Combined orthodontic-endodontic therapy: case report of orthodontic movement of a recalcified lateral incisor.
Unlike most cases of combined orthodontic and endodontic therapy that have been reported, in this case endodontic treatment with calcium hydroxide-induced calcification was utilized prior to orthodontic treatment. A 14-yr-old female required orthodontic therapy due to anterior crowding. Preoperative periapical radiographs indicated that the maxillary right lateral incisor demonstrated advanced lateral root resorption of the distal surface. It was decided to use calcium hydroxide therapy to halt any further resorption prior to orthodontic movement. Approximately 1 yr was required to gain calcification, fill the canal with gutta-percha, and place the maxillary closing arch. Subsequent orthodontic treatment did align the teeth in a desirable manner without jeopardy to the recalcified root.
Gruendeman
G W
GW
Post-Graduate Endodontics, Loyola University School of Dentistry, Maywood, IL.
Weine
F S
FS
Janik
J M
JM
D000293:Adolescent; D002126:Calcium Hydroxide / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007180:Incisor; D008310:Malocclusion / Q000150:complications / Q000628:therapy*; D009971:Orthodontics, Corrective; D010347:Patient Care Planning; D012390:Root Canal Therapy; D012391:Root Resorption / Q000150:complications / Q000628:therapy*; D013997:Time Factors; D014089:Tooth Remineralization / Q000379:methods*
D002126:Calcium Hydroxide