Factors that may increase the risk of external apical root resorption during orthodontic treatment : Retrospective clinical investigation.

Autor: Kaya B; Department of Orthodontics, Faculty of Dentistry, Baskent University, 1. Cad No: 107, 06490, Bahcelievler-Ankara, Türkiye. burcak_kaya@hotmail.com., Gülşahı A; Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Baskent University, Ankara, Türkiye., Türkyılmaz G; Private Practice, Manisa, Türkiye.
Jazyk: angličtina
Zdroj: Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie [J Orofac Orthop] 2024 Nov; Vol. 85 (6), pp. 425-434. Date of Electronic Publication: 2023 Jun 27.
DOI: 10.1007/s00056-023-00485-z
Abstrakt: Purpose: To determine the correlation between external apical root resorption and malocclusion-related variables in patients treated with fixed orthodontic appliances.
Methods: In all, 103 patients aged 12-15 years and treated with edge-wise appliances either without extractions or with four premolar extractions were included in this retrospective cohort study. External apical root resorption was assessed in the pre- and posttreatment panoramic radiographs of these patients for incisors, canines, premolars, and first molars. A total of 2332 teeth were evaluated in 206 panoramic radiographs obtained from 103 patients. The gender of the patients, duration of orthodontic treatments, presence of premolar extractions, Angle classification, overbite, overjet and amount of crowding were assessed. Wilcoxon signed-rank test, Mann-Whitney U test, and Kruskal-Wallis test were used for statistical analysis of the data.
Results: Statistically significant (p < 0.001) root resorption occurred in all examined teeth during orthodontic treatment. The degree of root resorption observed in the premolars was significantly greater in premolar extraction cases than in nonextraction cases. Statistically significant negative correlations were found between the degree of root resorption of the maxillary lateral teeth and between the maxillary first premolar teeth and the amount of maxillary crowding.
Conclusions: The orthodontic treatment protocols and the amount of tooth movements achieved were shown to be dependent on the severity of dental malocclusions and they have an influence on the amount of external apical root resorption that occurs during the course of orthodontic treatment.
(© 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)
Databáze: MEDLINE