Orthodontic movement of teeth with short root anomaly: should it be avoided, faced or ignored?

• Autor(a) principal: Valladares Neto,Jose
• Data de Publicação: 2013
• Outros Autores: Rino Neto,José, Paiva,João Batista de
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Dental Press Journal of Orthodontics
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512013000600012
• topic: Tooth root; Tooth abnormalities; Root resorption; Orthodontics

INTRODUCTION: Short Root Anomaly (SRA) is an uncommon disease and a challenge for orthodontic treatment as it tends to increase the risk of root resorption. OBJECTIVE: Assess the current status of the diagnosis, etiology and orthodontic management of teeth with SRA, and present case reports. METHOD: A literature review was carried out in PubMed, SciELO, LILACS, Scopus and Web of Science databases. RESULTS: A differential diagnosis of SRA should be conducted for teeth with incomplete root formation, external apical root resorption, dentin dysplasia type I and post dental trauma root hypoplasia. SRA is genetically determined and orthodontic movement requires changes in clinical and radiographic management in order to restrict damage. CONCLUSION: Orthodontic movement of teeth with SRA is contraindicated in extreme cases, only. Caution at all stages could minimize attachment loss and lead to long-term stability.