The Journal
reassessed.
A decision should be made to terminate the
treatment or to arrive at a treatment
compromise.
When necessary, applied forces should be
stopped and/or a bite plane used to disocclude
the teeth. Habits : Nail biting or tongue thrust
should be stopped.
All types of tooth movement can cause root
resorption.
Intrusion is most detrimental.
Occlusal traumatism and jiggling are
potentially detrimental to the roots, and it is
suggested to finish treatment with a correct
occlusion.
Routine orthodontic tooth movement can
have anatomic and physiologic limitations.
If the objectives of treatment are beyond
these limitations, surgical intervention may be
required.
Teeth with resorbed roots can serve as
abutments to bridges only when their root
length exceeds the clinical crown length.
48
In choosing treatment appliances, the risk of
root resorption should be weighed against
appliance efficiency and individual treatment
objectives.
Treatment time should be as short as possible
while adhering to other important principles.
Traumatized teeth should be treated
cautiously - More prone
Medical examination and familial tendency
records are of value especially in cases of
severe or extensive root resorption.
If root resorption continues after appliance
removal or during retention, seqeuntial root
canal therapy with calcium hydroxide is
advisable.
Gutta-percha filling is the definitive therapy
only after root resorption ceases.
It is advisable to take full-mouth radiographs
when receiving a transfer case.18,20
Vol. 14 No. 1
Jan-Apr 2018