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ABSTRACT: Seeking to describe the clinical and radiologic features of localized idiopathic apical root resorption (LIAR), the authors conducted a dental literature review of idiopathic external root resorption and performed a retrospective study of LIAR among the identified cases retrieved from a private general practice. Cases involved five patients--one female and four males--ranging in age from 15 to 48 years. The authors concluded that LIAR appears to be a distinct but uncommon clinicopathologic condition that is self-limiting, and therefore warrants no definitive treatment. However, the condition, which can present asymptomatically on routine radiographs or is sometimes associated with clinical symptoms, warrants differentiation from periapical replacement resorption as a result of orthodontics or trauma.
Compendium of continuing education in dentistry (Jamesburg, N.J.: 1995) 03/2012; 33(3):184-6, 188, 190-5.
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ABSTRACT: Objective This article reviews the dental literature pertaining to dental root resorption and proposes a classification system designed to facilitate communication of precise information for each type. Design: A systematic review of the literature using PubMed was performed and supplemented with manual reviews of bibliographies from textbooks. Results: A classification system was developed using etiology and morphologic characteristics of dental root resorption. Various types of dental root resorption were identified. The different forms were organized into dental and non-dental origins and further divided between internal and external resorption along etiologic and morphologic characteristics. Conclusions: The classification of dental root resorption proposed may assist dentists in the formulation of a differential diagnosis and management of root resorption.
Compendium of continuing education in dentistry (Jamesburg, N.J.: 1995) 04/2011; 32(4):E38-52.
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ABSTRACT: The purpose of this study was to identify Class III malocclusions within a pediatric practice that lend themselves to a more favorable treatment outcome at an earlier age (before 10 years) rather than initiating treatment at later adolescent growth stages and also to identify the degree of difficulty of the treatment of the Class III malocclusion.
Review of the current dental literature pertaining to the different clinical types of Class III malocclusions and their respective treatment protocols was performed. Various classification systems were studied and compared. A new treatment classification system of Class III malocclusions utilizing three dentoalveolar and three skeletal components combined with cephalometric information derived from commonly used cephalometric analyses was developed.
Class III treatment types were conclusively identified: 1.) Early orthodontics only, 2.) Early combined orthodontics and orthopedics, 3.) Combined orthodontics and orthognathic surgery.
The conclusion supports Edward H. Angle's finding: "In studying a case of malocclusion, give no thought to the methods of treatment or appliances until the case shall have been classified and all peculiarities and variations from the normal type, occlusion and facial lines have been thoroughly comprehended. Then the requirements and proper plan of treatment becomes apparent".
The Journal of clinical pediatric dentistry 02/2008; 33(2):175-85. · 0.44 Impact Factor
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ABSTRACT: This article describes a new nonsurgical orthodontic technique for correcting Class III malocclusions in the adult dentition when orthognathic surgery is not an option. Following a review of the dental literature pertaining to other nonsurgical orthodontic techniques, a nonextraction treatment protocol was established that utilized a mandibular distalizer combined with a maxillary transpalatal unit. Four cases were treated with this new treatment protocol and produced consistent results: anterior and posterior crossbites were corrected; a Class I molar relationship was established; both overbite and overjet were corrected; and there was no undesirable tipping of the mandibular molars.
General dentistry 59(3):196-204; quiz 205-6.
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ABSTRACT: This article describes a form of localized aggressive periodontitis (LAP) in young multiparous women and denotes this form of periodontitis as localized aggressive multiparous periodontitis (LAMP). The authors retrospectively reviewed six cases of LAP in healthy multiparous women who were followed clinically for more than five years, examining clinical histories, clinical findings, and radiographic features. Age, race, gender, parity, location of attachment loss, rate of attachment loss, and symptoms were recorded. LAMP is characterized by asymmetrical attachment loss along the distal proximal area of the maxillary and/or mandibular first permanent molars in multiparous females with a median age of 27. The mean annual rate of attachment loss in the maxillary first molars was calculated at 0.5 mm. LAMP progresses to involve the mandibular incisors but, unlike LAP, appears to spare the maxillary incisors. The authors suggest that LAMP is a recognizable periodontal disease that can be diagnosed in young, multiparous females via clinical history, periodontal examination, and radiographs. This study presents potential pathogenic pathways and suggests a possible answer to the paradox of why aging women become more edentulous than men despite better overall dental care.
General dentistry 59(4):292-301.
