Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.09119
Revista de Odontologia da UNESP
Original Article

Association between agenesis and root morphology of anterior teeth

Associação entre agenesia e a morfologia radicular de dentes anteriores

Rodrigo BORALI; Carolina Carmo de MENEZES; Giovana Cherubini VENEZIAN; Silvia Amélia Scudeler VEDOVELLO; Viviane Veroni DEGAN

Downloads: 0
Views: 500

Abstract

Abstract: Introduction: Tooth agenesis is likely to affect the root teeth and should be considerated in orthodontic tratament.

Objective: The aim of this study was to assess the association between agenesis and root morphology of anterior teeth.

Material and method: The anterior teeth of 51 individuals were evaluated on 102 periapical radiographs and then divided into three groups: Group 1 (n=16) – no tooth agenesis; Group 2 (n=17) – only third molar agenesis; and Group 3 (n=18) – tooth agenesis of premolars or lateral incisors. Root morphology of anterior teeth was evaluated and the roots were classified as short, blunt, apically bent, and pipette-shaped. Fisher’s exact test was used to compare root shapes, the chi-square test was used to obtain the distribution of sexes between the groups, and ANOVA was performed to compare the ages between the groups. The significance level was set at 5% for all analyses.

Result: There was significant difference in root shapes (P<0.05) between the groups. Blunt roots were the most prevalent in all groups, but their rate was higher in Group 3 (83%).

Conclusion: There was association between agenesis and root morphology of anterior teeth.

Keywords

Orthodontic, tooth agenesis, tooth apex, tooth root

Resumo

Resumo: Introdução:

A agenesia dentária pode afetar a raiz radicular e deve ser considerada no tratamento ortodôntico. Objetivo:

O objetivo deste estudo foi avaliar a associação entre agenesia dentária e a morfologia radicular dos dentes anteriores.

Material e método: Foram avaliadas em 102 radiografias periapicais dos dentes anteriores de 51 indivíduos divididos em 3 grupos: Grupo 1 (n=16) sem agenesia dentária; Grupo 2 (n=17) com agenesia dentária de terceiros molares; Grupo 3 (n=18) com agenesia dentária apenas de prés-molares ou incisivos laterais. A morfologia radicular dos dentes anteriores foi avaliada sendo classificada como raiz curta, abaulada, tortuosa e pipeta. Para a comparação do formato radicular foi utilizado o teste Exato de Fisher, para a distribuição dos sexos entre os grupos foi realizado o teste qui-quadrado e para comparar as idades entre os grupos foi realizada o teste ANOVA, todas as análises com nível de significância de 5%.

Resultado: Os resultados evidenciaram diferença significante nos formatos das raízes (P<0,05) entre os grupos com e sem agenesia. O formato radicular abaulado foi o mais prevalente em todos os grupos, aparecendo em maior número no grupo 3 (84,3%).

Conclusão: Conclui-se que houve associação entre agenesia dentária e a morfologia radicular dos dentes anteriores.
 

Palavras-chave

Ortodontia, agenesia dentária, ápice dentário, raiz dentária

References

Kolenc-Fusé FJ. Agenesias dentarias: en busca de las alteraciones genéticas responsables de la falta de desarrollo. Med Oral Patol Oral Cir Bucal. 2004 Dic;9(5):385-95. PMid:15580115.

Vastardis H. The genetics of human tooth agenesis: new discoveries for understanding dental anomalies. Am J Orthod Dentofacial Orthop. 2000 Jun;117(6):650-6. http://dx.doi.org/10.1016/S0889-5406(00)70173-9. PMid:10842107.

Tallón-Walton V, Manzanares-Céspedes MC, Carvalho-Lobato P, Valdivia-Gandur I, Arte S, Nieminen P. Exclusion of PAX9 and MSX1 mutation in six families affected by tooth agenesis: a genetic study and literature review. Med Oral Patol Oral Cir Bucal. 2014 May;19(3):e248-54. http://dx.doi.org/10.4317/medoral.19173. PMid:24316698.

Ceyhan D, Kirzioglu Z, Calapoglu NS. Mutations in the MSX1 gene in Turkish children with non-syndromic tooth agenesis and other dental anomalies. Indian J Dent. 2014 Oct;5(4):172-82. http://dx.doi.org/10.4103/0975-962X.144717. PMid:25565750.

Al-Abdallah M, AlHadidi A, Hammad M, Al-Ahmad H, Saleh R. Prevalence and distribution of dental anomalies: a comparison between maxillary and mandibular tooth agenesis. Am J Orthod Dentofacial Orthop. 2015 Nov;148(5):793-8. http://dx.doi.org/10.1016/j.ajodo.2015.05.024. PMid:26522039.

Antonarakis GS, Suri S. Prevalence and patterns of permanent tooth agenesis in patients with nonsyndromic Pierre Robin sequence. Am J Orthod Dentofacial Orthop. 2014 Apr;145(4):452-60. http://dx.doi.org/10.1016/j.ajodo.2013.11.021. PMid:24703283.

Yaqoob O, DiBiase AT, Garvey T, Fleming PS. Relationship between bilateral congenital absence of maxillary lateral incisors and anterior tooth width. Am J Orthod Dentofacial Orthop. 2011 Mar;139(3):e229-33. http://dx.doi.org/10.1016/j.ajodo.2010.04.030. PMid:21392666.

Ruiz-Mealin EV, Parekh S, Jones SP, Moles DR, Gill DS. Radiographic study of delayed tooth development in patients with dental agenesis. Am J Orthod Dentofacial Orthop. 2012 Mar;141(3):307-14. http://dx.doi.org/10.1016/j.ajodo.2011.08.026. PMid:22381491.

Hua F, He H, Ngan P, Bouzid W. Prevalence of peg-shaped maxillary permanent lateral incisors: a meta-analysis. Am J Orthod Dentofacial Orthop. 2013 Jul;144(1):97-109. http://dx.doi.org/10.1016/j.ajodo.2013.02.025. PMid:23810051.

Garn SM, Lewis AB. The relationship between third molar agenesis and reduction in tooth number. Angle Orthod. 1962 Jan;32(1):14-8.

Garn SM, Lewis AB. The gradient and the pattern of crown-size reduction in simple hypodontia. Angle Orthod. 1970 Jan;40(1):51-8. PMid:5262688.

Brook AH. A unifying aetiological explanation for anomalies of human tooth number and size. Arch Oral Biol. 1984;29(5):373-8. http://dx.doi.org/10.1016/0003-9969(84)90163-8. PMid:6611147.

Garib DG, Peck S, Gomes SC. Increased occurrence of dental anomalies associated with second-premolar agenesis. Angle Orthod. 2009 May;79(3):436-41. http://dx.doi.org/10.2319/0003-3219(2009)079[0436:IOODAA]2.0.CO;2. PMid:19413376.

Garib DG, Alencar BM, Ferreira FV, Ozawa TO. Anomalias dentárias associadas: o ortodontista decodificando a genética que rege os distúrbios de desenvolvimento dentário. Dental Press J Orthod. 2010;15(2):138-57. http://dx.doi.org/10.1590/S2176-94512010000200017.

Nuvvula S, Kiranmayi M, Shilpa G, Nirmala SV. Hypohyperdontia: Agenesis of three third molars and mandibular centrals associated with midline supernumerary tooth in mandible. Contemp Clin Dent. 2010 Jul;1(3):136-41. http://dx.doi.org/10.4103/0976-237X.72775. PMid:22114403.

Vucic S, Dhamo B, Kuijpers MA, Jaddoe VW, Hofman A, Wolvius EB, et al. Craniofacial characteristics of children with mild hypodontia. Am J Orthod Dentofacial Orthop. 2016 Oct;150(4):611-9. http://dx.doi.org/10.1016/j.ajodo.2016.03.021. PMid:27692418.

Kjaer I. Morphological characteristics of dentitions developing excessive root resorption during orthodontic treatment. Eur J Orthod. 1995 Feb;17(1):25-34. http://dx.doi.org/10.1093/ejo/17.1.25. PMid:7737342.

Levander E, Malmgren O. Evaluation of the risk of root resorption during orthodontic treatment: a study of upper incisors. Eur J Orthod. 1988 Feb;10(1):30-8. http://dx.doi.org/10.1093/ejo/10.1.30. PMid:3162877.

Levander E, Malmgren O, Stenback K. Apical root resorption during orthodontic treatment of patients with multiple aplasia: a study of maxillary incisors. Eur J Orthod. 1998 Aug;20(4):427-34. http://dx.doi.org/10.1093/ejo/20.4.427. PMid:9753824.

Marques LS, Ramos-Jorge ML, Rey AC, Armond MC, Oliveira Ruellas AC. Severe root resorption in orthodontic patients treated with the edgewise method: prevalence and predictive factors. Am J Orthod Dentofacial Orthop. 2010 Mar;137(3):384-8. http://dx.doi.org/10.1016/j.ajodo.2008.04.024. PMid:20197177.

Carlson DS. Evolving concepts of heredity and genetics in orthodontics. Am J Orthod Dentofacial Orthop. 2015 Dec;148(6):922-38. http://dx.doi.org/10.1016/j.ajodo.2015.09.012. PMid:26672698.

Levander E, Bajka R, Malmgren O. Early radiographic diagnosis of apical root resorption during orthodontic treatment: a study of maxillary incisors. Eur J Orthod. 1998 Feb;20(1):57-63. http://dx.doi.org/10.1093/ejo/20.1.57. PMid:9558765.

Kook YA, Park S, Sameshima GT. Peg-shaped and small lateral incisors not at higher risk for root resorption. Am J Orthod Dentofacial Orthop. 2003 Mar;123(3):253-8. http://dx.doi.org/10.1067/mod.2003.81. PMid:12637897.

Lind V. Short root anomaly. Scand J Dent Res. 1972;80(2):85-93. PMid:4505388.

SAS Institute Inc. SAS statistical program, release 9.2. Cary; 2010.

Oliveira AG, Consolaro A, Junqueira JLC, Martins-Ortiz MF, Franzolin SOB. Analysis of predictors of root resorption in orthodontic treatment - part II. J Dent Oral Hyg. 2011 Jun;3(6):75-81. http://dx.doi.org/10.5897/JDOH2011.000-3150.
 

5e1324780e8825631527eaa7 rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections