Pulpitis due to braces

[tiana]

Hello to everyone.
I have been on braces for a year and a half now, and recently I had a tooth suffering pulpitis because of braces. I had to undergo to root canal treatement and I would like to know if this has ever happened to someone else.

So the (short) story is:
I had really crooked incisors so I got the left premolar extracted and the adjiacent canine was put into traction to move back.
After 10 months of traction and the displacement of 4mm, the canine started to ache very badly: it was a really strong pain, other than the normal soreness of the teeth. To ease the pain, the orthodontist halted with the traction and the pain stopped. After a while he started pulling again, and the pain was back. Eventually, the pain became persistent, even in the absence of traction. I did X-ray and it highlighted irreversible pulpitis of the canine root. So, to avoid losing the tooth, i underwent to root canal treatement.

My orthodontist thinks that the canine was unable to cope with the trauma of displacement, and so it went into necrosis. He think this is caused (probably) by the fact that my tooth root is extremely long and probably the nearby bone is perforated: in this situation - plus the fact that I am not so young - moving teeth might cause drawbacks.
He also says that this kind of problems is extremely rare and that he has only seen another one in all his carrer time (30 years).

As you may imagine I am extremely annoyed by all this. I cannot really blame him of negligence, but I am not sure that it was unavoidable or unpredictable.
Have you ever heard of a thing like this?

Thank you.

[SpottedPickle]

I talked to my ortho about this, my cousin had issues from perio bone-loss. There are some factors that up the chances of it happening to patients, bone loss, Impacted teeth, and trauma. Most often it is because some teeth just do not respond well to their movement. It is just another risk that you take with braces, and if there are any signs of it starting or preliminary issues that up the risks to monitor and treat them.

I have minor bone-loss in my lower front because of my teeth hitting my uppers and are all janky, but hopefully it has not progressed. They are keeping an eye on things.

[Ciara]

My ortho warned me of the dangers of bone loss, root absorption and the risk of irreversible pulpitis before I started. She told me that there is no way to predict which teeth will develop pulpits but that it was rare. It seems you have been very unlucky.