Approximation and contact of the maxillary central incisor roots with the incisive canal after maximum retraction with temporary anchorage devices_ Report of 2 patients
artigos ortodontia
artigos ortodontia
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498 Chung, Choi, <strong>and</strong> Kim<br />
Fig 5. Postretention intraoral photographs, radiographs, <strong>and</strong> cephalometric superimposition.<br />
Fig 6. The 3D CBCT superimposition immediately <strong>after</strong> <strong>and</strong> 36 months <strong>after</strong> treatment. These images<br />
were superimposed by automatic voxel-by-voxel registration at <strong>the</strong> cranial base. No changes were<br />
noted in <strong>the</strong> surrounding alveolar bone, <strong>the</strong> position <strong>of</strong> <strong>the</strong> <strong>central</strong> <strong>incisor</strong>s in <strong>contact</strong> or approximation<br />
<strong>with</strong> <strong>the</strong> <strong>incisive</strong> <strong>canal</strong>, or <strong>the</strong> <strong>incisive</strong> <strong>canal</strong> itself. A, Sagittal plane, B, coronal plane, <strong>and</strong> C, axial plane<br />
indicating <strong>the</strong> <strong>incisive</strong> <strong>canal</strong>. Gray, Immediately <strong>after</strong> treatment; yellow, 36 months <strong>after</strong> treatment;<br />
arrows, <strong>the</strong> <strong>incisive</strong> <strong>canal</strong>.<br />
factors were equal between both <strong>central</strong> <strong>incisor</strong>s, supporting<br />
<strong>the</strong> involvement <strong>of</strong> <strong>the</strong> <strong>incisive</strong> <strong>canal</strong>. The <strong>incisive</strong><br />
<strong>canal</strong> is a structure that transmits s<strong>of</strong>t tissues such as vessels<br />
<strong>and</strong> nerves but is surrounded by a thick layer <strong>of</strong><br />
cortical bone. Thus, <strong>the</strong> mechanism <strong>of</strong> root resorption<br />
for patient 1 may be similar to <strong>the</strong> condition when <strong>the</strong><br />
<strong>roots</strong> are in <strong>contact</strong> <strong>with</strong> or near <strong>the</strong> cortical plate. 15,16<br />
Unlike patient 1, in patient 2, <strong>the</strong> involvement <strong>of</strong> <strong>the</strong><br />
<strong>incisive</strong> <strong>canal</strong> in root resorption could not be<br />
determined per se. But patient 2 also illustrates <strong>the</strong><br />
September 2015 Vol 148 Issue 3<br />
American Journal <strong>of</strong> Orthodontics <strong>and</strong> Dent<strong>of</strong>acial Orthopedics