Establishing correlation between teeth exposure to mechanical loads during orthodontic treatment and occurrence of denticles in teeth
https://doi.org/10.36377/ET-0016
Abstract
INTRODUCTION. Treatment with braces can correct pathologies of the bite, temporomandibular joint, and improve the facial and smile aesthetics. However, along with the positive effects of braces, there are a number of negative effects, one of which is the formation of denticles caused by mechanical stress during orthodontic treatment. Understanding not only the advantages, but also the disadvantages of braces systems can minimize the negative effects of treatment with non-removable orthodontic appliances by means of modern technologies.
AIM. Establishing the effects of mechanical forces applied to the tooth during orthodontic treatment with braces on the formation and growth of denticles.
MATERIALS AND METHODS. 41 cone-beam computed tomograms (CBCTs) of patients aged 11 to 59 years, randomly selected, treated with non-removable orthodontic appliances for two years were studied. A total of 90 teeth were found in which pulp denticles formed primarily or grew in size. CBCT was analyzed in Planmeca Romexis Review software before and 2 years after orthodontic treatment. Findings were recognized as statistically significant at p < 0.05.
RESULTS. The formation and development of denticles after wearing orthodontic appliances was observed in 87.2 % (n = 30) of cases). Primary denticle formation occurred in 46.2 % (n = 18) of cases, and an increase in denticle size was observed in 25.6 % (n = 10) of cases.
CONCLUSIONS. The obtained statistical data supports the relationship between the effects of mechanical stress on teeth during orthodontic treatment and denticle formation.
About the Authors
V. A. Osipova
Pavlov First St. Petersburg State Medical University
Russian Federation
Competing Interests:
Russian Federation
Vera A. Osipova – Cand. Sci. (Med.), Associate Professor of the Department of Dental Diseases Propaedeutics
6/8, Lev Tolstoy St., St. Petersburg 197022
Competing Interests:
The authors declare no conflict of interests.
N. V. Zubkova
Pavlov First St. Petersburg State Medical University
Russian Federation
Competing Interests:
Russian Federation
Natalya V. Zubkova – Cand. Sci. (Med.), Associate Professor of the Department of Pediatric Dentistry and Orthodontics
6/8, Lev Tolstoy St., St. Petersburg 197022
Competing Interests:
The authors declare no conflict of interests.
A. A. Kolyada
Pavlov First St. Petersburg State Medical University
Russian Federation
Competing Interests:
Russian Federation
Alisa A. Kolyada – Student of the Faculty of Dentistry
6/8, Lev Tolstoy St., St. Petersburg 197022
Competing Interests:
The authors declare no conflict of interests.
References
1. Osipova V.A., Molokova V.A., Antonova I.N., Kolyada A.A. Denticles: study diagnostic and perspectives of treatment (a review, part II). Clinical Dentistry (Russia). 2023;26(3):46–51. (In Russ.) https://doi.org/10.37988/1811-153X_2023_3_46
2. Bandura E.A., Serova A.A., Shevyakova Yu.A. General and local influence of bracket systems. Bulletin of Medical Internet Conferences. 2015;10(5):1211–1212. (In Russ.) Available at: https://medconfer.com/files/archive/2015-10/2015-10-5-A-4907.pdf (accessed: 03.02.2024).
3. Opravin A.S., Vilova T.V., Kuzmina L.N., Ovodova G.F., Davydova N.G., Gagarina T.Yu. Endodontics. Diseases of the pulp. Arkhangelsk: Northern State Medical University; 2015. 225 p.
4. Dhinesh K., Delphine Priscilla A.S. Calcified Canal and Negotiation – A Review. Res J Pharm Technol. 2018;11(8):3727–3730. https://doi.org/10.5958/0974-360X.2018.00683.2
5. Li Y., Zhan Q., Bao M., Yi J., Li Y. Biomechanical and biological responses of periodontium in orthodontic tooth movement: up-date in a new decade. Int J Oral Sci. 2021;13(1):20. https://doi.org/10.1038/s41368-021-00125-5
6. Suttorp C.M., Xie R., Lundvig D.M., Kuijpers-Jagtman A.M., Uijttenboogaart J.T., Van Rheden R., Maltha J.C., Wagener F.A. Orthodontic forces induce the cytoprotective enzyme Heme Oxygenase-1 in rats. Front Physiol. 2016;7:283. https://doi.org/10.3389/fphys.2016.00283
7. Javed F., Al-Kheraif A.A., Romanos E.B., Romanos G.E. Influence of orthodontic forces on human dental pulp: A systematic review. Arch Oral Biol. 2015;60(2):347–356. https://doi.org/10.1016/j.archoralbio.2014.11.011
8. Krishnan V., Davidovitch Z. (eds) Biological mechanisms of tooth movement. Wiley-Blackwell; 2009. 256 p.
9. Böhl M., Ren Y., Fudalej P.S., Kuijpers-Jagtman A.M. Pulpal reactions to orthodontic force application in humans: A systematic review. J Endod. 2012;38(11):1463–1469. https://doi.org/10.1016/j.joen.2012.07.001
10. Krishnan V., Davidovitch Z. (eds) Biological mechanisms of tooth movement. 2 nd ed. NJ: Wiley-Blackwell; 2015. 314 p.
11. Vinagre A., Castaheira C., Messias A., Paima P.J., Ramos J.C. Management of pulp canal obliteration-systematic review of case reports. Medicina (Kaunas). 2021;57(11):1237–1238. https://doi.org/10.3390/medicina57111237
12. Vitali F.C., Cardoso I.V., Mello F.W., Flores-Mir C., Andrada A.C., Dutra-Horstmann K.L., Duque T.M. Effect of orthodontic force on dental pulp histomorphology and tissue factor expression: A systematic review. Angle Orthod. 2021;91(6):830–842. https://doi.org/10.2319/012221-65.1
13. Huokuna J., Loimaranta V., Laine M.A., Svedström-Oristo A.L. Adverse effects of orthodontic forces on dental pulp. Appearance and character. A systematic review. Acta Odontol Scand. 2023;81(4):267–277. https://doi.org/10.1080/00016357.2022.2137232
14. Frolov A.O., Popov S.A., Artushenko N.K., Shalak O.V. Doppler ultrasound pulp diagnosis of teeth intruded with temporary anchorage devices. The Dental Institute. 2017;(1):64–66. (In Russ.)
15. Siddiqui S.H., Mohamed A.N. Calcific metamorphosis: A review. Int J Health Sci. 2016;10(3):437–442. Available at: https://pdfs.semanticscholar.org/9233/6e8f1d1ff79863aea77e3ac182321d2c9dfc.pdf (accessed: 03.02.2024).
Review
For citations:
Osipova V.A., Zubkova N.V., Kolyada A.A. Establishing correlation between teeth exposure to mechanical loads during orthodontic treatment and occurrence of denticles in teeth. Endodontics Today. 2024;22(2):102-108. (In Russ.) https://doi.org/10.36377/ET-0016
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