Influence of odontogenic lesions on root development in impacted teeth: a cohort study

IntroductionRoot dilaceration, a clinically significant developmental anomaly that can complicate dental treatment, has been attributed to various etiological factors, but the role of odontogenic lesions is still poorly understood. This observational study aimed to evaluate the relationship between...

Full description

Saved in:
Bibliographic Details
Main Authors: Selene Barone, Alessandro Antonelli, Antonio Madonna, Vincenzo Greco, Massimo Borelli, Francesco Bennardo, Amerigo Giudice, Lucia Cevidanes
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Oral Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/froh.2025.1634188/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849331044627513344
author Selene Barone
Alessandro Antonelli
Antonio Madonna
Vincenzo Greco
Massimo Borelli
Francesco Bennardo
Amerigo Giudice
Lucia Cevidanes
author_facet Selene Barone
Alessandro Antonelli
Antonio Madonna
Vincenzo Greco
Massimo Borelli
Francesco Bennardo
Amerigo Giudice
Lucia Cevidanes
author_sort Selene Barone
collection DOAJ
description IntroductionRoot dilaceration, a clinically significant developmental anomaly that can complicate dental treatment, has been attributed to various etiological factors, but the role of odontogenic lesions is still poorly understood. This observational study aimed to evaluate the relationship between odontogenic lesions and root dilaceration in impacted teeth.MethodsThe sample size consisted of 22 impacted teeth divided into two groups: with odontogenic lesions (Group IwL) and without lesions (Group IwoL). Pre- and post-treatment radiographs, taken before and after conservative surgical or orthodontic-surgical management of impacted teeth, were used to assess the occurrence of dilaceration in both groups. Fisher's exact text was applied to compare the prevalence of dilaceration in both groups. In order to analyze the influence of each additional variable on dilaceration, a multivariate analysis was performed through logistic regression.ResultsRoot dilaceration was significantly more common in Group IwL (72.73%) than in Group IwoL (18.18%) (p = 0.030). No significant association was found between root dilaceration and additional variables, including impaction depth, cortical bone contact, maximum lesion size, and lesion volume.ConclusionsThis study provides novel evidence for a correlation between odontogenic lesions and root dilaceration, suggesting that compressive forces from these lesions may significantly contribute to abnormal root development, with important implications for clinical diagnosis and treatment planning.
format Article
id doaj-art-de98aa6a4d4749b6bf9efc5ad3fa2616
institution Kabale University
issn 2673-4842
language English
publishDate 2025-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oral Health
spelling doaj-art-de98aa6a4d4749b6bf9efc5ad3fa26162025-08-20T03:46:45ZengFrontiers Media S.A.Frontiers in Oral Health2673-48422025-08-01610.3389/froh.2025.16341881634188Influence of odontogenic lesions on root development in impacted teeth: a cohort studySelene Barone0Alessandro Antonelli1Antonio Madonna2Vincenzo Greco3Massimo Borelli4Francesco Bennardo5Amerigo Giudice6Lucia Cevidanes7Department of Health Sciences, Magna Graecia University of Catanzaro, Catanzaro, ItalyDepartment of Health Sciences, Magna Graecia University of Catanzaro, Catanzaro, ItalyDepartment of Health Sciences, Magna Graecia University of Catanzaro, Catanzaro, ItalyDepartment of Health Sciences, Magna Graecia University of Catanzaro, Catanzaro, ItalyDepartment of Health Sciences, Magna Graecia University of Catanzaro, Catanzaro, ItalyDepartment of Health Sciences, Magna Graecia University of Catanzaro, Catanzaro, ItalyDepartment of Health Sciences, Magna Graecia University of Catanzaro, Catanzaro, ItalyDepartment of Orthodontics and Pediatric Dentistry, University of Michigan, Ann Arbor, MI, United StatesIntroductionRoot dilaceration, a clinically significant developmental anomaly that can complicate dental treatment, has been attributed to various etiological factors, but the role of odontogenic lesions is still poorly understood. This observational study aimed to evaluate the relationship between odontogenic lesions and root dilaceration in impacted teeth.MethodsThe sample size consisted of 22 impacted teeth divided into two groups: with odontogenic lesions (Group IwL) and without lesions (Group IwoL). Pre- and post-treatment radiographs, taken before and after conservative surgical or orthodontic-surgical management of impacted teeth, were used to assess the occurrence of dilaceration in both groups. Fisher's exact text was applied to compare the prevalence of dilaceration in both groups. In order to analyze the influence of each additional variable on dilaceration, a multivariate analysis was performed through logistic regression.ResultsRoot dilaceration was significantly more common in Group IwL (72.73%) than in Group IwoL (18.18%) (p = 0.030). No significant association was found between root dilaceration and additional variables, including impaction depth, cortical bone contact, maximum lesion size, and lesion volume.ConclusionsThis study provides novel evidence for a correlation between odontogenic lesions and root dilaceration, suggesting that compressive forces from these lesions may significantly contribute to abnormal root development, with important implications for clinical diagnosis and treatment planning.https://www.frontiersin.org/articles/10.3389/froh.2025.1634188/fullimpacted teethodontogenic lesionroot dilacerationmarsupializationdental anomalies
spellingShingle Selene Barone
Alessandro Antonelli
Antonio Madonna
Vincenzo Greco
Massimo Borelli
Francesco Bennardo
Amerigo Giudice
Lucia Cevidanes
Influence of odontogenic lesions on root development in impacted teeth: a cohort study
Frontiers in Oral Health
impacted teeth
odontogenic lesion
root dilaceration
marsupialization
dental anomalies
title Influence of odontogenic lesions on root development in impacted teeth: a cohort study
title_full Influence of odontogenic lesions on root development in impacted teeth: a cohort study
title_fullStr Influence of odontogenic lesions on root development in impacted teeth: a cohort study
title_full_unstemmed Influence of odontogenic lesions on root development in impacted teeth: a cohort study
title_short Influence of odontogenic lesions on root development in impacted teeth: a cohort study
title_sort influence of odontogenic lesions on root development in impacted teeth a cohort study
topic impacted teeth
odontogenic lesion
root dilaceration
marsupialization
dental anomalies
url https://www.frontiersin.org/articles/10.3389/froh.2025.1634188/full
work_keys_str_mv AT selenebarone influenceofodontogeniclesionsonrootdevelopmentinimpactedteethacohortstudy
AT alessandroantonelli influenceofodontogeniclesionsonrootdevelopmentinimpactedteethacohortstudy
AT antoniomadonna influenceofodontogeniclesionsonrootdevelopmentinimpactedteethacohortstudy
AT vincenzogreco influenceofodontogeniclesionsonrootdevelopmentinimpactedteethacohortstudy
AT massimoborelli influenceofodontogeniclesionsonrootdevelopmentinimpactedteethacohortstudy
AT francescobennardo influenceofodontogeniclesionsonrootdevelopmentinimpactedteethacohortstudy
AT amerigogiudice influenceofodontogeniclesionsonrootdevelopmentinimpactedteethacohortstudy
AT luciacevidanes influenceofodontogeniclesionsonrootdevelopmentinimpactedteethacohortstudy