Orthodontic movement of teeth with short root anomaly: Should it be avoided, faced or ignored?

• Published in: Dental press journal of orthodontics Vol. 18; no. 6; pp. 72 - 85
• Main Authors: Valladares Neto, Jose, Rino Neto, José, de Paiva, João Batista
• Format: Journal Article
• Language: English
• Published: Brazil Dental Press International 01-12-2013; Dental Press Editora
• Subjects: Anormalidades dentárias; Bicuspid - abnormalities; Cephalometry - methods; Child; Contraindications; Dentistry; DENTISTRY, ORAL SURGERY & MEDICINE; Extraoral Traction Appliances; Female; Humans; Incisor - abnormalities; Malocclusion, Angle Class II - therapy; Orthodontic Space Closure - methods; Ortodontia; Patient Care Planning; Raiz dentária; Reabsorção da raiz; Risk Factors; Root Resorption - etiology; Tooth Movement Techniques - methods; Tooth Root - abnormalities; Root resorption; Tooth root; Tooth abnormalities; Orthodontics; Ortodontia; Raiz dentária; Anormalidades dentárias; Reabsorção da raiz
• ISSN: 2176-9451; 2177-6709; 2177-6709; 2176-9451
• DOI: 10.1590/S2176-94512013000600012

Short Root Anomaly (SRA) is an uncommon disease and a challenge for orthodontic treatment as it tends to increase the risk of root resorption.
Assess the current status of the diagnosis, etiology and orthodontic management of teeth with SRA, and present case reports.
A literature review was carried out in PubMed, SciELO, LILACS, Scopus and Web of Science databases.
A differential diagnosis of SRA should be conducted for teeth with incomplete root formation, external apical root resorption, dentin dysplasia type I and post dental trauma root hypoplasia. SRA is genetically determined and orthodontic movement requires changes in clinical and radiographic management in order to restrict damage.
Orthodontic movement of teeth with SRA is contraindicated in extreme cases, only. Caution at all stages could minimize attachment loss and lead to long-term stability.