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      Treatment of class 2 division 1 malocclusion with severe short roots of upper central incisors

      case-report

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          Abstract

          The average amount of resorption per root of examined maxillary incisors or anterior teeth is < 1.5 mm during comprehensive orthodontic treatment. About 5% of adults and 2% of adolescents are likely to have at least one tooth with resorption of more than 5 mm during active treatment. Although resorption stops once the active appliances are removed, fortunately, truly severe resorption that threatens the longevity of the tooth or forces a halt to treatment is rare. The fact is, however that orthodontic tooth movement does directly cause irreversible resorption of the root. As the movers of the teeth, it is incumbent for us to know as much as possible about the causes, effects and prevention of this phenomenon.

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          Most cited references7

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          Predicting and preventing root resorption: Part I. Diagnostic factors.

          The purpose of this study was to determine whether it would be possible to identify pretreatment factors that will allow the clinician to predict the incidence, location, and severity of root resorption before the commencement of orthodontic treatment. The records of 868 patients who were treated with full, fixed edgewise appliances were obtained from 6 private offices; full-mouth periapical radiographs were used to accurately assess apical root resorption from first molar to first molar in both arches. The results showed that resorption occurs primarily in the maxillary anterior teeth, averaging over 1.4 mm. The worst resorption was seen in maxillary lateral incisors and in teeth with abnormal root shape (pipette, pointed, or dilacerated). Adult patients experienced more resorption than children did in the mandibular anterior segment only. Asian patients were found to experience significantly less root resorption than white or Hispanic patients. Increased overjet, but not overbite, was significantly associated with greater root resorption. There was no difference in either the incidence or severity of root resorption between male and female patients.
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            Dilacerate unerupted maxillary central incisors.

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              Developmental disturbances of permanent teeth following trauma to the primary dentition.

              The topographic relationship of the apices of the primary teeth to the permanent tooth germs explains the potential for possible developmental disturbances of the permanent teeth after injuries to their predecessors. The anatomical, histologic and clinical aspects of permanent tooth malformation following trauma to the primary teeth are described. One hundred and fourteen children with originally 255 traumatized primary teeth have been re-examined (with an average period of 5.1 years after the trauma) to assess any developmental disturbances of the corresponding permanent teeth. Twenty-three per cent of partially or completely erupted permanent teeth showed developmental disturbances. The most frequent malformation was enamel hypoplasia including enamel discoloration and/or enamel defects. The highest prevalence of developmental disturbances of permanent teeth was found after intrusive injuries of primary teeth.
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                Author and article information

                Journal
                J Pharm Bioallied Sci
                J Pharm Bioallied Sci
                JPBS
                Journal of Pharmacy & Bioallied Sciences
                Medknow Publications & Media Pvt Ltd (India )
                0976-4879
                0975-7406
                July 2013
                : 5
                : Suppl 2
                : S173-S175
                Affiliations
                [1]Department of Orthodontics, RVS Dental College and Hospital, Kannampalayam, Coimbatore, Tamil Nadu, India
                [1 ]Department of Orthodontics, Coimbatore Dental Foundation, Coimbatore, Tamil Nadu, India
                Author notes
                Address for correspondence: Dr. Ramaswamy Chandrasekar, E-mail: drchandrasekar@ 123456yahoo.com
                Article
                JPBS-5-173
                10.4103/0975-7406.114327
                3740670
                23956601
                58744115-687e-479e-b190-e82517fec99a
                Copyright: © Journal of Pharmacy and Bioallied Sciences

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 16 May 2013
                : 24 May 2013
                : 24 May 2013
                Categories
                Dental Science - Case Report

                Pharmacology & Pharmaceutical medicine
                frankel appliance,fixed appliance,short roots
                Pharmacology & Pharmaceutical medicine
                frankel appliance, fixed appliance, short roots

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