Inibição da Reabsorção Radicular Apical pelo Hidróxido de Cálcio Durante o Tratamento Ortodôntico
Relato de um Caso
Palavras-chave:
Hidróxido de cálcio, Reabsorção radicular apical, Tratamento endodôntico, Tratamento ortodônticoResumo
A reabsorção radicular apical é uma consequência comum do tratamento ortodôntico. O presente artigo relata um caso de ausência de reabsorção radicular apical em um incisivo lateral superior esquerdo preenchido com hidróxido de cálcio durante a movimentação ortodôntica. Após o término do tratamento ortodôntico, o dente foi obturado com gura-percha e o paciente acompanhado por um período de 18 meses. A presença de lesão periapical e as propriedades do hidróxido de cálcio como um inibidor de reabsorção radicular foram decisivas para tal conduta no presente caso. O papel desempenhado pela polpa dental nos processos de reabsorção radicular foi também discutido.
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Referências
Mattison GD, Delavanis HP, Delavanis PD, Johns PI. Orthodontic root resorption of vital and endodontically treated teeth. J Endod 1984; 10: 354-358.
Sameshima GT, Sinclair PM. Predicting and preventing root resorption: Part I. Diagnostic factors. Am J Orthod Dentofacial Orthod 2001; 119: 505- 510.
Brezniak N, Wasserstein A. Root resorption after orthodontic treatment: Part1. Literature review. Am J Orthod 1993; 103: 62-66.
Killiany D. Root resorption caused by orthodontic treatment: an evidence-based review of literature. Semin Orthod 1999; 5:128-133.
Gholston LR, Mattison GD. An endodonticorthodontic technique for esthetic stabilization of externally resorbed teeth. Am J Orthod 1983; 83: 435-440.
Spurrier SW, Hall SH, Joondeph DR, Shapiro PA, Reidel RA. A comparison of apical root resorption during orthodontic treatment in endodontically treated and vital teeth. Am J Orthod Dentofacial Orthod 1990; 97:130-134.
Bender IB, Byers MR, Mori K. Periapical replacement resorption of permanent, vital, endodontically treated incisors after orthodontic movement: report of two cases. J Endod 1997; 23: 768-773.
Cvek M. Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective study. Endod Dent Traumatol 1992; 8: 45-55.
Trope M, Moshonov J, Nissan R, Buxt P, Yesilsoy C. Short vs. long-term calcium hydroxide treatment of established inflammatory root resorption of replanted dog teeth. J Endod 1992; 18: 492-496.
Hammarstrom LE, Blomlof LB, Feiglin B, Lindskog SF. Effect of calcium hydroxide treatment on periodontal repair and root resorption. Endod Dent Traumatol 1986; 2: 184-189.
Tronstad L, Andreasen JO, Hasselgren G, Kristerson L, Riis I. pH changes in dental tissues after root canal filling with calcium hydroxide. J Endod 1981; 7: 17- 21.
Rygh P, Bowling K, Hoylandsdal L, Williams S. Activation of the vascular system: a main mediator of periodontal fiber remodeling in orthodontic tooth movement. Am J Orthod 1986; 89: 453-468.
Bosshardt DD, Schroeder EE. How repair cementum becomes attached to the resorbed roots of human permanet teeth. Acta Anat 1994; 150: 253-266.
Cvek M. Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-perch. A retrospective study. Endod Dent Traumatol 1992; 8: 45-55.
Tronstad L. Root resorption etiology, terminology and clinical manifestations. Endod Dent Traumatol 1988; 4: 241-252.
Weiger R, Axmann-Kremar D, Löst C. Prognosis of conventional root canal treatment reconsidered. Endod Dent Traumatol 1998; 14:1-8.
Byström A, Happonen R-P, Sjögren U, Sundqvist G. Healing of periapical lesions of pulpless teeth after endodontic treatment with controlled asepsis. Endod Dent Traumatol 1987; 3: 58-63.
