Endodonti-Ortodonti Arayüzü: Kök Rezorpsiyonu ve Hasta Yönetimi ilişkisi
Journal Title: Uluslararası Dis Hekimligi Bilimleri Dergisi - Year 2023, Vol 9, Issue 1
Abstract
Objective: Since endodontic treatments do not constitute a contraindication for orthodontic treatment, endodontically treated teeth can be moved orthodontically. However, there is a lack of data in the literature on the precise relationship between endodontic and orthodontic treatments, and this relationship consists of various effects of orthodontic treatment on the pulp and periodontium. In cases where the root canal filling material is completely inside the canal with little or no irritation to the periapical tissues, the periapical and/or pulpal lesion begins to resolve immediately. Although apical periodontal repair begins after this resolving, foreign body granulomas are triggered when root canal leakage or root canal filling materials such as resin, silicon, zinc oxide eugenol, bioceramic or gutta-percha remain in the periapical region. Although these granulomas do not prevent tooth movement, their position should be controlled with periapical radiographs every three months and pseudo-overfilling can be prevented by delaying permanent canal filling until orthodontic treatment is complete. Therefore, it is recommended to apply optimal force to provide desired tooth movement in order to limit pulp damage and even aid resolving. In addition, comprehensive evaluation of the periapical conditions of endodontically treated teeth, both clinically and radiographically, is important before orthodontic treatment. Conclusion: In this review, it is aimed to increase the level of knowledge on this issue by reviewing the current scientific evidence about the effect of endodontic and orthodontic treatments on root resorption, considerations in treatment planning and patient management.
Authors and Affiliations
Büşra DEMİR ÇİÇEK Orhan ÇİÇEK
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