Special considerations for orthodontic treatment in patients with root resorption

Abstract

Background: Ort��d�ntic treat�ent needs g��d c�nsiderati�n es�ecially ���en t�ere are �n�av�ra�le c�nditi�ns ��r �rt��d�ntic treat�ent, s�c� as �eri�d�ntal diseases �r t��t� ��it� r��t res�r�ti�n. R��t res�r�ti�n s���ld n�t �ec��e ���rse d�e t� �rt��d�ntic treat�ent., All risk �act�rs s���ld �e eli�inated �e��re �rt��d�ntic treat�ent is started. Ot�er��ise, t�e g�al �� �rt��d�ntic treat�ent c��ld �e di��ic�lt t� ac�ieve �eca�se �� ���r dental and �r �ral �ealt�. Purpose: ��e ��r��se �� t�is st�dy ��as t� learn ��re a���t �ec�anical �act�rs t�at c��ld ���rsen t�e r��t res�r�ti�n t�at �as already �een t�ere �r even �r�v�ke r��t res�r�ti�n t� devel�� d�ring �rt��d�ntic treat�ent. reviews: Res�r�ti�n �� dental r��t s�r�ace is t�e c�nditi�n in ���ic� ce�ent�� is de�raved and t�e da�age c��ld als� incl�de dentin �� dental r��t. �t can �cc�r eit�er ��ysi�l�gically �r �at��l�gically d�e t� s��e ca�ses. ��e �cc�rrence �� t�e r��t res�r�ti�n is s�s�ected �eca�se �� t�e �i�l�gical �act�r, t�e t��t� c�nditi�n, t�e s����rtive tiss�e and t�e �ec�anical �act�rs. Pan�ra�ic �-ray ���ic� r��tinely �sed t� s����rt diagn�se in �rt��d�ntic cases, can detect r��t res�r�ti�n in general, alt���g� s��eti�es �eria�ical �-ray ��it� �arallel tec�niq�e is needed t� en�ance t�e diagn�sis. Be��re starting a treat�ent, t�e risk �act�rs t�at s�s�ected as t�e ca�ses �� r��t res�r�ti�n s���ld �e eli�inated, t��s t�e �ec�anical treat�ent can �e calc�lated. Conclusion: Ort��d�ntic treat�ent in �atient ��it� r��t res�r�ti�n s���ld n�t escalate t�e r��t res�r�ti�n ���ic� already �cc�rs. ��e treat�ent s���ld �e d�ne e��ectively �y �sing ��ti�al ��rces. Giving disc�ntin�ed ��rces and av�iding intr�si�n and t�rq�e ��ve�ents c��ld red�ce t�e risk �act�rs �� r��t res�r�ti�n.