Dilaceration

Definition: An abnormal curvature of a tooth root or roots.

Radiographic Features:

  • Location: Can affect any tooth in the oral cavity
  • Edge: Well-defined
  • Shape: Root with severe curvature, tapering towards the apex
  • Internal structure: Radiopaque, similar to normal tooth structure
  • Number: May affect single or multiple teeth

Key points:

  • Can occur in any direction (mesial, distal, facial, or lingual)
  • Facial or lingual curvatures may be difficult to detect on 2D images
  • May appear as a “target” or “bull’s-eye” on periapical radiographs, but not always

Clinical significance:

  • Can complicate tooth eruption
  • May pose challenges for endodontic treatment
  • Potential difficulty in tooth extraction
  • Possible impact on orthodontic treatment planning

Note: 3D imaging (e.g., CBCT) may be necessary for accurate diagnosis and treatment planning, especially for facial or lingual dilacerations not clearly visible on 2D radiographs.