In conclusion, traumatized teeth can be treated orthodontically if they are not ankylosed. We have to be sure that the emergency treatment on the roots has been successful, that a clinical and periodical re-evaluation is done during the orthodontic movement and most of all that the forces used are very light.
DiAngelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, Andersson L, Bourgignon C, Flores MT, Hicks ML, Lenzi AR, MalmgrenB, Moule AJ, Pohl Y, Tsukiboshi M. International association of dental traumatology guidelines for management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol 2012; 28: 2-12. Brin I, Ben-Bassat Y, Heling I, Engelberg A. The influence of orthodontic treatment on previously traumatized permanent incisors. Eur J Orthod 1991; 13: 372-377. Mavragani M, Vergari A, Selliseth NJ, Boe OE, Wisth PJ. A radiographic comparison of apical root resorption after orthodontic treatment with a standard edgewise and a straight-wire edgewise technique. Eur J Orthod 2000; 22: 665-674. Bauss O, Röhling J, Sadat-Khonsari R, Kiliardis S. Influence of orthodontic intrusion on pulpal vitality of previously traumatized maxillary permanent incisors. Am J Orthod Dentofacial Orthop 2008; 134: 12-17. Bauss O, Schäfer W, Sadat-Khonsari R, Knösel M. Influence of orthodontic extrusion on pupal vitality of traumatized maxillary incisors. J Endod 2010; 36 (2): 203-207. Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, DiAngelis AJ, Kenny DJ, Sigurdsson A, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Tsukiboshi M. International association of
9. 10. 11.
dental traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol 2012; 28: 88-96. Bakland LK, Andreasen JO. Will mineral trioxide aggregate replace calcium hydroxide in treating pulpal and periodontal healing complications subsequent to dental trauma? A review. Dent Traumatol 2012; 28: 25-32. Andreasen JO, Farik B, Munksgaard EC. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol 2002; 18: 134-137. Simon S, Rillard F, Berdal A, Machtou P. The use of mineral trioxide aggregate in one-visit apexification treatment: a prospective study. Int JEndod 2007; 40: 186-197. Witherspoon DE, Small JC, Regan JD, Nunn M. Retrospective analysis of open apex teeth obturated with mineral trioxide aggregate. J Endod 2008; 34: 1171-1176. Jeeruphan T, Jantarat J, Yanpiset K, Suwannapan L, Khewsawai P, Hargreaves KM. Mahidol study 1: comparison of radiographic and survival outcomes of immature teeth treated with either regenerative endodontic or apexification methods: a retrospective study. J Endod 2012; 38 (10): 13301336. Hargreaves KM, Diogenes A, Teixeira FB. Treatment options : biological basis of regenerative endodontic procedures. Pediat Dent 2013; 35 (2): 129-140.
Translated with permission from L’Information Dentaire 22 - September 25 Dr. Arnaud Costi completed his ex-intern in odontology at U. Paris 7. He is a qualified specialist in dentofacial orthopedics and Assistant professor at University hospital of Paris 7. Dr. Costi can be reached at 21 avenue Niel, Paris 75017 France.
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