Impact of Orthodontic Tooth Movement on the Longevity of Endodontically Treated Teeth: A Prospective Clinical Study
Orthodontic Treatment, Endodontic Treatment, Root Resorption, Tooth Mobility, Patient Satisfaction, Longevity of Endodontically Treated Teeth
AuthorsABSTRACTModern dentistry is grounded in orthodontic therapies and endodontic work. The field of endodontics deals with the diseases of the pulp and roots of the teeth, whereas Orthodontics deals with the malalignment of teeth and jaw. They are combined with these treatments when there is some malocclusion or misalignment especially when they are endodontically treated (ETT). The effect of the orthodontic forces on the long-term and clinical outcomes of ETT is not well identified yet and there is a fear that the risk will be increased, which may include root and tooth mobility resorption. This study aimed to investigate the combined effects of orthodontic and endodontic treatments on the longevity and clinical outcomes of endodontically treated teeth (ETT), focusing on complications, treatment success, and patient satisfaction. A cross-sectional survey was conducted using a structured questionnaire with 120 participants (orthodontists, endodontists, and patients). Data were collected through both closed-ended and open-ended questions to assess participants' experiences, treatment outcomes, and complications. Descriptive statistics, Chi-square tests, correlation analysis, and linear regression were applied to analyze the data. The study found that 55.8% of participants received orthodontic treatment, and 82.5% had endodontic treatment. The treatment outcomes showed that 37.5% rated their treatment as successful, while 12.5% considered it very successful. Root resorption and tooth mobility were more common in those who received orthodontic treatment. A significant positive correlation was found between patient satisfaction and treatment outcomes. Linear regression analysis identified that orthodontic treatment, root resorption, and tooth mobility were key predictors of the longevity of ETT. The paper not only indicates the possibilities of effective combined therapies but also points out the dangers of adverse effects like root resorption. The orthodontists and endodontists must work together interdisciplinarily to reduce risks. The future research must be based on longitudinal studies and randomized trials to learn more about the long-term impact of orthodontic forces on ETT.
INTRODUCTIONModern dental care is based on orthodontic and endodontic interventions. The major issue of orthodontics is how to correct the misalignment of the teeth and the jaws with the help of braces or other devices to change the position of the teeth, to improve the occlusion and also to increase the beauty. 1 The aim is to strive towards the attainment of improved functioning and the prevention of chronic dental problems, including malocclusions or even jaw pains. Endodontics, however, is a discipline that aims at the diagnosis and treatment of the diseases of the dental pulp and the root tissues.2 Root canal therapy is the most popular treatment in the endodontics field; it is used to salvage teeth that have been affected by disease, damage, or infection. Root-treated (or endodontically treated) teeth (ETT) typically fall under the category of structurally weaker vital teeth as they have undergone the loss of the pulp, causing the decrease in blood supply and the shift of the mechanical properties.3 Even though orthodontic treatments and endodontic treatments are used to serve different purposes, clinical situations arise where both treatments are •••••••••••••••••••••••••••••••• ejprd.org - Published by Dennis Barber Journals. Barber Ltd. All rights reserved
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