Tracionamento ortodôntico: possíveis consequências nos caninos superiores e dentes adjacentes. Parte 3: anquilose alveolodentária, reabsorção dentária por substituição, metamorfose cálcica da polpa e necrose pulpar asséptica

Consolaro, Alberto; Consolaro, Renata Bianco; Francischone, Leda A.

doi:10.1590/s2176-94512010000600003

Cited by 9 publications

(15 citation statements)

References 4 publications

(2 reference statements)

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“…Since the first minutes, it is not possible to break the vascular and neural bundles that cross the periodontal ligament and penetrate into the apical foramen to nourish the pulp tissue with blood. 3 There are no sudden orthodontic movements that might promote partial or total lesions in the blood vessels responsible for the pulp blood supply.…”

Section: The Active Orthodontic Forces Are Necessarily Light and Modementioning

confidence: 99%

“…That is to say: if the forces are not light or moderate, there is no tooth movement; 1 , 3 i.e., severe or heavy forces do not allow orthodontic tooth movement. Therefore, if heavy forces are applied by professionals without proper orthodontic training, the risk of pulp necrosis and calcific metamorphosis of the pulp is reduced to zero.…”

Section: The Severe or Heavy Orthodontic Forces Are Unable To Move Thmentioning

confidence: 99%

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There is no pulp necrosis or calcific metamorphosis of pulp induced by orthodontic treatment: biological basis

Consolaro

2018

Dental Press J. Orthod.

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To biologically explain why the orthodontic treatment does not induce pulp necrosis and calcific metamorphosis of the pulp, this paper presents explanations based on pulp physiology, microscopy and pathology, and especially the cell and tissue phenomena that characterize the induced tooth movement. The final reflections are as follows: 1) the orthodontic movement does not induce pulp necrosis or calcific metamorphosis of the pulp; 2) there is no literature or experimental and clinical models to demonstrate or minimally evidence pulp alterations induced by orthodontic movement; 3) when pulp necrosis or calcific metamorphosis of the pulp is diagnosed during orthodontic treatment or soon after removal of orthodontic appliances, its etiology should be assigned to concussion dental trauma, rather than to orthodontic treatment; 4) the two pulp disorders that cause tooth discoloration in apparently healthy teeth are the aseptic pulp necrosis and calcific metamorphosis of the pulp, both only induced by dental trauma; 5) the concussion dental trauma still requires many clinical and laboratory studies with pertinent experimental models, to increasingly explain its effects on the periodontal and pulp tissues.

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Section: The Active Orthodontic Forces Are Necessarily Light and Modementioning

confidence: 99%

Section: The Severe or Heavy Orthodontic Forces Are Unable To Move Thmentioning

confidence: 99%

There is no pulp necrosis or calcific metamorphosis of pulp induced by orthodontic treatment: biological basis

Consolaro

2018

Dental Press J. Orthod.

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“…16,17 The surgical procedure must be well planned and carried out with precision, without exaggerated forces and repetitive handling of the instruments used in the procedure. 19 Surgical instruments should not be anchored or fixed to the cervical region of the upper canines because chisels and tips of surgical instruments such as forceps can mechanically damage the follicle and periodontal tissues in the cervical region and expose or increase the exposure of the dentin at ECJ, a starting point for ECR. 16,17 When drilling is the procedure performed to access the unerupted canine, only a small portion of the tooth crown requires exposure, and only enough to allow the procedure to be performed.…”

Section: Less Tissue Manipulationmentioning

confidence: 99%

“…18,19 The induced tooth movement resulting from traction of the unerupted maxillary caninesan extrusive movement -must have forces that are delivered and dissipated slowly, consistent with normal biological tissue. Connective and epithelial tissues are constantly remodeling, which gives them remarkable ability to adapt to new functional demands.…”

Section: Edct Biomechanicsmentioning

confidence: 99%

Perfuração do esmalte para o tracionamento de caninos: vantagens, desvantagens, descrição da técnica cirúrgica e biomecânica

Filho

Consolaro

Cardoso

et al. 2011

Dental Press J. Orthod.

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Introduction: The management of unerupted teeth has always been considered as a challenging procedure in orthodontic practice. Within this perspective, the search for effectiveness in the procedures adopted for the management of unerupted teeth is essential, which explains the purpose of the present paper. When enamel drilling is performed, a natural structure is transfixed, which may be restored with composite material and may dispense from risky procedures such as bonding attachment technique and lasso wire technique. Objective: The present paper aims to present protocols for enamel drilling for canine traction (EDCT), specifically for maxillary canines, the most frequent teeth showing tooth position anomalies. In this paper, clinical cases with different degrees of complexities were illustrated, and, based upon the literature review and the 30 years of expertise with high rate of clinical success, advantages and disadvantages are discussed comparing EDCT and accessory bonding for canine traction (ABCT). Abstract

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“…Expondo esses gaps, proteínas não registradas pelo organismo durante o processo de odontogênese e que ali ficam guardadas, são liberadas e em contato com as células de defesa do tecido conjuntivo serão consideradas como antígenos, resultando também em reabsorção 11 . Consolaro et al 12 relatam ainda que anquilose e reabsorção por substituição são causadas pela força e velocidade da movimentação, e que a metamorfose cálcica da polpa e a necrose pulpar são caudadas pela luxação dentária induzida com dano do feixe vasculonervoso também são consequências do tracionamento ortodôntico.…”

Section: Introductionunclassified

Tratamento cirúrgico-ortodôntico do dente 33: relato de caso clínico

Marcelino¹,

Cruz²,

Fábris³

et al. 2017

Arch Health Invest

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ResumoA erupção dentária é um processo fisiológico que consiste no trajeto realizado pelo germe dentário até atingir seu plano funcional na cavidade oral, porém tal processo pode sofrer alterações provocando sua falha ou interrupção. A impacção é uma dessas alterações, onde o dente permanece retido sob dentes adjacentes, tecido ósseo ou tecido mole, sendo os caninos um dos dentes que mais sofrem impacções. Retenção ou perda precoce do decíduo, presença de odontoma e espaços disponíveis no arco, são algumas possíveis causas das impacções caninas. O propósito deste trabalho foi relatar um caso clínico de tratamento cirúrgico-ortodôntico de canino impactado pela presença de dente decíduo e odontoma. Paciente foi referenciado à Universidade Brasil por seu ortodontista com solicitação de procedimento cirúrgico de remoção do odontoma e colagem de botão para tracionamento do dente 33 impactado. Em radiografia panorâmica apresentada, o dente decíduo (dente 73) já havia sido removido, mas ainda havia a presença do odontoma no local. O tratamento cirúrgico foi realizado com enucleação da lesão e o dente preparado para o tracionamento ortodôntico, com colagem de botão ortodôntico. Conclui-se que o caso relatado apresentou um diagnóstico precoce e prognóstico favorável, o que tornou possível o estabelecimento da estética e função. Descritores: Dente Impactado; Odontoma; Tração. AbstractThe dental eruption is a physiological process that consists in the pathway of the dental germ until reaching its functional plane in the oral cavity, but this process can change causing its failure or interruption. Impaction is one of these alterations, where the tooth remains retained under adjacent teeth, bone tissue or soft tissue, and the canines are the ones that most often suffer with impactions. Early retention or loss of the deciduous, presence of odontoma and spaces available in the arch are some possible causes of canine impactions. The purpose of this work was to report a clinical case of canine orthodontic treatment impacted by the presence of a deciduous tooth and odontoma. The patient was referred to the Universidade Brasil by the orthodontist with request of a surgical procedure of removal of the odontoma and bonding of the button for traction of the impacted tooth. In panoramic radiograph, the deciduous tooth (tooth 73) had already been removed, but there was still the presence of the odontoma in place. The surgical treatment was performed with enucleation of the lesion and the tooth prepared for orthodontic traction, with orthodontic button gluing. It is concluded that the case reported presented an early diagnosis and favorable prognosis, which made possible the establishment of a esthetics and function. Descriptors: Tooth, Impacted; Odontoma; Traction. ResumenLa erupción de los dientes es un proceso fisiológico que es el camino tomado por el germen del diente para lograr em su plan funcional en la cavidad oral, pero este proceso puede cambiar causando su falla o interrupción. La impactación es uno de esos cambios, donde el...

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Tracionamento ortodôntico: possíveis consequências nos caninos superiores e dentes adjacentes. Parte 3: anquilose alveolodentária, reabsorção dentária por substituição, metamorfose cálcica da polpa e necrose pulpar asséptica

Cited by 9 publications

References 4 publications

There is no pulp necrosis or calcific metamorphosis of pulp induced by orthodontic treatment: biological basis

There is no pulp necrosis or calcific metamorphosis of pulp induced by orthodontic treatment: biological basis

Perfuração do esmalte para o tracionamento de caninos: vantagens, desvantagens, descrição da técnica cirúrgica e biomecânica

Tratamento cirúrgico-ortodôntico do dente 33: relato de caso clínico

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