Clinical Case of Root Resorption Due to Improper Orthodontic Treatment

The article presents a case of tooth root resorption due to improper orthodontic treatment. Before the orthodontic treatment, it is necessary to diagnose the anomaly precisely, to plan and correspondingly carry out a proper treatment, considering the direction, magnitude and duration of the orthodontic forces, individual peculiarities and risk factors in every clinical case to avoid complications and achieve a successful outcome. All above-mentioned, if not taken into consideration, leads to various complications such as root resorption. The peculiarity of the presented clinical case is that X-ray examination was neglected both at the stage of diagnosis and treatment planning and during treatment. The treatment lasted more than three years. As a result, the patient developed certain complaints and presented to our clinic with loose teeth and toothache. After appropriate examinations, root resorption was diagnosed in a number of teeth. Moreover, the root resorption was severely pronounced in maxillary central incisors which made it impossible to preserve the teeth. After the orthodontic treatment was completed, restoration of the teeth with implants was suggested. Root resorption conditioned by orthodontic treatment is diagnosed mostly at early stages and is possible to be prevented. However, this case is unique in its nature since multiple teeth are affected and the roots of some teeth are almost completely resorbed in one person. The objective of this paper is to emphasize the importance of orthodontic treatment planning, following conventional treatment protocols and proper application of orthodontic forces to prevent root resorption and achieve successful outcome.