Extreme root resorption associated with induced tooth movement: A protocol for clinical management

Consolaro, Alberto; Furquim, Laurindo Zanco

doi:10.1590/2176-9451.19.5.019-026.oin

Cited by 17 publications

(21 citation statements)

References 2 publications

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“…Penyerapan akar gigi hanya berlaku kepada 5-10% daripada subjek yang tidak pernah mendapat rawatan ortodontik (Consolaro & Furquim 2014). Hal ini berlaku kerana gigi mengalami aliran distal (mesial drift) oleh daya oklusal (Tsuchiya et al 2013).…”

Section: Perbincanganunclassified

Penyerapan Akar Gigi Apeks Luaran Hasil Rawatan Ortodontik Pada Enam dan 12 Bulan

Arifin¹,

Din

Yamamoto

et al. 2017

JSM

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Section: Perbincanganunclassified

Penyerapan Akar Gigi Apeks Luaran Hasil Rawatan Ortodontik Pada Enam dan 12 Bulan

Arifin¹,

Din

Yamamoto

et al. 2017

JSM

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“…It is important to highlight the aggressiveness of the lesion by a radiographic examination, once it is required to analyze bone destruction, extra bone invasion, structure of the lesion, and root resorption [5]. …”

Section: Discussionmentioning

confidence: 99%

“…Periapical radiographs of the presenting case of intraosseous MPNST showed a unilocular periapical lesion with a defined border and external dental resorption in the lateral region and apical region of upper left incisors. This radiographic appearance was suggestive of a periapical lesion of cyst, once external root resorption does not occur exclusively of malignancies, as what may occur for orthodontic movement, neoplasia, being more common in case of inflammatory origin, such as periapical lesion [5]. …”

Section: Discussionmentioning

confidence: 99%

A Rare Malignant Peripheral Nerve Sheath Tumor of the Maxilla Mimicking a Periapical Lesion

Arruda

Álvares

Silva

et al. 2016

Case Reports in Dentistry

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Malignant peripheral nerve sheath tumor is a malignant neoplasm that is rarely found in the oral cavity. About 50% of this tumor occurs in patients with neurofibromatosis type I and comprises approximately 10% of all soft tissue sarcomas of head and neck region. Intraosseous malignant peripheral nerve sheath tumor of the maxilla is rare. This article is the first to address malignant peripheral nerve sheath tumor of the maxilla presenting as a periapical radiolucency on nonvital endodontically treated teeth in the English medical literature. Surgical approaches to malignant soft tissue tumor vary based on the extent of the disease, age of the patient, and pathological findings. A rare case of intraosseous malignant peripheral nerve sheath tumor is reported in a 16-year-old woman. The patient presented clinically with a pain involving the upper left incisors region and with defined unilocular periapical radiolucency lesion involved between the upper left incisors. An incisional biopsy was made. Histological and immunohistochemical examination were positive for S-100 protein and glial fibrillary acidic protein showed that the lesion was an intraosseous malignant peripheral nerve sheath tumor of the maxilla. Nine years after the surgery, no regional recurrence was observed.

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“…Apical root resorption (ARR) is a frequent side effect of orthodontic treatment, showing variable and unpredictable lesion extension. 1,2,3,4 It is characterized by loss of tooth structure due to the disappearance of the cementoblasts from the root surface. 4,5,6,7 This occurs because the force applied to the teeth causes compression of the blood vessels of the periodontal ligament.…”

Section: Introductionmentioning

confidence: 99%

“…4,5,6,7 This occurs because the force applied to the teeth causes compression of the blood vessels of the periodontal ligament. 3,7,8 Despite representing tissue and structural damage, apical root resorption limited to 3mm in length is considered as a clinically acceptable biological cost during orthodontic treatment. Nevertheless, it should not be considered as normal, physiological or part of apical remodeling.…”

Section: Introductionmentioning

confidence: 99%

Is relevant the underestimation of irregular apical root resorption by periapical radiographs?

Campos¹,

Gomes

Caetano

et al. 2019

hu rev

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Introduction: Periodic control of root resorption during orthodontic treatment is frequently made by two-dimensional radiographic examinations, in which irregular resorptions are not detected buccolingually. Aim: Quantifying the resorbed root area of incisors with irregular apical root resorption underestimated by two-dimensional radiographic methods. Materials and Methods: Cone beam computed tomography images of 18 patients whose incisors presented irregular apical root resorption underestimated by two-dimensional radiographic methods and their contralateral correspondents without resorption were evaluated. In sound incisors, a regular apical root resorption was simulated at the same height as that of the irregularly resorbed incisors. The apical and total root surface areas of the incisors with irregular root resorption and simulated regular root resorption were measured and compared. The Student´s t test for paired samples was used at a level of significance of 0.05. Results: The apical area of the incisors with irregular root resorption was significantly smaller than that of the incisors with simulated regular resorption (p<0.001). There was no significant difference in the comparison between total root surface areas (p=0.435). Conclusion: Underestimation of the irregular root resorption shown on two-dimensional images was significant when analyzing the apical area of the tooth. However, when considering the total root surface area of the tooth, which is responsible for the most part of the periodontal support, such underestimation was not significant.

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Extreme root resorption associated with induced tooth movement: A protocol for clinical management

Cited by 17 publications

References 2 publications

Penyerapan Akar Gigi Apeks Luaran Hasil Rawatan Ortodontik Pada Enam dan 12 Bulan

Penyerapan Akar Gigi Apeks Luaran Hasil Rawatan Ortodontik Pada Enam dan 12 Bulan

A Rare Malignant Peripheral Nerve Sheath Tumor of the Maxilla Mimicking a Periapical Lesion

Is relevant the underestimation of irregular apical root resorption by periapical radiographs?

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