Orthodontic-endodontic treatment planning of traumatized tooth: A review

Abstract

An orthodontic patient is prone to accidentally traumatizing a maxillary anterior teeth during treatment. Sometime trauma is so severe it can cause pulpal necrosis, avulsion, nonvitality, ankylosis etc. of teeth. If tooth become nonvital and the root not fully developed and there is open apex, Apexification is indicated to close the apex. Avulsed tooth that has been replanted undergoes sometimes undergo resorption or may be ankylosed. Ankylosed tooth may further hamper growth of alveolar process and sometimes hamper facial growth. So the purpose of this article is to evaluate the interdisciplinary approach of endodontics and orthodontics for the treatment of traumatized anterior teeth. Root canal treated teeth can undergo orthodontic treatment as readily as teeth with vital pulps. If root canal treatment of immature tooth is required during orthodontic treatment, it is advocated that the root canals be prepared and an interim dressing is placed and Root Canal Obturation is done on completion of orthodontic treatment.