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Article: Volume 42 Number 10 Page 972 - December 2015

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  Dent Update 2015; 42: 972-976

Orthodontics:  Idiopathic Radiographic Apical Root Resorption in Wind Instrument Players

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Abstract: Root resorption of the permanent teeth involves an elaborate interaction among inflammatory cells resulting in loss of dental hard tissues. This report describes three clinical cases where idiopathic root resorption occurred in wind instrument playing patients. These patients produce adequate non-orthodontic forces, while playing their instruments, to expose their teeth to root resorbing force. Careful clinical monitoring of patients’ teeth should be undertaken, as the additive effects of orthodontic treatment and musical habits are unknown.

Clinical relevance: This paper advises that questioning about wind instrument playing during case history-taking would be beneficial to clinicians. Furthermore, careful clinical monitoring of these patients’ teeth during orthodontic treatment should be undertaken.

Author notes: Imran Shafi, BDS, MFDS RCPS(Glasg), Doctorate in Clinical Dentistry (Orthodontics), MOrth (RCSEd), PGCert MedEd, FHEA, Specialist Orthodontist, Philip Friel Advanced Dentistry, Glasgow, G12 9HZ and Richard Welbury, BDS, MBBS, PhD, FDS RCS, FDS RCPS, FRCPCH, FFGDP, Professor of Paediatric Dentistry, University of Central Lancashire, Preston, PR1 2HE, UK.

Objective: To discuss the aetiology of root resorption and the influence forces produced in playing wind instruments have on the dentition.