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Orthodontics and Endodontics: clinical decision-making
Alberto Consolaro1, Dario Augusto Oliveira Miranda2, Renata Bianco Consolaro3
1Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil.
Dental Press Journal of Orthodontics
|August 27, 2020
Summary
Endodontically treated teeth can undergo orthodontic treatment. However, filling material extrusion can cause foreign body granulomas, requiring monitoring during tooth movement.
Area of Science:
- Endodontics
- Orthodontics
- Periodontology
Background:
- Endodontic treatment does not contraindicate orthodontic tooth movement.
- Periapical healing depends on the resolution of lesions and the nature of root canal filling materials.
- Extruded filling materials can lead to foreign body granulomas, impacting healing and requiring monitoring.
Purpose of the Study:
- To evaluate the implications of endodontic treatment and root canal filling materials on subsequent orthodontic treatment.
- To determine the healing process of periapical tissues after endodontic procedures.
- To assess the management of extruded filling materials during orthodontic tooth movement.
Main Methods:
- Review of endodontic and orthodontic literature.
- Analysis of periapical tissue response to various root canal filling materials.
- Discussion of clinical management strategies for endodontically treated teeth undergoing orthodontics.
Main Results:
- Endodontic treatment is not a contraindication for orthodontic movement.
- Complete periapical healing is contingent upon lesion resolution and material biocompatibility.
- Calcium hydroxide-based materials without resins are phagocytosed, while others like gutta-percha induce granulomas.
- Extruded materials necessitate regular radiographic monitoring (every three months) during orthodontic treatment.
Conclusions:
- Orthodontic treatment is feasible for endodontically treated teeth.
- The composition of root canal filling materials influences periapical healing and foreign body response.
- Careful monitoring and potentially delayed permanent filling are crucial for managing extruded materials during orthodontic therapy.
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