正畸牙齿运动对牙髓治疗后牙齿的影响

S. Haque, Mehreen Zakir
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引用次数: 5

摘要

考虑到封闭牙的质量、牙周膜的健康状况,并谨慎使用正畸力,对先前接受过根管治疗的牙齿进行正畸治疗无相关禁忌症。虽然在正畸治疗过程中,健康牙齿通常也会出现某种程度的可逆或短暂的牙髓炎症,但只要有足够的时间让牙齿组织得到适当的修复,使用轻微和间歇性的正畸力可以降低风险。然而,治疗受根管影响的牙齿可能有一些危险,其中一些主要包括根吸收和强直。本文将展示一些在正畸治疗前接受过根管治疗的牙齿的病例,并进一步观察正畸牙齿的运动是否引起了根填充牙齿的吸收。根管治疗后的牙齿可以像重要牙齿一样正畸地移动,提供可控的力,以避免炎症性牙根吸收的风险。Ban J Orthod & dentoface Orthop, 2017年4月;第7卷(1-2),第12-15页
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The effects of orthodontic tooth movement in endodontically treated teeth
There are no relevant contraindications to orthodontic treatment of previously endodontically treated teeth, considering the quality of the obturated teeth, the health of the periodontal membrane, along with careful application of orthodontic force. Although, there is usually some degree of reversible or transient pulpal inflammation  even  in  healthy  teeth  during  orthodontic  treatment,  application  of  light  and  intermittent orthodontic force will reduce the risks provided sufficient time is given to allow proper repair of the dental tissue.  However,  there  may  be  a  few  hazards  associated  with  the  treatment  of  endodontically  involved teeth, some of which mainly include root resorption and ankylosis. This article will show some cases of teeth which had undergone  root canal treatment prior to orthodontic management and further observed whether orthodontic tooth movement had caused any resorption in the root filled teeth.  Root canal treated teeth can be moved orthodontically to the same extent as vital teeth, providing, a controlled force applica- tion to avoid risk of inflammatory root resorption. Ban J Orthod & Dentofac Orthop, April 2017; Vol-7 (1-2), P.12-15
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