ORIGINAL RESEARCH article
Front. Oral Health
Sec. Oral and Maxillofacial Surgery
Volume 6 - 2025 | doi: 10.3389/froh.2025.1634188
This article is part of the Research TopicOrthodontic and Surgical Approaches in Managing Impacted Teeth: Best Practices and OutcomesView all articles
Influence of Odontogenic Lesions on Root Development in Impacted Teeth: A Cohort Study
Provisionally accepted
Selene Barone1
Alessandro Antonelli1
Antonio Madonna1
Vincenzo Greco1Massimo Borelli1
Francesco Bennardo1
Amerigo Giudice1*
Lucia Cevidanes2- 1Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
- 2Department of Orthodontics and Pediatric Dentistry, University of Michigan, Ann Arbor, United States
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Introduction: Root 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. Methods: The 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 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. Results: Root 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.This 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.
Keywords: project administration, supervision, Validation, visualization, Writing -review & editing. Alessandro Antonelli: Conceptualization, investigation, methodology, resources
Received: 23 May 2025; Accepted: 29 Jul 2025.
Copyright: © 2025 Barone, Antonelli, Madonna, Greco, Borelli, Bennardo, Giudice and Cevidanes. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Amerigo Giudice, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
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