Evaluation of orthodontically induced external root resorption following orthodontic treatment using cone beam computed tomography (CBCT): a systematic review and meta-analysis
| Autor: | Spyridon N. Papageorgiou, Aikaterini Samandara, Ioulia Ioannidou-Marathiotou, Moschos A. Papadopoulos, Smaragda Kavvadia-Tsatala |
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| Přispěvatelé: | University of Zurich, Papadopoulos, Moschos A |
| Rok vydání: | 2018 |
| Předmět: |
Cone beam computed tomography
Tooth Movement Techniques Radiography Root Resorption 610 Medicine & health Orthodontics Root resorption 10067 Clinic for Orthodontics and Pediatric Dentistry law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Radiography Dental Medicine Humans Clinical significance 030212 general & internal medicine Permanent teeth business.industry 3505 Orthodontics 030206 dentistry Cone-Beam Computed Tomography medicine.disease Data extraction Meta-analysis business |
| Zdroj: | European journal of orthodontics. 41(1) |
| ISSN: | 1460-2210 |
| Popis: | Background: Orthodontically induced external root resorption (OIRR) is a pathologic consequence of orthodontic tooth movement. However, the limitations of two-dimensional radiography suggest that cone beam computed tomography (CBCT) with its three-dimensional capabilities might be more suitable to assess OIRR. Objective: The aim of this study was to assess in an evidence-based manner data on linear or volumetric OIRR measurements of permanent teeth by means of CBCT, during and/or after the end of orthodontic treatment. Search methods: Unrestricted electronic and hand searches were performed up to January 2017 in 15 databases. Selection criteria methods: Randomized clinical trials, prospective, and retrospective non-randomized studies assessing OIRR during and/or after orthodontic treatment using CBCT in human patients were included. Data collection and analysis: After duplicate study selection, data extraction, and risk-of-bias assessment according to the Cochrane guidelines, random-effects meta-analyses, followed by subgroup, meta-regression, and sensitivity analyses were also performed in order to evaluate factors that affect OIRR. Results: A total of 33 studies (30 datasets) were included in the qualitative analysis while data from 27 of them were included in the quantitative analysis. Direct comparisons from randomized trials found little to no influence of appliance-related factors on OIRR. Explorative analyses including non-randomized studies found a pooled OIRR of 0.79 mm based on all included studies and 0.86 mm when OIRR was assessed at the end of orthodontic treatment. Statistically significant differences in OIRR were found according to tooth type or jaw, inclusion of extractions, treatment duration, and diagnostic accuracy of the CBCT. Conclusions: Based on the results of this study, CBCT seems to be a reliable tool to examine OIRR during or at the end of orthodontic treatment. Although the average OIRR measured with CBCT seems to lack clinical relevance, there are certain factors that may affect OIRR following orthodontic treatment. Nevertheless, due to data heterogeneity and low quality of the included studies, the corresponding results should be interpreted with some caution. |
| Databáze: | OpenAIRE |
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