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Pulpal calcifications in orthodontically moved teeth: Scoping review
Zilda Farias1, Juliana Sousa1, Caroline Faria1
1PhD student, Department of Oral and Maxillofacial Pathology, School of Dentistry, University of Pernambuco (UPE), Recife, Brazil.
Journal of Clinical and Experimental Dentistry
|October 6, 2023
Summary
Orthodontic treatment can lead to dental pulp calcifications, such as pulp stones, potentially impacting future dental procedures. This review maps evidence on orthodontics and these calcifications.
Area of Science:
- Dentistry
- Orthodontics
- Endodontics
Background:
- Orthodontic treatment involves applying forces that can affect dental pulp.
- These forces may lead to pulpal calcifications, including pulp stones and obliteration.
- Such changes can have repercussions on subsequent dental procedures, particularly endodontic treatment.
Purpose of the Study:
- To map the existing scientific evidence on the association between orthodontic treatment and dental pulp calcifications.
- To identify knowledge gaps concerning the relationship between orthodontics and pulpal changes.
Main Methods:
- A scoping review was conducted to answer the guiding question: "What is the scientific evidence of the association between pulpal calcifications and orthodontic treatment?"
- Searches were performed in PubMed, Scopus, and Web of Science databases, along with grey literature.
- Included were original articles, observational studies, and clinical trials published up to October 2022, with no language restriction.
Main Results:
- Eleven studies (six observational, five experimental) met the eligibility criteria.
- A statistically significant association was found between orthodontic treatment and changes in pulp cavity volume.
- An increased incidence of pulp stones was also observed in teeth undergoing orthodontic treatment.
Conclusions:
- Orthodontic forces can induce changes in the dental pulp.
- These pulp alterations may directly impact the success of other dental treatments, especially endodontic therapy.
- Further research may be needed to fully understand and manage these implications.
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