Teamwork in orthodontics: limiting the risks of root resorption

Area of Science:

• Dentistry
• Orthodontics
• Oral Surgery

Background:

• Orthodontic treatment involves inherent risks, stemming from patient-specific factors or the treatment process itself.
• While common risks are documented, management strategies for rarer complications, particularly root-related issues, are less understood.
• The crucial role of interdisciplinary teamwork among patients, orthodontists, and general dental practitioners (GDPs) in managing these risks is often underestimated.

Observation:

• This paper details three cases involving pre-existing or treatment-induced root anomalies during orthodontic therapy.
• The clinical presentation and diagnostic challenges of these root-related problems are described.
• The management protocols implemented for each patient are presented.

Findings:

• Successful management of complex root issues in orthodontic patients is achievable through tailored treatment plans.
• Early identification and collaborative intervention are key to mitigating potential harm.
• Long-term follow-up (over one year) demonstrated favorable outcomes in the presented cases.

Implications:

• Highlights the necessity of a multidisciplinary approach in orthodontics, especially when dealing with complex root anomalies.
• Emphasizes the importance of recognizing and managing unusual risks to ensure patient safety.
• Provides insights into the management of root-related complications, contributing to the evidence base for orthodontic practice.