The Effect of Pulp Obliteration on Pulpal Vitality of Orthodontically Intruded Traumatized Teeth

Journal of Endodontics (Impact Factor: 3.38). 04/2008; 34(4):417-20. DOI: 10.1016/j.joen.2008.01.006
Source: PubMed


Limited information exists on the impact of pulp obliteration on pulpal vitality of orthodontically treated traumatized teeth. Pulpal condition was examined in 269 traumatized maxillary incisors after orthodontic intrusion (OT group) and in 193 traumatized maxillary incisors without subsequent orthodontic treatment (C group). According to the degree of initial pulp obliteration, the teeth were divided into three categories: teeth without, teeth with partial, and teeth with total pulp obliteration. Teeth in the OT group revealed a significantly higher rate of pulp necrosis than teeth in the C group (p < 0.001). In addition, teeth in the OT group with total pulp obliteration showed a significantly higher rate of pulp necrosis than teeth without (p < 0.001) or only partial pulp obliteration (p = 0.025). The results indicate that traumatized teeth with total pulp obliteration have a higher susceptibility to pulpal complications during orthodontic intrusion than traumatized teeth without or only partial pulp obliteration.

1 Follower
40 Reads
  • Source
    • "It is well known that teeth with atypical root morphology are prone to root resorption.11 In addition, teeth with total pulp obliteration have a higher susceptibility to pulpal complications during orthodontic treatment.12,13 "
    [Show abstract] [Hide abstract]
    ABSTRACT: Pulp stones are usually found in the pulp chamber. Radiographically, they appear as radiopaque structures in the pulp chambers or root canals of individual teeth. Generalized pulp stones throughout the dentition are usually associated with systemic or genetic disorders of the dentine. This report presents an unusual case of a 13-year-old girl with generalized pulp stones with clinically normal crowns. The patient's main complaint was a crossbite affecting all permanent canines. Radiographic examination revealed multiple pulp stones and several teeth with atypically shaped roots. Orthodontic treatment, gingivoplasty, and esthetic restorations were performed, thus using a multidisciplinary approach to establish functionally and esthetically sound dentition.
    04/2011; 5(2):210-4.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this study was to survey the treatment provided by West Virginia general dentists (GDs) for young children. A survey was mailed to 683 GDs in West Virginia. Respondents were questioned about their referrals to pediatric dentists, the youngest age for which they perform specific procedures, conscious sedation utilization, and whether they treat Medicaid-covered children. The response rate was 72%. Half of the GDs responded that they frequently referred children younger than 3 years old, and only one third reported performing dental examinations on a child 2 years old or younger. All responding GDs performed the surveyed procedures in 5-year-olds, but fewer respondents performed complex procedures for children < or = 2 years old. More than half of the GDs responded that they frequently had difficulty with referrals to a pediatric dentist due to distance/ transportation or not accepting new Medicaid patients. Medicaid-covered children were not treated by 25% of general dentists. Most GDs in West Virginia treat older children, but care is limited for children < or = 2 years old. Further studies are needed to uncover the specifics of these findings to improve the access and care for young West Virginia children.
    Pediatric dentistry 01/2008; 30(4):352-7. · 0.56 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this study was to examine the prevalence of pulp calcifications in patients with Marfan syndrome. The prevalence of pulp stones and pulp obliteration was evaluated on bitewing radiographs in 21 subjects with Marfan syndrome and in 100 healthy controls. Subjects with Marfan syndrome older than 30 years of age showed a significantly higher prevalence of pulp stones (P = .027) or pulp obliteration (P < .001). Pulp stones were present in 20.7% and pulp obliteration was found in 7.9% of the examined teeth in this group. Subjects with Marfan syndrome also revealed a significant correlation between age and number of teeth with pulp stones or pulp obliteration. The results of the present study indicate that pulp calcifications are frequent findings in subjects with Marfan syndrome. This should be taken into consideration in endodontic or orthodontic treatment.
    Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 09/2008; 106(6):e56-61. DOI:10.1016/j.tripleo.2008.06.029 · 1.46 Impact Factor
Show more

Similar Publications