Endodonti-Ortodonti Arayüzü: Kök Rezorpsiyonu ve Hasta Yönetimi ilişkisi

Yıl 2023, , 11 - 18, 14.04.2023

Büşra Demir Çiçek , Orhan Çiçek

https://doi.org/10.21306/dishekimligi.1187571

Öz

Endodontik tedaviler ortodontik tedavi için bir kontrendikasyon oluşturmadığı için endodontik tedavi görmüş dişler ortodontik olarak hareket ettirilebilir. Bununla birlikte, endodontik ve ortodontik tedaviler arasındaki kesin ilişki hakkında literatürde veri eksikliği mevcut olup, bu ilişki ortodontik tedavinin pulpa ve periyodonsiyumda neden olduğu çeşitli etkilerden oluşur. Kök kanal dolgu materyalinin periapikal dokularda çok az ya da hiç irritasyona neden olmayacak şekilde tamamen kanal içinde olduğu durumlarda periapikal ve/veya pulpa lezyonu hemen iyileşmeye başlar. Apikal periyodontal onarım bu iyileşme sonrası başlamakla birlikte, kök kanalı sızıntısı veya rezin, silikon, çinko oksit öjenol, biyoseramik veya güta-perka gibi kök kanal dolgu materyallerinin periapikal bölgede kalması durumunda yabancı cisim granülomlarının oluşması tetiklenir. Bu granülomlar diş hareketini engellemese de, üç ayda bir periapikal radyografilerle konumları kontrol edilmeli ve daimi kanal dolgusunun da ortodontik tedavi tamamlanana kadar ertelenmesiyle psödo aşırı doldurma önlenebilir. Bu nedenle, pulpa hasarını kısıtlamak ve hatta iyileşmesine yardımcı olmak amacıyla istenen diş hareketini sağlayacak optimal kuvvet uygulanması önerilir. Ayrıca, ortodontik tedaviden önce endodontik tedavili dişlerin hem klinik hem de radyografik olarak periapikal durumunun kapsamlı değerlendirilmesi önemlidir. Bu derlemede, endodontik ve ortodontik tedavilerde kök rezorpsiyonu etkisi, tedavi planlamasında dikkat edilmesi gerekenler ve hasta yönetimi hakkında güncel bilimsel kanıtlar gözden geçirilerek konu hakkında bilgi düzeyinin arttırılması amaçlanmıştır.

Anahtar Kelimeler

Endodontik tedavi, ortodontik diş hareketi, kök rezorpsiyonu, tedavi planlaması, hasta yönetimi

Endodontics-Orthodontics Interface: Root Resorption and Patient Management Relationship

Öz

Since endodontic treatments do not constitute a contraindication for orthodontic treatment, endodontically treated teeth can be moved orthodontically. However, there is a lack of data in the literature on the precise relationship between endodontic and orthodontic treatments, and this relationship consists of various effects of orthodontic treatment on the pulp and periodontium. In cases where the root canal filling material is completely inside the canal with little or no irritation to the periapical tissues, the periapical and/or pulpal lesion begins to resolve immediately. Although apical periodontal repair begins after this resolving, foreign body granulomas are triggered when root canal leakage or root canal filling materials such as resin, silicon, zinc oxide eugenol, bioceramic or gutta-percha remain in the periapical region. Although these granulomas do not prevent tooth movement, their position should be controlled with periapical radiographs every three months and pseudo-overfilling can be prevented by delaying permanent canal filling until orthodontic treatment is complete. Therefore, it is recommended to apply optimal force to provide desired tooth movement in order to limit pulp damage and even aid resolving. In addition, comprehensive evaluation of the periapical conditions of endodontically treated teeth, both clinically and radiographically, is important before orthodontic treatment. In this review, it is aimed to increase the level of knowledge on this issue by reviewing the current scientific evidence about the effect of endodontic and orthodontic treatments on root resorption, considerations in treatment planning and patient management.

Anahtar Kelimeler

Endodontic treatment, orthodontic tooth movement, root resorption, treatment planning, patient management

Kaynakça

• 1. Sengupta R, Sisodia M, Verma G, Mishra P. Adverse effects of orthodontic tooth movement on endodontically treated teeth-An overview. IP Indian J Conserv Endod. 2020;5(4):172-5.
• 2. Alqerban A, Almanea A, Alkanhal A, Aljarbou F, Almassen M, Fieuws S, et al. Impact of orthodontic treatment on the integrity of endodontically treated teeth. Eur J Orthod. 2019;41(3):238-43.
• 3. Talic NF. Adverse effects of orthodontic treatment: a clinical perspective. Saudi Dent J. 2011;23(2):55-9.
• 4. Consolaro A, Consolaro RB. Orthodontic movement of endodontically treated teeth. Dental Press J Orthod. 2013;18(4):2-7.
• 5. Hamilton R, Gutmann J. Endodontic‐orthodontic relationships: a review of integrated treatment planning challenges. Int Endod J. 1999;32(5):343-60.
• 6. Alhadainy HA, Flores-Mir C, Abdel-Karim AH, Crossman J, El-Bialy T. Orthodontic-induced external root resorption of endodontically treated teeth: a meta-analysis. J Endod. 2019;45(5):483-9.
• 7. Faria ACL, Rodrigues RCS, de Almeida Antunes RP, de Mattos MdGC, Ribeiro RF. Endodontically treated teeth: characteristics and considerations to restore them. J Prosthodont Res. 2011;55(2):69-74.
• 8. Weiland F. External root resorptions and orthodontic forces: correlations and clinical consequences. Prog Orthod. 2006;7(2):156-63.
• 9. Apajalahti S, Peltola JS. Apical root resorption after orthodontic treatment—a retrospective study. Eur J Orthod. 2007;29(4):408-12.
• 10. Reitan K. Initial tissue behavior during apical root resorption. Angle Orthod. 1974;44(1):68-82.
• 11. Årtun J, Smale I, Behbehani F, Doppel D, Van't Hof M, Kuijpers-Jagtman AM. Apical root resorption six and 12 months after initiation of fixed orthodontic appliance therapy. Angle Orthod. 2005;75(6):919-26.
• 12. Aydin H, Er K. The effect of orthodontic tooth movement on endodontically treated teeth. J Res Dent. 2016;4:31-41.
• 13. Spurrier SW, Hall SH, Joondeph DR, Shapiro PA, Riedel RA. A comparison of apical root resorption during orthodontic treatment in endodontically treated and vital teeth. Am J Orthod Dentofacial Orthop. 1990;97(2):130-4.
• 14. Tanaka OM, Leão Filho JCB, Vitral RWF, Bósio JA. Orthodontic treatment in an endodontically treated maxillary incisors. Eur J Gen Dent. 2013;2(01):72-5.
• 15. Castro IO, Alencar AH, Valladares-Neto J, Estrela C. Apical root resorption due to orthodontic treatment detected by cone beam computed tomography. Angle Orthod. 2013;83(2):196-203.
• 16. Brezniak N, Wasserstein A. Root resorption after orthodontic treatment: Part 2. Literature review. Am J Orthod Dentofacial Orthop. 1993;103(2):138-46.
• 17. Esteves T, Ramos AL, Pereira CM, Hidalgo MM. Orthodontic root resorption of endodontically treated teeth. J Endod. 2007;33(2):119-22.
• 18. Sameshima GT, Sinclair PM. Predicting and preventing root resorption: Part II. Treatment factors. Am J Orthod Dentofacial Orthop. 2001;119(5):511-5.
• 19. Picanço GV, Freitas KMSd, Cançado RH, Valarelli FP, Picanço PRB, Feijão CP. Predisposing factors to severe external root resorption associated to orthodontic treatment. Dental Press J Orthod. 2013;18:110-20.
• 20. Malmgren O, Goldson L, Hill C, Orwin A, Petrini L, Lundberg M. Root resorption after orthodontic treatment of traumatized teeth. Am J Orthod Dentofacial Orthop. 1982;82(6):487-91.
• 21. Ericson S, Kurol J. Resorption of incisors after ectopic eruption of maxillary canines: a CT study. Angle Orthod. 2000;70(6):415-23.
• 22. Felippe WT, Ruschel MF, Felippe GS, Pozzobon MH, Felippe MCS. SEM evaluation of the apical external root surface of teeth with chronic periapical lesion. Aust Endod J. 2009;35(3):153-7.
• 23. Sameshima GT, Sinclair PM. Predicting and preventing root resorption: Part I. Diagnostic factors. Am J Orthod Dentofacial Orthop. 2001;119(5):505-10.
• 24. Al-Qawasmi RA, Hartsfield Jr JK, Everett ET, Flury L, Liu L, Foroud TM, et al. Genetic predisposition to external apical root resorption. Am J Orthod Dentofacial Orthop. 2003;123(3):242-52.
• 25. Andreasen J. External root resorption: its implication in dental traumatology, paedodontics, periodontics, orthodontics and endodontics. Int Endod J. 1985;18(2):109-18.
• 26. Topkara A, Karaman AI, Kau CH. Apical root resorption caused by orthodontic forces: A brief review and a long-term observation. Eur J Dent. 2012;6(04):445-53.
• 27. Ramanathan C, Hofman Z. Root resorption during orthodontic tooth movements. Eur J Orthod. 2009;31(6):578-83.
• 28. Lages EMB, Drummond AF, Pretti H, Costa FO, Lages EJP, Gontijo AI, et al. Association of functional gene polymorphism IL-1β in patients with external apical root resorption. Am J Orthod Dentofacial Orthop. 2009;136(4):542-6.
• 29. Silva ACO, Faria MR, Fontes A, Campos MS, Cavalcanti BN. Interleukin-1 beta and interleukin-8 in healthy and inflamed dental pulps. J Appl Oral Sci. 2009;17:527-32.
• 30. Iglesias-Linares A, Yañez-Vico R-M, Ortiz-Ariza E, Ballesta S, Mendoza-Mendoza A, Perea E, et al. Postorthodontic external root resorption in root-filled teeth is influenced by interleukin-1β polymorphism. J Endod. 2012;38(3):283-7.
• 31. Lempesi E, Pandis N, Fleming PS, Mavragani M. A comparison of apical root resorption after orthodontic treatment with surgical exposure and traction of maxillary impacted canines versus that without impactions. Eur J Orthod. 2014;36(6):690-7.
• 32. Heithersay GS. Invasive cervical resorption: an analysis of potential predisposing factors. Quintessence Int. 1999;30(2):83-95.
• 33. Thönen A, Peltomäki T, Patcas R, Zehnder M. Occurrence of cervical invasive root resorption in first and second molar teeth of orthodontic patients eight years after bracket removal. J Endod. 2013;39(1):27-30.
• 34. Mattison GD, Delivanis HP, Delivanis PD, Johns PI. Orthodontic root resorption of vital and endodontically treated teeth. J Endod. 1984;10(8):354-8.
• 35. Mah R, Holland G, Pehowich E. Periapical changes after orthodontic movement of root-filled ferret canines. J Endod. 1996;22(6):298-303.
• 36. Satoh I. Root resorption of vital and endodontically treated teeth in orthodontic movement. J Kanagawa Odont Soc. 1990;24(4):601-17.
• 37. Mirabella AD, Årtun J. Prevalence and severity of apical root resorption of maxillary anterior teeth in adult orthodontic patients. Eur J Orthod. 1995;17(2):93-9.
• 38. Llamas‐Carreras J, Amarilla A, Solano E, Velasco‐Ortega E, Rodríguez‐Varo L, Segura‐Egea J. Study of external root resorption during orthodontic treatment in root filled teeth compared with their contralateral teeth with vital pulps. Int Endod J. 2010;43(8):654-62.
• 39. Llamas-Carreras JM, Amarilla A, Espinar-Escalona E, Castellanos-Cosano L, Martín-González J, Sánchez-Domínguez B, et al. External apical root resorption in maxillary root-filled incisors after orthodontic treatment: a split-mouth design study. Medi Oral Patol Oral Cir Bucal. 2012;17(3):e523-e7.
• 40. Castro I, Valladares-Neto J, Estrela C. Contribution of cone beam computed tomography to the detection of apical root resorption after orthodontic treatment in root-filled and vital teeth. Angle Orthod. 2015;85(5):771-6.
• 41. Ioannidou-Marathiotou I, Zafeiriadis AA, Papadopoulos MA. Root resorption of endodontically treated teeth following orthodontic treatment: a meta-analysis. Clin Oral Investig. 2013;17(7):1733-44.
• 42. Walker SL, Tieu LD, Flores-Mir C. Radiographic comparison of the extent of orthodontically induced external apical root resorption in vital and root-filled teeth: a systematic review. Eur J Orthod. 2013;35(6):796-802.
• 43. Ren H, Chen J, Deng F, Zheng L, Liu X, Dong Y. Comparison of cone-beam computed tomography and periapical radiography for detecting simulated apical root resorption. Angle Orthod. 2013;83(2):189-95.
• 44. De Souza RS, De Souza V, Holland R, Gomes‐Filho JE, Murata SS, Sonoda CK. Effect of calcium hydroxide‐based materials on periapical tissue healing and orthodontic root resorption of endodontically treated teeth in dogs. Dent Traumatol. 2009;25(2):213-8.
• 45. Beck V, Stacknik S, Chandler N, Farella M. Orthodontic tooth movement of traumatised or root-canal-treated teeth: a clinical review. N Z Dent J. 2013;109:6-11.
• 46. Mohankumar K, Parameshwaran T, Asokan U. An Evidence Based Review of Literature-Effect of Orthodontic Treatment on Endodontically Treated Teeth. J Adv Med Dent Sci Res. 2020;8(8):156-62.
• 47. Krishnan V. Critical issues concerning root resorption: a contemporary review. World J Orthod. 2005;6(1):30-40.
• 48. Wickwire NA, Mc Neil MH, Norton LA, Duell RC. The effects of tooth movement upon endodontically treated teeth. Angle Orthod. 1974;44(3):235-42.
• 49. Haque S, Zakir M. The effects of orthodontic tooth movement in endodontically treated teeth. Bangladesh J Orthod Dentofac Orthop. 2017:12-5.
• 50. Mohankumar K, Parameshwaran T, Asokan U. An Evidence Based Review of Literature-Effect of Orthodontic Treatment on Endodontically Treated Teeth. J Adv Med Dent Scie Res. 2020;8(8):156-62.
• 51. Holland R, Valle GF, Taintor JF, Ingle JI. Influence of bony resorption on endodontic treatment. Oral Sur Oral Med Oral Pathol. 1983;55(2):191-203.
• 52. de Souza RS, Gandini Jr LG, de Souza V, Holland R, Dezan Jr E. Influence of orthodontic dental movement on the healing process of teeth with periapical lesions. J Endod. 2006;32(2):115-9.
• 53. Paduano S, Uomo R, Amato M, Riccitiello F, Simeone M, Valletta R. Cyst-like periapical lesion healing in an orthodontic patient: a case report with five-year follow-up. G Ital Endod. 2013;27(2):95-104.
• 54. Polat Ö. Pain and discomfort after orthodontic appointments. Semin Orthod. 2007;13(4):292-300.
• 55. Ngan P, Kess B, Wilson S. Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod Dentofac Orthop. 1989;96(1):47-53.