ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Orthodontic Treatment On Endodontic Treated Teeth
Clinical Question During orthodontic treatment, are teeth with endodontic therapy more prone to root resorption compared to vital teeth?
Clinical Bottom Line There was no statistically significant difference (p>0.05) in apical root resorption found in the endodontically treated teeth compared to the group of vital teeth. (See Comments on the CAT below)
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 17258627Esteves/200716 patients from 2,500 casesNonrandomized Split Mouth
Key resultsThere was no statistically significant difference (p>0.05) in apical root resorption found in the endodontically treated teeth compared to the group of vital teeth.
Evidence Search Search ("Root Resorption"[Mesh]) AND "Tooth Movement"[Mesh]) AND "Tooth, Nonvital"[Mesh] ...view in PubMed
Comments on
The Evidence
This is a Nonrandomized Split Mouth study evaluating radiographic evidence on 16 cases of maxillary incisors with previous endodontic therapy. All cases had treatment minimums of 20 months, with radiographs taken prior to and following orthodontic treatment. The 16 cases where selected from 2,500 limiting the study to specific similarities.
Applicability Root resorption is a common concern in dentistry, especially when combining therapy options, specifically involving orthodontics. It would be important to know the potential outcomes in order to prevent root resorption.
Specialty/Discipline (Endodontics) (General Dentistry) (Orthodontics)
Keywords Orthodontics, Root resorption, endodontic therapy, root canal, combined orthodontics and endodontics
ID# 805
Date of submission: 03/24/2011spacer
E-mail segelquist@livemail.uthscsa.edu
Author Alyssa Segelquist
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Peter T. Gakunga, BDS, MS, PhD
Faculty mentor/Co-author e-mail GAKUNGA@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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by Teresa Nguyen, Abdulaziz A. Alblaihess (San Antonio, Texas) on 06/25/2014
A PubMed search on June 2014 found two more recent publications of higher evidence. The results of a systematic review by Walker, 2013 (PMID: 23321851) was consistent with this CATs conclusion. However, a meta-analysis by Ioannidou-Marathiotou, 2013 (PMID: 23064975) shows that endodontically-treated teeth are less prone to root resorption compared to vital teeth. Both of these studies further confirm that orthodontic therapy can safely be performed on endodontically-treated teeth.
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