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Evaluation

Submitted Presentation

SP-6 - An Endodontic Perspective Regarding the Effect of Orthodontic Treatment on Pulpal Vitality. a Clinical Approach with Scientific Evidence

Saturday, April 20, 2024
1:00 PM – 1:45 PM PT
Location: 502 A
Earn 0.75 CE Credits

    Speaker(s)

  • Rodrigo Cunha, D.D.S.,M.S.,Ph.D

    Private Practice / Part Time instructor
    Prairie Endodontics / University of Manitoba
    Winnipeg, Manitoba, Canada

    Disclosure(s): No financial relationships to disclose

    • Session Host(s)

  • Fengming Wang, D.D.S., Ph.D

    Clinical Associate Professor
    Texas A&M University School of Dentistry
    Dallas, Texas

    Disclosure(s): No financial relationships to disclose

Presentation Description/Abstract: The dental pulp is a singular connective tissue confined by rigid walls of mineralized tissue in an environment that has a low tolerance to inflammation, where the tissue is supplied by the blood vessels passing through the apical foramen. An arborized vascular system and a delicate artery that penetrates the apical foramen represent its only blood source. Orthodontic movement may cause a great number of tissue alterations in the dental pulp, however, these changes may not be entirely recognized owing to the difficulty in simulating clinical situations. Depending on the duration, type and magnitude of the force, and the physiological tissue tolerance, the pulp tissue may be affected in a reversible or irreversible manner. This presentation will discuss with clinical cases and scientific evidence these alterations and how to deal with the diagnostic procedure.

Learning Objectives:

  • Discuss using scientific evidence and clinical cases, the pulpal alterations that can occur during orthodontic treatment.
  • Describe common orthodontic-endodontic treatment planning challenges.
  • Describe an appropriate management of teeth requiring integrated endodontic and orthodontic treatment (i.e sub-epithelial cervical root resorption).