Orthodontic movement in deciduous teeth

Admin Dental Press

Edition V20N02 | Year 2015 | Editorial Orthodontic Insight | Pages 16 to 19

Alberto Consolaro

Deciduous teeth exfoliate as a result of apoptosis induced by cementoblasts, a process that reveals the mineralized portion of the root while attracting clasts. Root resorption in deciduous teeth is slow due to lack of mediators necessary to speed it up; however, it accelerates and spreads in one single direction whenever a permanent tooth pericoronal follicle, rich in epithelial growth factor (EGF), or other bone resorption mediators come near. The latter are responsible for bone resorption during eruption, and deciduous teeth root resorption and exfoliation. Should deciduous teeth be subjected to orthodontic movement or anchorage, mediators local levels will increase. Thus, one should be fully aware that root resorption in deciduous teeth will speed up and exfoliation will early occur. Treatment planning involving deciduous teeth orthodontic movement and/or anchorage should consider: Are clinical beneits relevant enough as to be worth the risk of undergoing early inconvenient root resorption?

Root resorption in deciduous teeth, Orthodontic movement, Exfoliation, Eruption, Anchorage, Orthopedics

Consolaro A. Orthodontic movement in deciduous teeth. Dental Press J Orthod. 2015 Mar-Apr;20(2):16-9. DOI: http://dx.doi. org/10.1590/2176-9451.20.2.016-019.oin

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