A. Root resorption after orthodontic treatment: Part 2. Literature review. American Journal of Orthodontics and Dentofacial Orthopedics. 1993 Feb 1;103(2):138-46.
16. Brezniak N, Wasserstein A. Biology of Orthodontic Tooth Movement. Springer International Publishing. 2016; 67-101.
17. Mah R, Holland GR, Pehowich E. Periapical changes after orthodontic movement of root-filled ferret canines. J Endod 1996;22:298-303.
18. Gong XY, Jian XC, Lei YH, Yao ZY, Hong T, Ma DY. An experimental study of the effects of root-canal treatment on orthodontic movement in cat cuspids. Shanghai Kou Qiang Yi Xue 2007;16:206-10.
19. Consolaro A, Miranda DAO, Consolaro RB. Orthodontics and Endodontics: clinical decision-making. Dental Press J Orthod. 2020 May;25(3):20-29. doi: 10.1590/2177-6709.25.3.020-029.oin. Epub 2020 Aug 19. PMID: 32844973; PMCID: PMC7437146.
20. Consolaro RB. Análise do complexo dentinopulpar em dentes submetidos à movimentação dentária induzida em ratos [dissertação]. Bauru (SP): Universidade de São Paulo; 2005.
21. Andreasen JO, Farik B, Munksgaard EC. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Taumatol 2002;18:134-7
22. Pacios S, Xiao W, Mattos M, Lim J, Tarapore RS, Alsadun S, Yu B, Wang CY, Graves DT. Osteoblast Lineage Cells Play an Essential Role in Periodontal Bone Loss Through Activation of Nuclear Factor-Kappa B. Sci Rep. 2015 Dec 15;5:16694.doi: 10.1038/srep16694. PMID: 26666569; PMCID: PMC4678879.
23. Pejicic, A., Bertl, M. & Čelar, A. Extent and prognosis of apical root resorption due to orthodontic treatment. J. Stomat. Occ. Med. 5, 147–154 (2012). https://doi.org/10.1007/s12548-012-0056-5
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Sep 20, 2024
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How to Cite
Dr. Iqra Kamal, Dr. Pirah Haque, Dr. Anum Mahmood, Dr. Irfan Ahmed, Dr. Nousheen Hafeez, & Dr. Monika Bai. (2024). COMPARATIVE ASSESSMENT OF RE-INFECTION & DEGREE OF RESORPTION IN ORTHODONTIC MOVEMENT OF ENDODONTICALLY TREATED TEETH WITHOUT PERIAPICAL INFECTION, WITH PERIAPICAL INFECTION & WITH ASEPTIC PULP NECROSIS BY DENTAL TRAUMA; A PRE-POST OBSERVATIONAL STUDY. Journal of Population Therapeutics and Clinical Pharmacology, 31(9), 3990-3996. https://doi.org/10.53555/js3xny98
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Author Biographies
Dr. Iqra Kamal
BDS, MDS, CHPE, PhD (Scholar), Lecturer- Department of Operative Dentistry, Dr. Ishrat-Ul-Ibad Khan Institute of Oral Health Sciences (DIKIOHS), Dow University of Health Sciences (DUHS), Karachi.
Dr. Pirah Haque
BDS, FCPS (PG. R), Department of Orthodontics, Dr. Ishrat-Ul-Ibad Khan Institute of Oral Health Sciences (DIKIOHS), Dow University of Health Sciences (DUHS), Karachi.
Dr. Anum Mahmood
BDS, M.Sc., FCPS (PG. R), Department of Orthodontics, Dr. Ishrat-Ul-Ibad Khan Institute of Oral Health Sciences (DIKIOHS), Dow University of Health Sciences (DUHS), Karachi.
Dr. Irfan Ahmed
BDS, MDS (PG. R), Department of Operative Dentistry, Dr. Ishrat-Ul-Ibad Khan Institute of Oral Health Sciences (DIKIOHS), Dow University of Health Sciences (DUHS), Karachi.
Dr. Nousheen Hafeez
BDS, MDS (PG. R), Department of Operative Dentistry, Dr. Ishrat-Ul-Ibad Khan Institute of Oral Health Sciences (DIKIOHS), Dow University of Health Sciences (DUHS), Karachi.
Dr. Monika Bai
BDS, FCPS (PG. R), Department of Operative Dentistry, Dr. Ishrat-Ul-Ibad Khan Institute of Oral Health Sciences (DIKIOHS), Dow University of Health Sciences (DUHS), Karachi.
How to Cite
Dr. Iqra Kamal, Dr. Pirah Haque, Dr. Anum Mahmood, Dr. Irfan Ahmed, Dr. Nousheen Hafeez, & Dr. Monika Bai. (2024). COMPARATIVE ASSESSMENT OF RE-INFECTION & DEGREE OF RESORPTION IN ORTHODONTIC MOVEMENT OF ENDODONTICALLY TREATED TEETH WITHOUT PERIAPICAL INFECTION, WITH PERIAPICAL INFECTION & WITH ASEPTIC PULP NECROSIS BY DENTAL TRAUMA; A PRE-POST OBSERVATIONAL STUDY. Journal of Population Therapeutics and Clinical Pharmacology, 31(9), 3990-3996. https://doi.org/10.53555/js3xny98