Orthodontic treatment in patient with idiopathic root resorption: A case report

Abstract

Multiple idiopathic external root resorption is a rare pathological condition usually detected as an incidental radiographic finding. External root resorption of permanent teeth is a multifactorial process related to several local and systemic factors. If an etiological factor cannot be identified for root resorption, the term "idiopathic" is applied. This report presents a case of multiple idiopathic apical root resorption. The condition was found in a young female patient seeking orthodontic treatment due to malocclusion. This kind of resorption starts apically and progresses coronally, causing a gradual shortening and rounding of the remaining root. Patients with this condition are not the ideal candidates for orthodontic treatment; however, the aim of this report is to describe an unusual case of idiopathic root resorption involving the entire dentition, and to present the orthodontic treatment of this patient. It describes the progress and completion of orthodontic therapy with satisfactory end results.

Orthodontic treatment in a patient with cherubism: Benefits and limitations

“…Since root resorptions are common in these patients, if present, the forces should not be applied directly to the affected teeth 18 . Moreover, routine radiographic controls are necessary to evaluate bone lesions and treatment progress, and once finished, the orthodontics and regular clinical and radiographic follow‐up should be maintained.…”

Extraction of Maxillary Central Incisors with Short Roots for Orthodontic Treatment of Maxillary Protrusion and Open Bite

“…When developing the treatment plan, the main concern was the condition of the protruded maxillary incisors. Studies have shown it is possible to preserve teeth with short roots when the teeth are moved in intervals and the total treatment time is short 9,14) . If a large amount of movement is required, however, application of such orthodontic forces takes a long time, which is not recommended, as this may lead to progressive apical root resorption 2) .…”

Risk Factors and Contemporary Treatment of Orthodontically Induced Apical Root Resorption: A Review

“…Rey et al 65 have suggested that orthodontic management of external apical root resorption should be done by simple mechanical techniques. Light and controlled forces, allowing predictable movements which are physiologically acceptable.…”

“…Prevention of root resorption can occur by application of light and controlled forces. 65 Teeth with only the cervical third remaining from orthodontically induced external root resorption must remain in one's mouth with function and esthetics preserved. In these cases, endodontic treatment is not recommended for affected teeth because the pulp is not involved in the process and the post-treatment phase of endodontic therapy might be a complicating factor due to risks of accidental contamination or filling material overflow.…”