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PubMed1995

Altering tooth eruption by blocking bone resorption--the local delivery of bafilomycin A1.

Tooth eruption is a complicated process requiring a coordination of bone resorption and bone formation by a variety of factors in and around the dental follicle proper and bone resorption is the rate-limiting step early in the process. We have recently described a method to deliver to the crypt of erupting dog premolars a reversible blocker of bone resorption, bafilomycin A1, and shown that its delivery for two week blocks bone resorption and eruption during this period without effect on adjacent teeth or on bone formation. In this study we show that delivery of 10(-6) M bafilomycin A1 via a cannulated osmotic minipump for two weeks early in the eruption of premolars delayed the eruption of these teeth for eight weeks. Similar delivery of the vehicle to the contralateral premolar had no effect on eruption. These data are the first clinical application of this potent drug and show that a short term local delivery is reversible and that blocking resorption for two weeks causes a fourfold delay in tooth eruption. Modifications of this approach may have clinical applications in dentistry.

Animals↗
PubMed1991

Biomechanical association of dental and temporomandibular pathology in a medieval Nubian population.

An analysis of the relationship between oral pathology and degenerative change at the temporomandibular joint (TMJ) was undertaken on an archaeological sample of 122 adult crania from the Medieval site of Kulubnarti in Sudanese Nubia. The crania were sorted into 2 groups: those demonstrating clearly visible bony changes at the joint (TMJ+) and those without visible change (TMJ-). These groups were compared according to 1) age; 2) sex; 3) active dental pathologies (abscesses, caries, partial socket resorption); 4) tooth loss with complete socket resorption; and 5) dental attrition. No statistically significant association was evident between degenerative change at the TMJ and age, active dental pathologies, or dental attrition; however, sex differences and posterior tooth loss with complete socket resorption revealed a significant correspondence to degenerative TMJ changes. Both of these factors agree with the clinical literature and with biomechanical models (most notably that of Hylander) based upon modern populations. Furthermore, the results support the contention that paleopathological conditions can be analyzed from a clinical and functional biomechanical perspective.

History, Medieval↗
PubMed1998

Treatment of asymptomatic internal resorption of a maxillary premolar tooth in a military working dog.

An asymptomatic pink discoloration of a maxillary right fourth premolar tooth was discovered during a routine oral examination on a 9 year-old Belgian Malinois dog. A radiolucent lesion was seen in the pulpal chamber on radiographic examination. The lesion had perforated the mesiobuccal root of the tooth. The primary differential diagnosis was idiopathic internal resorption. The tooth was treated by partial resection (removal of the mesiobuccal root and associated crown). A vital pulpotomy and amalgam restoration was performed on the remaining tooth structure. A follow-up 1 year later demonstrated a successful treatment outcome. The animal was asymptomatic and able to perform military duties. Clinical and radiographic signs of healing were evident and the tooth was functional.

Animals↗
PubMed1995

Continuous versus interrupted continuous orthodontic force related to early tooth movement and root resorption.

The aim of the present clinical investigation was to assess the effects of continuous and interrupted continuous forces of the same magnitude (50 cN = 50 g) on orthodontic tooth movement and related adverse tissue reactions, i.e., root resorption. Thirty-two maxillary first premolars in 16 patients, 8 boys and 8 girls (mean age 13.9 years), were moved buccally by means of a fixed orthodontic appliance with a sectional arch. The patients were divided into two groups of 8, for experimental periods of 4 and 7 weeks. The continuous force was checked and reactivated weekly to 50 cN. The interrupted continuous force applied to the contralateral premolars was left uncontrolled for 3 weeks, after which the arch was made passive for 1 week for tissue rest and recovery. Tooth movements were studied on dental casts using a coordinate measuring machine (Validator 100, TESA SA, Renens, Switzerland). Horizontal tooth movement with continuous force was more effective than with interrupted continuous force after 7 weeks. Histological sections of the experimental teeth, however, showed no difference in the amount or severity of root resorption between the two forces. Individual variations in both the magnitude of tooth movement and the amount and severity of root resorption for both of the two force systems were great.

Adolescent↗
PubMed1996

Effects of a doubled orthodontic force magnitude on tooth movement and root resorptions. An inter-individual study in adolescents.

The aim of this clinical and histological study was to compare the effects of two controlled, continuous forces of 50 cN (approximately 50 g) and 100 cN (approximately 100 g) on tooth movement and root resorptions. The patients, consisting of 32 individuals, 14 boys and 18 girls (mean age 13.1 years), were divided into four groups of eight individuals. The experimental periods were 4 and 7 weeks. In this investigation, designed as an inter-individual study, only the maxillary first premolar on the right side was utilized. The test tooth was buccally moved by means of a fixed orthodontic appliance. A continuous, weekly controlled force of 50 cN was applied to 16 premolars and a force of 100 cN to the remaining 16 test teeth. The force declined on average 22 per cent during the first week when 50 cN was applied and 27 per cent when 100 cN was applied. Tooth movements were studied on dental casts using a coordinate measuring machine. After 4 and 7 weeks, the tooth movements ranged between 0.5 and 3.4 mm (4 weeks) and 2.7 and 7.1 mm (7 weeks) for 50 cN and between 1.0 and 2.9 mm (4 weeks) and 2.2 and 8.3 mm (7 weeks) for 100 cN, with no significant difference when the force magnitude was doubled. Root resorptions were registered in histological sections in all experimental teeth, more frequently after application of 50 cN compared with 100 cN after 7 weeks. However, the severity of root resorption (extension and depth of resorbed root contour and size of root area on histological sections) did not differ significantly when the applied force was doubled to 100 cN. Great individual variations were noted regarding both the magnitude of tooth movement and amount of root resorption.

Adolescent↗
PubMed1996

The effects of a four-fold increased orthodontic force magnitude on tooth movement and root resorptions. An intra-individual study in adolescents.

This clinical and histological study was designed as an intra-individual study to investigate the effect on tooth movements and adverse tissue reactions (root resorption) when a fixed orthodontic appliance was activated with a controlled, continuous force of 50 cN (approximately equal to 50 g) or with a four-fold larger force (200 cN approximately equal to 200 g). The first premolar on both sides of the maxilla in eight individuals, six boys and two girls (mean age 13.0 years), was moved buccally during 7 weeks with 50 cN and 200 cN alternately on the right or left size. During the first week a force reduction of 18 and 28 per cent (on average) was registered in the 50 cN and 200 cN group respectively. Tooth movements were studied by means of dental casts using a coordinate measuring machine. The magnitude of the mean horizontal crown movement increased 50 per cent when a force of 200 cN was applied compared with a 50 cN force (3.4-5.1 mm on average) and the difference was significant. Root resorptions were registered in histological sections of the extracted test teeth with no significant difference in frequency or severity between the two forces used. Individual variations were large regarding both tooth movement and root resorption. Possible reasons to explain the results as well as the clinical implications of the findings are discussed.

Adolescent↗
PubMed1978

[Root resorption].

Explore the source record for details and available documents.

Dental Pulp Cavity↗
PubMed2001

Factors affecting the time of onset of resorption in avulsed and replanted incisor teeth in children.

Resorption is the main reason for loss of replanted teeth. The outcome examined in this study is the timing of the onset of resorption. The effect of dichotomised dry and wet time intervals as well as the presence of additional crown damage and of contamination were determined. Of 84 replanted teeth, 67.5% developed resorptions. Twenty-eight had detectable additional crown damage with a more rapid onset being seen in these cases (P=0.009). The critical limit for dry time was 15 min (P=0.038) and significant differences persisted for greater limits also. Serial analysis of the association between the time of onset of root resorption and dichotomised wet time variables failed to yield any significant associations. There was visible contamination detected in 32 teeth and these exhibited a more rapid onset of resorption than the other cases (P=0.030). Teeth with inflammatory root resorption (12.8%) had a more rapid onset of resorption than those that developed replacement resorption (54.7%) (P<0.001). It is concluded that the risk of early resorption is increased in teeth that have additional damage or have contamination, or are kept in dry conditions for longer than 15 min.

Adolescent↗
PubMed1989

Experimental basis for the management of dental resorption.

Current evidence indicates that the mechanisms by which the mineralized tissues, bone and dentin, are resorbed are similar. Osteoclasts and dentinoclasts are possibly indistinguishable cell types that both resorb mineralized substrata. The principles of treatment of both dental and osseous resorptions should therefore have much in common. This article discusses the basis of hard tissue resorption and explores the rationale for experimental approaches towards the management of dental resorption.

Bone Resorption↗
PubMed1999

Endodontic-orthodontic relationships: a review of integrated treatment planning challenges.

Literature review There is a paucity of information on the concise relationship between endodontics and orthodontics during treatment planning decisions. This relationship ranges from effects on the pulp from orthodontic treatment and the potential for resorption during tooth movement, to the clinical management of teeth requiring integrated endodontic and orthodontic treatment. This paper reviews the literature based on the definition of endodontics and the scope of endodontic practice as they relate to common orthodontic-endodontic treatment planning challenges. Literature data bases were accessed with a focus on orthodontic tooth movement and its impact on the viability of the dental pulp; its impact on root resorption in teeth with vital pulps and teeth with previous root canal treatment; the ability to move orthodontically teeth that were endodontically treated versus nonendodontically treated; the role of previous tooth trauma; the ability to move teeth orthodontically that have been subjected to endodontic surgery; the role of orthodontic treatment in the provision for and prognosis of endodontic treatment; and, the integrated role of orthodontics and endodontics in treatment planning tooth retention. Orthodontic tooth movement can cause degenerative and/or inflammatory responses in the dental pulp of teeth with completed apical formation. The impact of the tooth movement on the pulp is focused primarily on the neurovascular system, in which the release of specific neurotransmitters (neuropeptides) can influence both blood flow and cellular metabolism. The responses induced in these pulps may impact on the initiation and perpetuation of apical root remodelling or resorption during tooth movement. The incidence and severity of these changes may be influenced by previous or ongoing insults to the dental pulp, such as trauma or caries. Pulps in teeth with incomplete apical foramen, whilst not immune to adverse sequelae during tooth movement, have a reduced risk for these responses. Teeth with previous root canal treatment exhibit less propensity for apical root resorption during orthodontic tooth movement. Minimal resorptive/remodelling changes occur apically in teeth that are being moved orthodontically and that are well cleaned, shaped, and three-dimensionally obturated. This outcome would depend on the absence of coronal leakage or other avenues for bacterial ingress. A traumatized tooth can be moved orthodontically with minimal risk of resorption, provided the pulp has not been severely compromised (infected or necrotic). If there is evidence of pulpal demise, appropriate endodontic management is necessary prior to orthodontic treatment. If a previously traumatized tooth exhibits resorption, there is a greater chance that orthodontic tooth movement will enhance the resorptive process. If a tooth has been severely traumatized (intrusive luxation/avulsion) there may be a greater incidence of resorption with tooth movement. This can occur with or without previous endodontic treatment. Very little is known about the ability to move successfully teeth that have undergone periradicular surgical procedures. Likewise, little is known about the potential risks or sequelae involved in moving teeth that have had previous surgical intervention. Especially absent is the long-term prognosis of this type of treatment. During orthodontic tooth movement, the provision of endodontic treatment may be influenced by a number of factors, including but not limited to radiographic interpretation, accuracy of pulp testing, patient signs and symptoms, tooth isolation, access to the root canal, working length determination, and apical position of the canal obturation. Adjunctive orthodontic root extrusion and root separation are essential clinical procedures that will enhance the integrated treatment planning process of tooth retention in endodontic-orthodontic related cases.

Dental Pulp↗
PubMed2006

External invasive resorption in a three-rooted lower first molar.

Several pathoses can be present concurrently in one tooth, and if that tooth has an unusual anatomical variation, the diagnosis and treatment can be further complicated. This case stresses the importance of accurate assessment and diagnosis prior to intervention and their role in identifying cases for referral to a specialist in today's increasingly litigious environment.

Adult↗