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Orthodontic management of root-filled teeth

C Drysdale1, S L Gibbs, T R Ford

  • 1Dental School, Guy's Hospital, London, UK.

British Journal of Orthodontics
|August 1, 1996
PubMed
Summary

This review guides orthodontists on assessing root-filled teeth for treatment. It covers root filling quality, prognosis factors, and risks like resorption and trauma.

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Area of Science:

  • Endodontics and Orthodontics
  • Dental Traumatology
  • Tooth Prognosis

Background:

  • Orthodontic treatment often requires extraction of teeth, including those previously treated with root canal therapy.
  • Assessing the long-term prognosis of root-filled teeth is crucial for treatment planning.

Purpose of the Study:

  • To provide guidance on evaluating the quality of root canal fillings.
  • To identify factors influencing the prognosis of root-filled teeth during orthodontic treatment.
  • To discuss the impact of traumatic injuries and root resorption risk.

Main Methods:

  • Literature review of studies on root-filled teeth and orthodontic treatment.
  • Analysis of factors affecting root-filled tooth prognosis.
  • Discussion of traumatic dental injuries and root resorption mechanisms.

Main Results:

  • Root filling quality significantly impacts tooth prognosis.
  • Factors such as coronal seal, obturation quality, and periapical status are key indicators.
  • Previous trauma and susceptibility to root resorption are critical considerations.

Conclusions:

  • Root-filled teeth can be successfully incorporated into orthodontic treatment plans with careful assessment.
  • Understanding prognostic factors and potential complications is essential for predictable outcomes.
  • Further research may refine guidelines for managing root-filled teeth in orthodontics.

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