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浸水的牙根会妨碍正畸治疗或种植体的使用吗?

Do submerged roots hinder orthodontic treatment or the use of implants?

机构信息

Universidade de São Paulo, Faculdade de Odontologia de Bauru (Bauru/SP, Brazil).

Universidade de São Paulo, Faculdade de Odontologia de Ribeirão Preto, Programa de Pós-graduação em Odontopediatria (Ribeirão Preto/SP, Brazil).

出版信息

Dental Press J Orthod. 2023 Jan 6;27(5):e22ins5. doi: 10.1590/2177-6709.27.5.e22ins5. eCollection 2023.

Abstract

INTRODUCTION

In clinical practice, submerged roots are found with high frequency, and their presence can change the planning of dental movements and implant placement.

OBJECTIVES

To provide explanations of possible developments in the area involved, according to the evolutionary stage of the process, at the time of diagnosis.

DISCUSSION

After atrophy of the periodontal ligament and epithelial remnants of Malassez, ankylosis of the bone with the submerged root occurs, and initiates a process of replacement resorption. Until this process reaches the most advanced stage, this area represents an increased "bone" density, and if some care is not taken, this can generate resorption problems in the tooth to be moved. Whereas implants can be placed, despite the presence of the submerged root, irrespective of the stage of evolution.

CONCLUSION

It is natural for the onset of alveolodental ankylosis and tooth replacement resorption to occur in submerged roots, and its stage of evolution will be decisive in the approach to be adopted in clinical planning.

摘要

简介

在临床实践中,经常会发现埋入式牙根,其存在会改变牙齿移动和种植体植入的计划。

目的

根据诊断时的进化阶段,对该区域可能出现的发展情况进行解释。

讨论

牙周韧带和马勒氏上皮残余萎缩后,骨与埋入式牙根发生粘连,开始进行替代吸收过程。在这个过程达到最先进阶段之前,该区域代表着增加的“骨”密度,如果不加以注意,这可能会导致要移动的牙齿发生吸收问题。虽然存在埋入式牙根,但种植体仍可植入,无论其进化阶段如何。

结论

埋入式牙根发生牙槽骨牙周粘连和牙齿替代吸收是正常的,其进化阶段将对临床规划中采用的方法具有决定性作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57e9/9829106/3e190417690f/2177-6709-dpjo-27-05-e22ins5-gf1.jpg

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