Apical Root Resorption after Orthodontic Treatment
Authors:
P. Černochová 1; L. Izakovičová Hollá 1,2
Authors place of work:
Stomatologická klinika LF MU a FN u sv. Anny, Brno
1; Ústav patologické fyziologie LF MU, Brno
2
Published in the journal:
Česká stomatologie / Praktické zubní lékařství, ročník 112, 2012, 3, s. 70-76
Category:
Original Article – Retrospective Essay
Summary
Aim:
The aim of the present study was to assess the incidence of apical root resorption in patients treated with fixed orthodontic appliances and find out whether the frequency of their occurrence depends on sex, patient’s age, Angle class malocclusion, total length and type of orthodontic treatment.
Material and methods:
The retrospective study comprised 150 randomly selected patients (75 males and 75 females) who had completed treatment with fixed orthodontic appliances. The measurements were performed on panoramic radiographs and lateral cephalograms taken before and after treatment with the fixed orthodontic appliance. Classification after Linge and Linge was used for the assessment of the apical root resorption.
Results:
No signs of apical root resorption were recorded in 32% patients and the irregular root contour in 38.7% patients. The apical root resorption exceeding one-third of the original root length was registered in 2 (1.3%) patients (1 female and 1 male). No significant differences in the incidence of apical root resorption were found in the sex, Angle class malocclusion and patient´s age. The incidence of apical root resorption was significantly higher in patients with extractions (p = 0.012). The root resorption was significantly less frequent in patients with total length of treatment shorter than 22 months (p = 0.028). Significant differences were observed between the groups of patients with length of treatment shorter than 22 months and longer than 34 months (p = 0.003).
Conclusions:
The signs of apical root resorption of upper permanent incisors were observed in 68 % patients after fixed orthodontic treatment. It is possible consider the extraction orthodontic treatment and longer length of treatment as risk factors for apical root resorption.
Key words:
apical root resorption – orthodontic treatment – fixed orthodontic appliance
Zdroje
1. Apajalahti, S., Peltola, J. S.: Apical root resorption after orthodontic treatment – a retrospective study. Eur. J. Orthod., roč. 29, 2007, s. 408–412.
2. Årtun, J., Smale, I., Behbehani, F., Doppel, D., Van´t Hof, M., Kuijpers-Jagtman, A. M.: Apical root resorption six and twelve months after initiation of fixed orthodontic appliance therapy. Angle Orthod., roč. 75, 2005, s. 919–926.
3. Årtun, J., Van´t Hullenaar, R., Doppel, D., Kuijpers-Jagtman, A. M.: Identification of orthodontic patients at risk of severe apical root resorption. Am. J. Orthod. Dentofacial Orthop., roč. 135, 2009, s. 448–455.
4. Baumrind, S., Korn, E. L., Boyd, R. L.: Apical root resorption in orthodontically treated adults. Am. J. Orthod. Dentofacial Orthop., roč. 110, 1996, s. 311–320.
5. Blake, M., Woodside, D. G., Pharoah, M. J. A radiographic comparison of apical root resorption after orthodontic treatment with edgewise and Speed appliances. Am. J. Orthod. Dentofacial Orthop., roč. 108, 1995, s. 76–84.
6. Brezniak, N., Goren, S., Zoizner, R., Dinbar, A., Arad, A., Wasserstein, A., Heller, M.: A comparison of three methods to accurately measure root length. Angle Orthod., roč. 74, 2004, s. 786–791.
7. Brezniak, N., Wasserstein, A.: Orthodontically induced inflammatory root resorption. Part II: The clinical aspects. Angle Orthod., roč. 72, 2002, s. 180–184.
8. Harris, E. F., Baker, W. C.: Loss of root length and crestal bone height before and during treatment in adolescent and adult orthodontic patients. Am. J. Orthod. Dentofacial Orthop., roč. 98, 1990, s. 463–469.
9. Harris, E. F., Kineret, S. E., Tolley, E. A.: A heritable component for external apical root resorption in patients treated orthodontically. Am. J. Orthod. Dentofacial Orthop., roč. 111, 1997, s. 301–309.
10. Hendrix, I., Carrels, C., Kuijpers-Jagtman, A. M., Van´t Hof, M.: A radiographic study of posterior apical root resorption in orthodontic patients. Am. J. Orthod. Dentofacial Orthop., roč. 105, 1994, s. 345–349.
11. Houston, W. J.: The analysis of error in orthodontic measurements. Am. J. Orthod., roč. 83, 1983, s. 382–390.
12. Iglesias-Linares, A., Yanez-Vico, R., Ballesta-Mudarra, S., Ortiz-Ariza, E., Ortega-Rivera, H., Mendoza-Mendoza, A., Solano-Reina, E., Perea-Pérez, E.: Post-orthodontic external root resorption is associated with IL1 receptor antagonist gene variations. Oral Diseases, 2001, doi: 10.1111/j.1601-0825.2011.01865.x
13. Kook, Y. A., Park, S., Sameshima, G. T.: Peg-shaped and small lateral incisors not at higher risk for root resorption. Am. J. Orthod. Dentofacial. Orthop., roč. 123, 2003, s. 253–258.
14. Kurol, J., Owman-Moll, P., Lundgren, D.: Time-related root resorption after application of a controlled continuous orthodontic force. Am. J. Orthod. Dentofacial Orthop., roč. 110, 1996, s. 303–310.
15. Lee, R. Y., Årtun, J., Alonzo, T. A.: Are dental anomalies risk factors for apical root resorption in orthodontic patients? Am. J. Orthod. Dentofacial. Orthop., roč. 116, 1999, s. 187–195.
16. Levander, E., Bajka, R., Malmgren, O.: Early radiographic signs of apical root resorption during orthodontic treatment: a study of maxillary incisors. Eur. J. Orthod., roč. 20, 1998, s. 57–63.
17. Levander, E., Malmgren, O.: Evaluation of the risk of root resorption during orthodontic treatment: a study of upper incisors. Eur. J. Orthod., roč. 10, 1988, s. 30–38.
18. Linge, B.O., Linge, L.: Apical root resorption in upper anterior teeth. Eur. J. Orthod., roč.5, 1983, s. 173–183.
19. Linge, L., Linge, B. O.: Patient characteristics and treatment variables associated with apical root resorption during orthodontic treatment. Am. J. Orthod. Dentofacial Orthop., roč. 99, 1991, s. 35–43.
20. Malmgren, O., Goldson, L., Hill, C., Orwin, A., Petrini, L., Lundberg, M.: Root resorption after orthodontic treatment of traumatized teeth. Am. J. Orthod., roč. 82, 1982, s. 487–491.
21. Marek, I., Špidlen, M., Kamínek, M.: Resorpce apexu kořene řezáků. 3. Vliv typů léčby a rizikové faktory. Ortodoncie, roč. 11, 2001, s. 26–33.
22. Marques, L. S., Ramos-Jorge, M. L., Rey, A. C., Armond, M. C., Ruellas, A. C.: Severe root resorption in orthodontic patients treated with the edgewise method: Prevalence and predictive factors. Am. J. Orthod. Dentofacial Orthop., roč. 137, 2010, s. 384–388.
23. Massler, M., Malone, A. J.: Root resorption in human permanent teeth. Am. J. Orthod., roč. 40, 1954, s. 619–633.
24. Mavragani, M., Apisariyakul, J., Brudvik, P., Selvig, K. A.: Is mild invagination a risk factor for apical root resorption in orthodontic patients? Eur. J. Orthod., roč. 28, 2006, s. 307–312.
25. McFadden, W. M., Engstrom, C., Engstrom, H., Anholm, J. M.: A study of the relationship between incisor intrusion and root shortening. Am. J. Orthod. Dentofacial Orthop., roč. 96, 1989, s. 390–396.
26. McNab, S., Battistutta, D., Taverne, A., Symons, A. L.: External apical root resorption of posterior teeth in asthmatics after orthodontic treatment. Am. J. Orthod. Dentofacial Orthop., roč. 116, 1999, s. 545–551.
27. McNab, S., Battistutta, D., Taverne, A., Symons, A. L.: External apical root resorption following orthodontic treatment. Angle Orthod., roč. 70, 2000, s. 227–232.
28. Mirabella, A. D., Årtun, J.: Prevalence and severity of apical root resorption of maxillary anterior teeth in adult orthodontic patients. Eur. J. Orthod., roč. 17, 1995, s. 93–99.
29. Mirabella, A. D., Årtun, J.: Risk factors for apical root resorption of maxillary anterior teeth in adult orthodontic patients. Am. J. Orthod. Dentofacial Orthop., roč. 108, 1995, s. 48–55.
30. Motokawa, M., Sasamoto, T., Kaku, M., Kawata, T., Matsuda, Y., Terao, A., Tanne, K.: Association between root resorption incident to orthodontic treatment and treatment factors. Eur. J. Orthop., 2011, doi:10.1093/ejo/cjr018
31. Nishioka, M., Ioi, H., Nakata, S., Nakasima, A., Counts, A.: Root resorption and immune system factors in the Japanese. Angle Orthod., roč. 76, 2006, s. 103–108.
32. Owman-Moll, P., Kurol, J.: Root resorption after orthodontic treatment in high- and low-risk pacients: analysis of allergy as a possible predisposing factor. Eur. J. Orthod., roč. 22, 2000, s. 657–663.
33. Owman-Moll, P., Kurol, J., Lundgren, D.: Continuous versus interrupted continuous orthodontic force related to early tooth movement and root resorption. Angle Orthod., roč. 65, 1995, s. 395–401.
34. Pandis, N., Nasika, M., Polychronopoulou, A., Eliades, T.: External apical root resorption in patients treated with conventional and self-ligating brackets. Am. J. Orthod. Dentofacial Orthop., roč. 134, 2008, s. 646–651.
35. Sameshima, G. T., Sinclair, P. M.: Characteristics of patients with severe root resorption. Orthod. Craniofac. Res., roč. 7, 2004, s. 108–114.
36. Sameshima, G. T., Sinclair, P. M.: Predicting and preventing root resorption: part I. Diagnostic factors. Am. J. Orthod. Dentofacial Orthop., roč. 119, 2001, s. 505–510.
37. Sameshima, G. T., Sinclair, P. M.: Predicting and preventing root resorption: part II. Treatment factors. Am. J. Orthod. Dentofacial Orthop., roč. 119, 2001, s. 511–515.
38. Segal, G. R., Schiffman, P. H., Tuncay, O. C.: Meta-analysis of the treatment-related factors of external apical root resorption. Orthod. Craniofac. Res., roč. 7, 2004, s. 71–78.
39. Sharpe, W., Reed, B., Subtelny, J. D., Polson, A.: Orthodontic relapse, apical root resorption and crestal alveolar bone levels. Am. J. Orthod. Dentofac Orthop., roč. 91, 1987, s. 252–258.
40. Smale,. I, Årtun, J., Behbehani, F., Doppel, D., Van´t Hof, M., Kuijpers-Jagtman, A. M.: Apical root resorption six months after initiation of fixed orthodontic appliance therapy. Am. J. Orthod. Dentofacial Orthop., roč. 128, 2005, s. 57–67.
41. Taithongchai, R., Sookkorn, K., Killiany, D. M.: Facial and dentoalveolar structure and the prediction of apical root shortening. Am. J. Orthod. Dentofacial Orthop., roč. 110, 1996, s. 296–302.
Štítky
Maxillofacial surgery Orthodontics Dental medicineČlánok vyšiel v časopise
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