Mecânicas ortodônticas e reabsorções radiculares

Autores

  • Antônio Marques de Faria Ganda PUC/MG
  • ? nio Tonnani Mazzieiro PUC/MG
  • Carlos Henrique Theodoro Batista UFJF

DOI:

https://doi.org/10.26843/ro_unicid.v21i2.453

Palavras-chave:

Reabsorção da raiz, Ortodontia, mecânica, Etiologia, Fisiopatologia.

Resumo

A reabsorção radicular externa pode representar uma consequência iatrogênica da terapia ortodôntica, sendo representada pela perda de substância da raiz dentária. Níveis mínimos de perda radicular ortodonticamente induzidos são frequentes e não apresentam significado clínico. Entretanto, quando moderadas ou severas, devem-se adotar condutas baseadas nos fatores de risco e na magnitude das reabsorções. Esta revisão de literatura objetiva discutir a relação entre algumas técnicas e mecânicas ortodônticas e seu potencial de causar reabsorções radiculares. Observou-se que as causas da reabsorção radicular têm pouca relação com o tipo de mecânica utilizada. Parece existir uma maior relação com o tipo de movimento utilizado, por exemplo, intrusão, do que com o tipo de aparelho empregado para criar as forças. Alguns aspectos das técnicas ortodônticas representam fatores favorecedores de uma maior frequência de reabsorções radiculares como, o uso de elásticos intermaxilares, o fechamento de espaço das extrações dentárias ortodonticamente indicadas, as mecânicas intrusivas e os deslocamentos dentários extensos.

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Publicado

2017-12-13

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Seção

Artigos de revisão / Review articles