Abstract
ABSTRACTIntroduction: The dental pulp is completely normal in teeth with periapical cemento-osseous dysplasia. However, orthodontic and endodontic treatments are contraindicated in cases with this injury. Objective: Present some biological, clinical and imaging reasons opposing these contraindications and questioning which are the real ones impediments and the reasons for the lack of research on the disease, analyzing cases submitted to orthopedic treatment under controlled and ethically approved conditions. Conclusion: The clinician can act safely based in available knowledge and aware of the possible consequences of orthodontic movement in teeth with periapical cemento-osseous dysplasia, as well as in the proper way of making a safe and definitive diagnosis.
Highlights
The dental pulp is completely normal in teeth with periapical cemento-osseous dysplasia
Two clinical situations motivated us to present this paper to specialists in Orthodontics: 1) Cases of periapical cemento-osseous dysplasia in patients with endodontically treated teeth are not rare
Mineralized tissue produced by newly formed cellularized connective tissue in cases of periapical cemento-osseous dysplasia is disorganized, little mineralized and does not reorganize the region so that the alveolar periapical structures are reconstructed, and leaves them without a lamina dura or trabecular bone and, especially, no periodontal ligament
Summary
The dental pulp is completely normal in teeth with periapical cemento-osseous dysplasia. A contraindication to orthodontic and endodontic treatment: periapical cemento-osseous dysplasia. Two clinical situations motivated us to present this paper to specialists in Orthodontics: 1) Cases of periapical cemento-osseous dysplasia in patients with endodontically treated teeth are not rare.
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