Reabsorción radicular asociada a tratamientos de ortodoncia con extracciones dentales: revisión de la literatura
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La reabsorción radicular ha sido una condición asociada con un proceso fisiológico o patológico que resulta en la pérdida de dentina, cemento o hueso, producida como un efecto indeseado pero inevitable en el tratamiento ortodóncico. El objetivo de esta revisión es analizar la literatura sobre la reabsorción radicular producida en el cierre de espacios durante el tratamiento de ortodoncia con extracciones dentales. Se realizó una búsqueda electrónica en las siguientes bases de datos: PubMed, Science Direct, BVS Regional y Cochrane. Los criterios de elegibilidad incluyeron estudios relacionados al tema de la revisión, en inglés y español, con restricción en las publicaciones de los últimos 5 años, de libre acceso, texto completo, estudios descriptivos, casos y controles, cohortes, ensayos clínicos, revisiones sistemáticas y metaanálisis. Se eligieron 27 para ser analizados. La mayor parte de autores coinciden en que existen factores, que se deben tener en cuenta en el riesgo de producir reabsorción radicular en distintos grados, estos son tratamientos de ortodoncia con extracciones dentales, debido a que en la fase de cierre de espacios se produce gran movimiento de los dientes, por la distancia que estos deben recorrer, y el tiempo de duración de la terapia. La reabsorción radicular afecta principalmente a los incisivos maxilares.
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