Prevalence and prevention of orthodontically induced dental resorption

Authors

  • Rehab Fuad Bawyan Department of Orthodontics, King Fahad General Hospital, Jeddah, Saudi Arabia
  • Ahmed Nayef Alsharif College of Dentistry, Qassim University, Qassim, Saudi Arabia
  • Wissam Hussain Alabdalaal Dental Department, Qatif Central Hospital, Qatif, Saudi Arabia
  • Abdulelah Saad Thakfan College of Dentistry, King Khalid University, Abha, Saudi Arabia
  • Sarah Taha Alesayi General Dentist, Ministry of Health, Medina, Saudi Arabia
  • Ghadah Abdullah Shafei Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
  • Manal Mohammed Almarwani Primary Healthcare, Ministry of Health, Jeddah, Saudi Arabia
  • Basmah Mustafa Ageel General Dentist, Ministry of Health, Tabuk, Saudi Arabia
  • Fatma Abdulqader Azouz General Dentist, Ministry of Health, Medina, Saudi Arabia
  • Asim Abdulaziz Alkhalifah College of Dentistry, Qassim University, Qassim, Saudi Arabia
  • Lamis Marwan Farghal College of Dentistry, Taibah University, Medina, Saudi Arabia
  • Ahmad Eissa Rawas Department of Orthodontic, King Abdulaziz Hospital, Mecca, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20214800

Keywords:

Dental resorption, Orthodontics, Dental care, Dental health

Abstract

Since 1914, when Ottolengui first described it, dentists and patients have been tormented with root resorption, an unwanted but typical sequence of orthodontic mechanotherapeutics. It has been demonstrated that among other potentially hazardous chemicals, the orthodontic equipment employed has a considerable impact on root repair. The‏‏‎ root‏‏‎ repair‏‏‎ process‏‏‎ is‏‏‎ highly‏‏‎ linked‏‏‎ to‏‏‎ periodontal‏‏‎ ligament‏‏‎ necrosis‏‏‎ damage.‏‏‎ When‏‏‎ intense‏‏‎ orthodontic‏‏‎ pressures‏‏‎ are‏‏‎ applied‏‏‎ for‏‏‎ an‏‏‎ extended‏‏‎ length‏‏‎ of‏‏‎ time‏‏‎,‏‏‎ hyalinization‏‏‎ of‏‏‎ the‏‏‎ underlying‏‏‎ periodontal‏‏‎ ligament‏‏‎ can‏‏‎ occur‏‏‎ quickly.‏‏‎ Protective‏‏‎ leukocytes‏‏‎ from‏‏‎ periodontal‏‏‎ ligament‏‏‎ capillaries‏‏‎ mix‏‏‎ quickly‏‏‎ with‏‏‎ osteoclast‏‏‎ progenitors‏‏‎ to‏‏‎ create‏‏‎ cells‏‏‎ with‏‏‎ high-density‏‏‎ genes‏‏‎ capable‏‏‎ of‏‏‎ regenerating‏‏‎ mineral‏‏‎ tissue‏‏‎.‏‏‎ External‏‏‎ apical‏‏‎ root‏‏‎ repair‏‏‎ begins‏‏‎ when‏‏‎ a‏‏‎ protective‏‏‎ layer‏‏‎ of‏‏‎ cementoblasts‏‏‎ including‏‏‎ the‏‏‎ hyalinized‏‏‎ periodontal‏‏‎ ligament,‏‏‎ dies,‏‏‎ allowing‏‏‎ odontoclasts‏‏‎ to‏‏‎ rebuild‏‏‎ cement‏‏‎ and‏‏‎ teeth.‏‏‎ Initially,‏‏‎ a‏‏‎ cemented‏‏‎ protective‏‏‎ layer‏‏‎ is‏‏‎ lost,‏‏‎ exposing‏‏‎ a‏‏‎ green‏‏‎ cement‏‏‎ surface‏‏‎ to‏‏‎ odontoclastic‏‏‎ assaults‏‏‎.‏‏‎ On the other hand, the maxillary second premolar exhibited more excellent root rates in Asians than in Caucasians. The data were taken as evidence that specific races such as Asians were less likely than longer roots to be involved in root repair or were impacted by mutant morphology. In addition, radiographic examination of intermediate IOPAR therapy can detect at-risk teeth and suggest the necessity for appropriate rest to improve performance or anatomical structure. Treatment of afflicted individuals should be continued with caution and proper use of high-intensity light while avoiding movements linked with re-screening such as ingesting.

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Published

2021-12-27

How to Cite

Bawyan, R. F., Alsharif, A. N., Alabdalaal, W. H., Thakfan, A. S., Alesayi, S. T., Shafei, G. A., Almarwani, M. M., Ageel, B. M., Azouz, F. A., Alkhalifah, A. A., Farghal, L. M., & Rawas, A. E. (2021). Prevalence and prevention of orthodontically induced dental resorption. International Journal Of Community Medicine And Public Health, 9(1), 502–507. https://doi.org/10.18203/2394-6040.ijcmph20214800

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Review Articles