• Title/Summary/Keyword: root treatment

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External root resorption after orthodontic treatment: a study of contributing factors

  • Jung, Yun-Hoa;Cho, Bong-Hae
    • Imaging Science in Dentistry
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    • v.41 no.1
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    • pp.17-21
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    • 2011
  • Purpose : The purpose of this study was to examine the patient- and treatment-related etiologic factors of external root resorption. Materials and Methods : This study consisted of 163 patients who had completed orthodontic treatments and taken the pre- and post-treatment panoramic and lateral cephalometric radiographs. The length of tooth was measured from the tooth apex to the incisal edge or cusp tip on the panoramic radiograph. Overbite and overjet were measured from the pre- and post-treatment lateral cephalometric radiographs. The root resorption of each tooth and the factors of malocclusion were analyzed with an analysis of variance. A paired t test was performed to compare the mean amount of root resorption between male and female, between extraction and non-extraction cases, and between surgery and non-surgery groups. Correlation coefficients were measured to assess the relationship between the amount of root resorption and the age in which the orthodontic treatment started, the degree of changes in overbite and overjet, and the duration of treatment. Results : Maxillary central incisor was the most resorbed tooth, followed by the maxillary lateral incisor, the mandibular central incisor, and the mandibular lateral incisor. The history of tooth extraction was significantly associated with the root resorption. The duration of orthodontic treatment was positively correlated with the amount of root resorption. Conclusion : These findings show that orthodontic treatment should be carefully performed in patients who need the treatment for a long period and with a pre-treatment extraction of teeth.

Age-dependent root canal instrumentation techniques: a comprehensive narrative review

  • Solomonov, Michael;Kim, Hyeon-Cheol;Hadad, Avi;Levy, Dan Henry;Itzhak, Joe Ben;Levinson, Oleg;Azizi, Hadas
    • Restorative Dentistry and Endodontics
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    • v.45 no.2
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    • pp.21.1-21.12
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    • 2020
  • The aim of this article was to review age-dependent clinical recommendations for appropriate root canal instrumentation techniques. A comprehensive narrative review of canal morphology, the structural characteristics of dentin, and endodontic outcomes at different ages was undertaken instead of a systematic review. An electronic literature search was carried out, including the Medline (Ovid), PubMed, and Web of Science databases. The searches used controlled vocabulary and free-text terms, as follows: 'age-related root canal treatment,' 'age-related instrumentation,' 'age-related chemo-mechanical preparation,' 'age-related endodontic clinical recommendations,' 'root canal instrumentation at different ages,' 'geriatric root canal treatment,' and 'pediatric root canal treatment.' Due to the lack of literature with practical age-based clinical recommendations for an appropriate root canal instrumentation technique, a narrative review was conducted to suggest a clinical algorithm for choosing the most appropriate instrumentation technique during root canal treatment. Based on the evidence found through the narrative review, an age-related clinical algorithm for choosing appropriate instrumentation during root canal treatment was proposed. Age affects the morphology of the root canal system and the structural characteristics of dentin. The clinician's awareness of root canal morphology and dentin characteristics can influence the choice of instruments for root canal treatment.

External apical root resorption in maxillary incisors in orthodontic patients: associated factors and radiographic evaluation

  • Nanekrungsan, Kamonporn;Patanaporn, Virush;Janhom, Apirum;Korwanich, Narumanus
    • Imaging Science in Dentistry
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    • v.42 no.3
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    • pp.147-154
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    • 2012
  • Purpose: This study was performed to evaluate the incidence and degree of external apical root resorption of maxillary incisors after orthodontic treatment and to evaluate particular associated factors related to external apical root resorption. Materials and Methods: The records and maxillary incisor periapical radiographs of 181 patients were investigated. Crown and root lengths were measured and compared on the pre- and post-treatment periapical radiographs. Crown length was measured from the center of the incisal edge to the midpoint of the cemento-enamel junction (CEJ). Root length was measured from the CEJ midpoint to the root apex. A correction factor for the enlargement difference was used to calculate root resorption. Results: The periapical radiographs of 564 teeth showed that the average root resorption was $1.39{\pm}1.27$ ($8.24{\pm}7.22$%) and $1.69{\pm}1.14$ mm ($10.16{\pm}6.78%$) for the maxillary central and lateral incisors, respectively. The results showed that the dilacerated or pointed roots, maxillary premolar extraction cases, and treatment duration were highly significant factors for root resorption (p<0.001). Allergic condition was a significant factor at p<0.01. Age at the start of treatment, large overjet, and history of facial trauma were also factors significantly associated with root resorption (p<0.05). There was no statistically significant difference in root resorption among the factors of gender, overbite, tongue-thrusting habit, types of malocclusion, and types of bracket. Conclusion: These results suggested that orthodontic treatment should be carefully performed in pre-treatment extraction patients who have pointed or dilacerated roots and need long treatment duration.

Root Submergence of Permanent Incisors After Complicated Crown-Root Fracture during Adolescence: Case Reports (성장기 환아의 복잡 치관-치근 파절 영구전치의 Root submergence)

  • Jo, Eunjong;Lee, Jewoo;Ra, Jiyoung
    • The Korean Journal of Oral and Maxillofacial Pathology
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    • v.42 no.5
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    • pp.153-158
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    • 2018
  • Complicated crown-root fractures are considered rare occurrences in young permanent dentition; however, they often present complicated and unpredictable treatment options. The most common treatment option for crown-root fractured teeth is reattachment of fractured segment, but if it is thought impossible to maintain, it should be extracted. However, when unfavorable crown-root fracture occurs in the adolescents, extraction of fractured teeth is expected to be poor due to excessive resorption of alveolar and prosthetic replacement cannot be performed immediately, various treatment options should be considered. This report suggests root submergence in the complex crown-root fracture in growing patients is performed and the functional and aesthetic results including preservation of the alveolar bone are obtained.

Consideration of root position in virtual tooth setup for extraction treatment: A comparative study of simulated and actual treatment results

  • Mirinae Park;Veerasathpurush Allareddy;Phimon Atsawasuwan;Min Kyeong Lee;Kyungmin Clara Lee
    • The korean journal of orthodontics
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    • v.53 no.1
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    • pp.26-34
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    • 2023
  • Objective: The purpose of the present study was to compare the root positions in virtual tooth setups using only crowns in a simulated treatment with those achieved in the actual treatment. Methods: Pre- and post-treatment intraoral and corresponding cone beam computed tomography (CBCT) scans were obtained from 15 patients who underwent orthodontic treatment with premolar extraction. A conventional virtual tooth setup was used for the treatment simulation. Pre- and post-treatment three-dimensional digital tooth models were fabricated by integrating the patients' intraoral and CBCT scans. The simulated root positions in the virtual setup were obtained by merging the crown in the virtual setup and root in the pre-treatment tooth model. The root positions of the simulated and actual post-treatment tooth models were compared. Results: Differences in root positions between the simulated and actual models were > 1 mm in all teeth, and statistically significant differences were observed (p < 0.05), except for the maxillary lateral incisors. The differences in the inter-root angulation were > 1° in all teeth, and statistically significant differences were observed in the maxillary and mandibular canines. Conclusions: The virtual tooth setup using only crown data showed errors over the clinical limits. The clinical application of a virtual setup using crowns and roots is necessary for accurate and precise treatment simulation, particularly in extraction treatment.

Control Effect on Root-knot Nematodes by Hot Water Dipping Treatment in Kiwifruit

  • Ma, K.;Cho, Y.;Jeong, B.;Choi, D.
    • Korean Journal of Organic Agriculture
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    • v.19 no.spc
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    • pp.255-258
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    • 2011
  • When kiwifruit root system infected with nematodes was treated by hot water dipping treatment, the maximum temperature for this treatment was suggested as $50^{\circ}C$. The lowest killing temperature of internal root-knot in the root tissue was $48^{\circ}C$. Consequently, root-knot nematodes could be killed without damaging root tissues by the hot water dipping treatment at $48^{\circ}C$ for 10 minutes. This could be useful for organic production and distribution of kiwifruit seedlings by avoiding the synthetic nematicides which are not easily decomposed in soil once applied.

Root Barrier and Fertilizer Effects on Soil CO2 Efflux and Cotton Yield in a Pecan-Cotton Alley Cropping System in the Southern United States

  • Lee, Kye-Han;An, Kiwan
    • Journal of Korean Society of Forest Science
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    • v.95 no.2
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    • pp.177-182
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    • 2006
  • Little information is available on soil $CO_2$ efflux and crop yield under agroforestry systems. Soil $CO_2$ efflux, microbial biomass C, live fine root biomass, and cotton yield were measured under a pecan (Carya illinoinensis K. Koch)-cotton (Gossypium hirsutum L.) alley cropping system in southern USA. A belowground polyethylene root barrier was used to isolate tree roots from cotton which is to provide barrier and non-barrier treatments. The barrier and non-barrier treatment was randomly divided into three plots for conventional inorganic fertilizer application and the other three plots for organic poultry litter application. The rate of soil $CO_2$ efflux and the soil microbial biomass C were affected significantly (P < 0.05) by the fertilizer treatment while no significant effect of the barrier treatment was occurred. Cotton lint yield was significantly (P < 0.0 I) affected by the root barrier treatment while no effect was occurred by the fertilizer treatment with the yields being greatest ($521.2kg\;ha^{-1}$) in the root barrier ${\times}$ inorganic fertilizer treatment and lowest ($159.8kg\;ha^{-1}$) in the non-barrier ${\times}$ inorganic fertilizer treatment. The results suggest that the separation of tree-crop root systems with the application of inorganic fertilizer influence the soil moisture and soil N availability, which in tum will affect the magnitude of crop yield.

Healing after horizontal root fractures: 3 cases with 2-year follow-up

  • Choi, Yoorina;Hong, Sung-Ok;Lee, Seok-Ryun;Min, Kyung-San;Park, Su-Jung
    • Restorative Dentistry and Endodontics
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    • v.39 no.2
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    • pp.126-131
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    • 2014
  • Among dental traumas, horizontal root fractures are relatively uncommon injuries. Proper initial management and periodical evaluation is essential for the successful treatment of a root-fractured tooth. If pulpal necrosis develops, endodontic treatment is indicated, exclusively for the coronal fragment. Fragment diastases exert a great influence on healing at the fracture line and on pulpal necrosis. An adequately treated root-fractured tooth has a good prognosis. This case report describes the treatment and 2-yr follow up of 3 maxillary central incisors, first with horizontal root fracture, second with horizontal root fracture and avulsion, and third with horizontal root fracture and lateral luxation. All three cases were treated with mineral trioxide aggregate (ProRoot, Dentsply). During 2 yr of follow-up evaluation, the root-fractured teeth of the present patients were well retained in the arch, showing periodontal healing, even after endodontic treatment.

Treatment of Multiple Horizontal Root Fractures of the Maxillary Anterior: A case report (상악 전치부 다발성 수평 치근 파절의 치료: 증례보고)

  • Sung, Kun-Hwa;Min, Jeong-Bum;Park, Tae-Young
    • The Journal of the Korean dental association
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    • v.58 no.8
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    • pp.486-494
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    • 2020
  • Objectives: Management of a horizontal root fracture of an anterior teeth is challenging and often requires multiple approaches for improving the functional and esthetic outcomes. This case report describes the treatment and 2-yr follow up of 3 maxillary incisors with horizontal root fracture. Two maxillary central incisors were treated with Mineral Trioxide Aggregate (ProRoot MTA, Dentsply, Tulsa, OK, USA). Left maxillary lateral incisors were treated with endodontic treatment and submerged. During 2-yr of follow-up evaluation, the root-fractured teeth of the present patients were well retained in the arch, showing periodontal healing even after endodontic treatment.

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Consideration of primary molar's root and root canal for pulpectomy treatment (치수절제술 시 고려해야 할 유구치 치근과 근관)

  • MAH, YON-JOO
    • The Journal of the Korean dental association
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    • v.57 no.8
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    • pp.474-479
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    • 2019
  • The purpose of the pulp treatment is to make the function of the primary molar in the oral cavity possible for as long as possible until the exfoliation of the tooth or the development of the occlusion is as long as possible. The pulpectomy is a relatively common procedure for the pediatric dentist in the clinic with dental care of the children nowadays. Primary molar is morphologically more susceptible to dental caries than permanent tooth, and the dental pulp treatment is frequently performed. Furthermore, unlike permanent teeth, the root canal has a large degree of curvature and morphological diversity and complexity, careful consideration is needed. Therefore, it is very important to comprehensively understand the morphological characteristics and diversity of the root and root canals for the successful pulp treatment of the primary molars.

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