Krishnan V
Department of Orthodontics, Sri Sankara Dental College, Varkala, Trivandrum, Kerala, India.
Aust Dent J. 2017 Mar;62 Suppl 1:71-77. doi: 10.1111/adj.12483.
Root resorption can occur at any time during orthodontic treatment and lead to a compromise in the prognosis of the tooth and the stability of the treatment results. Recent research has focused more on the cause and effect relationship as well as preventive or treatment options to combat this unwelcome event. Investigations have highlighted the genetic as well as molecular aspects of the process and enabled clinicians to determine which patients might be susceptible. A proper medical history, an assessment of predisposing factors, a radiographic evaluation for alterations in root morphology and careful planning and execution of orthodontic mechanics may reduce the incidence of root resorption. The current review is aimed at providing clinicians and academics with an insight into the process of root resorption, the methods of identification during its early stages and intervention at the right time to reduce its severity.
牙根吸收可发生在正畸治疗的任何阶段,并会影响牙齿的预后以及治疗效果的稳定性。近期的研究更多地聚焦于牙根吸收的因果关系以及预防或治疗方案,以应对这一不良情况。研究突出了该过程的遗传学和分子学方面,使临床医生能够确定哪些患者可能易感。详细的病史、对易感因素的评估、针对牙根形态改变的影像学评估以及正畸力学的精心规划与实施,可能会降低牙根吸收的发生率。本综述旨在为临床医生和学者提供有关牙根吸收过程的见解、早期识别方法以及适时干预以减轻其严重程度的相关信息。