18 June 2025

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Endodontic–orthodontic interactions: a review and treatment recommendations

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The literature is replete with articles describing the many and varied interactions between endodontic treatment and orthodontic tooth movement (OTM), often reporting conflicting views and findings, which creates confusion for clinicians. Original research and review articles have described aspects such as apical root resorption and potential pulpal complications of teeth related to OTM. Some interactions are of relatively minor clinical significance, whilst others may have adverse consequences. A history of dental trauma before or during OTM further complicates the interactions. This review re-assesses the historical literature on endodontic-orthodontic interactions in light of more recent research and presents guidelines for managing clinical situations involving both disciplines. © 2023 Australian Dental Association.

CLINICAL RELEVANCE

The disciplines of endodontics and orthodontics are common across all age groups. It is, therefore, inevitable that patients will present to dental practitioners where this relationship will need clinical consideration, especially when complicated by dental trauma. An understanding of the contemporary scientific background concerning the biology of the interactions between the two disciplines is essential to developing appropriate treatment plans for patients. This review and recommendations will assist dental practitioners to confidently manage endodontic-orthodontic interactions.

Author: P Parashos

Source: https://onlinelibrary.wiley.com/