Webinars > An Endodontic Perspective Regarding the Effect of Orthodontic Treatment on Pulpal Vitality

An Endodontic Perspective Regarding the Effect of Orthodontic Treatment on Pulpal Vitality

Saturday, February 17, 2018 | Time: 8:00 AM - 10:00 AM PST

CDE Credits: 2.00 Teaching Methods: Lecture; Live Online or Self-Instructional Video Length: 2 hours

PDL is an ADA CERP recognized provider. PDL designates this activity for 2.00 hours continuing dental education credit.

Webinar Title: An Endodontic Perspective Regarding the Effect of Orthodontic Treatment on Pulpal Vitality

Presenter: Dr. Rodrigo Cunha

Date Recorded: February 17, 2018

Duration: 2 hours

CDE Credits: 2.00 CDE credits will be issued by Pure Dental Learning



The dental pulp is a singular connective tissue confined by rigid walls of mineralized tissue in an environment that has a low tolerance to inflammation, where the tissue is supplied by the blood vessels passing through the apical foramen. An arborized vascular system and a delicate artery that penetrates the apical foramen represent its only blood source. Orthodontic movement may cause a great number of tissue alterations in the dental pulp, however, these changes may not be entirely recognized owing to the difficulty in simulating clinical situations. Depending on the duration, type and magnitude of the force, and the physiological tissue tolerance, the pulp tissue may be affected in a reversible or irreversible manner. This presentation will discuss with clinical cases and scientific evidence these alterations and how to deal with the diagnostic procedure.

Course Outline


At the conclusion, participants should be able to:

  1. List the pulp alterations that can occur during orthodontic treatment.
  2. Discuss common orthodontic-endodontic treatment planning challenges.
  3. Describe appropriate management of teeth requiring integrated endodontic and orthodontic treatment.

Course Evaluation

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Resources and References

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Supplementary Material

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Dr. Rodrigo Cunha, DDS, MSc, PhD has no relevant commercial relationships.

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Dr. Rodrigo Cunha, DDS, MSc, PhD

Dr. Rodrigo Cunha, DDS, MSc, PhD


D227 – 780 Bannatyne Avenue
Winnipeg, MB R3E 0W2, Canada


Dr. Cunha completed his Undergraduate Dental Degree in 1994, which he obtained from the Pontificia Universidade Catolica de Campinas (PUCC) in Campinas, SP-Brazil. His post-graduate studies include a Specialty degree in Endodontics obtained in 1997 from the State University of Campinas (UNICAMP); in 2002, a M.Sc. degree in Clinical Dentistry (Endodontics), and in 2006, a Ph.D. degree in Dental Sciences both of which he received from Sao Leopoldo Mandic Centre for Dental Research. Dr. Cunha is a Clinical Instructor at the College of Dentistry, Faculty of Health Sciences at the University of Manitoba at the Endodontics Division. He has taught at the preclinical and clinical levels; has been a guest speaker at many events worldwide such as Brazil, Argentina, Colombia, Portugal, USA, Canada and UAE. Dr. Cunha has published a multitude of papers and abstracts in several peer reviewed journals, six book chapters and is a Reviewer for the International Endodontic Journal (IEJ) and Journal of Endodontics (JOE). Dr. Cunha became Fellow of the Royal College of Dentists of Canada (Endodontics) in 2013 and has extensive clinical experience obtained working in Private Practice limited to Endodontics since 1995.

Resources and References

  1. Hamilton RS, Gutmann JL. Endodontic-orthodontic relationships: a review of integrated treatment planning challenges. Int Endod J. 1999;32:343-60.
    2. Sano Y, Ikawa M, Sugawara J, Horiuchi H, Mitani H. The effect of continuous intrusive force on human pulpal blood flow. Eur J Orthod. 2002;24:155-66.

    3. Bauss O, Schafer W, Sadat-Khonsari R. Influence of orthodontic extrusion on pulpal vitality of traumatized teeth maxillary incisors. J Endod. 2010;36(2):203-7.

    4. Caviedes-Bucheli J, Moreno JO, Ardila-Pinto J, Del Toro-Carreño HR, Sierra-Tapias CL et al. The effect of orthodontic forces on calcitonin gene-related peptide expression in human dental pulp. J Endod. 2011;37(7):934-37.

    5. Venkatesh S, Ajmera S, Ganeshkar SV. Volumetric pulp changes after orthodontic treatment determined by cone beam computedtomography. J Endod. 2014 Nov;40(11):1758-63

    6. Javed F, Al-Kheraif AA, Romanos EB, Romanos GE. Influence of orthodontic forces on human dental pulp: a systematic review. Arch Oral Biol. 2015 Feb; 60(2):347-56.


Original Release Date: February 17, 2018
Review Date: TBD
*Expiration Date: February 17, 2021

CDE Credits

PDL is an ADA CERP recognized provider

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

Concerns or complaints about a CDE provider may be directed to the provider or to ADA CERP at cerp@ada.org

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