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Movimento ortodôntico em dentes com tratamento endodontico: revisão narrativa
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Abstract(s)
A reabsorção radicular é uma condição associada a um processo patológico ou fisiológico que resulta na perda de tecidos mineralizados. Na movimentação dentária os cementoblastos podem necrosar pela ação da força aplicada, em decorrencia da compressao dos vasos do ligamento periodontal naquela região. Dessa forma, a superfície radicular dá espaço aos osteoblastos, que se organizam em unidades osteoremodeladoras e iniciam a reabsorção radicular associada à esta movimentação ortodôntica. Esta pesquisa bibliográfica foi delimitada no período de 2006 a 2019 com o objetivo de verificar se dentes tratados endonticamente, quando submetidos a movimentação dentária, estariam mais suscetíveis a reabsorções periapicais em comparação aos dentes vitais. Conclui-se que fatores relacionados ao tratamento endodontico devem ser levados em consideração durante o planejamento ortodôntico, e ainda que o dente tratado endodonticamente, quando submetido a movimentação ortodôntica, não contribui para aumentar a possibilidade de ocorrência de reabsorção radicular apical.
Root resorption is an condition associated with a pathological or physiological process that results in the loss of mineralized tissues. In tooth movement, cementoblasts can necrotize by the action of the applied force, due to compression of the vessels of the periodontal ligament. Thus, the root surface gives space to osteoblasts, which are organized into osteoremodeling units and initiate root resorption associated with this orthodontic movements. This review was delimited from 2006 to 2019 in order to verify if endontically treated teeth, when subjected to tooth movement, would be more susceptible to periapical resorption compared to vital teeth. It is concluded that factors related to endodontic treatment should be taken into account during orthodontic planning, and although the endodontically treated tooth, when submitted to orthodontic movement, does not contribute to increase the possibility of apical root resorption.
Root resorption is an condition associated with a pathological or physiological process that results in the loss of mineralized tissues. In tooth movement, cementoblasts can necrotize by the action of the applied force, due to compression of the vessels of the periodontal ligament. Thus, the root surface gives space to osteoblasts, which are organized into osteoremodeling units and initiate root resorption associated with this orthodontic movements. This review was delimited from 2006 to 2019 in order to verify if endontically treated teeth, when subjected to tooth movement, would be more susceptible to periapical resorption compared to vital teeth. It is concluded that factors related to endodontic treatment should be taken into account during orthodontic planning, and although the endodontically treated tooth, when submitted to orthodontic movement, does not contribute to increase the possibility of apical root resorption.
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Keywords
Movimentação dentária Movimentação ortodontica Endodontia-ortodontia Reabsorção radicular apical Tooth movement Orthodontic movement Endodontic-orthodontics Apical root resorption