Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
in Orthodontcs
M. ABOULNASER- Orthodontst, BAU, USA.
O. SANDID- Orthodontst, D.C.D., D.U.O, C.E.S.B.B, C.E.S.O.D.F ,
S.Q.O.D.F, Paris. France.
Contact: dr.aboualnaser@hotmail.com
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
Contact: dr.aboualnaser@hotmail.com
www.orthofree.com
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
Plan
1-Definiton
2-Frequency
3-Localisaton
4-Formes
5-The mechanisms of root resorpton
6-Root resorptonclinical manifestatons.
7-Radiographicdiagnosisofroot resorpton
8-Root resorpton- Etology
9-External Root Resorpton Management
10-Root resorptons and responsibility
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
1-Definiton
O SANDID- M ABOULNASER
oussama
External
sandid-oussama-sandid-olivier
Root resorptonin Orthodontcs-oussama
sandid-olivier-sandid-mohamad
sandid- olivier sandid
aboualnaser-mohamad
-o sandid-mohamad aboualnser-sandid-aboualnaser
aboualnaser-mohamad aboulnaser-m
-mohmad
aboualnaser
aboulnaser
Root resorpton is a sterile inflammatory process resultng in loss of calcified tssues of the
root.
Is defined as the gradual disappearance partal or total dental root tssue.
The Orthodontc treatment causes damage to the soft tssue and hard tssue, called
"iatrogenic harm."
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
2-Frequency
O SANDID- M ABOULNASER
After orthodontc treatment, there are almost microscopic gaps 100% and about
10%
macroscopic damage.
- The root resorpton are more common in adults than in children, they increase
with age
- The same patent, some teeth are subjected to root resorpton (upper incisors).
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
3-Localisaton
O SANDID- M ABOULNASER
The most affected teeth are the maxillary incisors, the mandibular incisors, canines, premolars
molars
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
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Ahu Topkara, Ali I Karaman, Chung H Kau, European Journal of Dentstry, October 2012 - Vol.6
4-Formes
O SANDID- M ABOULNASER
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
Root resorpton is an inflammatory process resultng in loss of calcified tssues of the root. similar to those
responsible for bone resorpton.
It involves mechanisms of inflammaton, systemic factors and many mediators of cellular actvity such as
neurotransmitters, growth factors, prostaglandins, and other cytokines.
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
During orthodontc treatment, the roots are subjected to tension forces and pressure which cause bone
resorpton and remodeling by affixing the source of tooth movement. excessive pressure on the periodontal
ligament causes cell damage and inflammatory response induced cementum and dentn resorpton located .
http://www.hindawi.com/journals/tswj/2014/617032/fig2/
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
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7-Radiographicdiagnosisofroot resorpton
SANDID- M ABOULNASER
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
SANDID- M ABOULNASER
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Carlos Estrela, , Mike Reis Bueno, JOE Volume 35, Number 11, November 2009
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
O SANDID- M ABOULNASER
1) Heredity
2) General factors- Systemic factors, etc.
3) Local factors
4) Impacted teeth
5) Dysfunctons
6) Dental Trauma
7) Orthodontc treatment
8) Medicaton Factors
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1) Hereditary predispositon
O SANDID- M ABOULNASER
oussama sandid-oussama-sandid-olivier sandid-olivier-sandid-mohamad aboualnaser-mohamad aboualnser-sandid-aboualnaser -mohmad aboulnaser
Genetcs is responsible for about half of the cases AERR, more specifically, two thirds of the cases
AERR central incisors of the upper jaw. Some studies suggest that women are more likely to
AERR than men.
Hartsfield,Breznik
LopatieneK,DumbravaiteA,Stomatologija.2008;10(3):89-95
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1 short root;
2 blunt root;
3 root with apical bend;
4 root with apical pipette shape.
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4) Teeth impacted: Example The canines can reduce the roots of maxillary lateral
incisors
O SANDID- M ABOULNASER
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
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AMORYCarole,TheseCECSMOMarseille,SandidOussama
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
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External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
Sandidoussama
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
AMORYCarole,TheseCECSMOMarseille)
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AhuTopkara,AliIKaraman,ChungHKau,EuropeanJournalofDentistry,October2012-Vol.6
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O SANDID- M ABOULNASER
AMORYCarole,ThseCECSMOMarseille)
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6) Dental trauma
O SANDID- M ABOULNASER
Dental trauma, Before or during orthodontc treatment, increase the risk of root resorpton
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
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AMORYCarole,TheseCECSMOMarseille)
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O SANDID- M ABOULNASER
1-The amount of force: The forces of great magnitude would cause more
damage than lighter and intermittent forces are recommended to use light
bioprogressives strengths and short-term
-The Factors often incriminated are contnuous forces, cumbersome and lengthy.
Optmal strength for each category of teeth was set between 7 and 26 g / cm 2
of root surface (equal to the pressure of the blood capillaries.)
For comparison F minor 50-350 mg
F chewing 2-50 Kg ?? Heavy forces cause more craters resorpton, decreased more
calcium and phosphorus in Cement
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
Abuabara,Chan,Acar ,Ballard,
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External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
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AMORYCarole,TheseCECSMOMarseille.
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InternationalJournalofDentistry,Volume2013(2013),ArticleID929486,7pages,http://dx.doi.org/10.1155/2013/929486
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InternationalJournalofDentistry,Volume2013(2013),ArticleID929486,7pages,http://dx.doi.org/10.1155/2013/929486
Surgical management of an internal resorpton through a retrofilling with MTA (tooth 11). (a) Preoperatve view: presence of a sinus
tract. (b) Preoperatve intraoral radiography with a gutta percha point in the sinus tract, leading to the source of infecton .(c), (d),
and (e) Sagittal, coronal, and axial CBCT cross-sectons. (f) Surgical cleaning of the root resorptve lesion and retrofilling with MTA.
(g) Postoperatve periapical X-ray of the root treatment: the filling is dense without overfilling. (h) One year followup: the clinical
view confirms the sinus tract disappearance and the healthy appearance of the gums. (i) Periapical X-ray corroborates the
periodontal regeneraton in close contact with MTA filling.
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
InternationalJournalofDentistry,Volume2013(2013),ArticleID929486,7pages,http://dx.doi.org/10.1155/2013/929486
Study focused on a series of 20 clinical cases with root resorpton very pronounced. Our patents, aged 14-60
years, received a treatment with cod liver oil mixed with calcium hydroxide in endodontc medicaton
transient. We limited the duraton of treatment to a minimum of 40 days, at the rate of one applicaton
every 10 days next to a radiological control.
Clinically: a reducton or absence of tooth mobility caused by the loss of bone support
Radiologically: regression of bone loss
Histologically: a decrease in osteoblasts at sites treated with cod liver oil. The size of the vacuoles
resorpton treated teeth is less than that of the control teeth.
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
http://www.santemaghreb.com/tunisie/edit0604.htm
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Before treatment
- * Make a panoramic radiograph and if in doubt, complete with
periapical radiographs.
- * Diagnosing patents with potental risk of root resorpton.
- * Inform the patent of the risk of root resorpton.
- * Make a care contract that it is desirable to sign.
- * Know discontnue treatment.
- * Inform the patent of the occurtrence of root resorpton.
- * Inform the patent of the existence of root resorpton.
- * Make therapeutc proposals to mitgate the consequences of
resorpton.
In cases of severe resorpton greater than 4 mm with a crown / root rato
of 1/1, a claim must be made to the insurance
External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
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External Root resorptonin Orthodontcs-oussama sandid- olivier sandid -o sandid-mohamad aboualnaser-mohamad aboulnaser-m aboualnaser
11-Conclusion
O SANDID- M ABOULNASER
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Bibliography
O SANDID- M ABOULNASER
K. Nigul, T. Jagomgi Stomatologija, Baltc Dental and Maxillofacial Journal, 2006, Vol. 8., No. 3.
Diane J. Milberga Angle Orthodontst, Vol 76, No 1, 2006
Frank Weiland, External root resorptons and orthodontc forces: correlatons and clinical consequences PROGRESS in
ORTHODONTICS 2006; 7(2):156-163
Szarmach IJ1*, Szarmach J2, Waszkiel D3 Complicatons in the course of surgical-orthodontc
treatment of impacted maxillary canines Advances in MCedoimcapll iSccaiteinocness i n tVhoe lc. o5u1r se 2o0f 0s6u rg
icSaulp-oprlt.h 1o
Babak Falahata; Sune Ericsonb; Rozmary Mak DAmicoc; Krister Bjerklind FOLLOW-UP OF ROOT RESORPTION Angle
Orthodontist, Vol 78, No 5, 2008
Steven R. Tucker DMD, PSC Oral and Maxillofacial Surgery
LAURE FRAPIER, LAURENT MASSIF, MATHILDE LEPLUS, MONIQUE CHOUVIN, PIERRE CANALConduite tenir face aux
rsorptons radiculaires revue d `odf,septembre 2007
ALAIN BRY Rsorptons radiculaires et responsabilit revue d `odf,septembre 2007
me anne CECSMO Marseille) Poster
carole AMORY, 4me
Brezniak N, Wasserstein A. Root resorpton after orthodontc treatment: Part 2. Literature review. American Journal of
Orthodontcs and Dentofacial Orthopedics 1993; 103: 138-143.Le Norcy, Lautrou, Legoff. Facteurs affectant la rsorpton
associe aux traitements dorthodonte. Internatnnal Orthodontcs, juin 2005; vol 3 N02:129-140Pizzo G, Licata ME, Guiglia
R, Giuliana G. Root resorpton and orthodontc treatment. Review of the literature. Minerva Stomatol. 2007PROFFIT,
William. Contemporary Orthodontcs, St-Louis, Mosby, 2000, 739 p.
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