Root resorption factors associated with orthodontic treatment with fixed appliances: A systematic review and meta-analysis

Villaman-Santacruz, Humberto; Torres‐Rosas, Rafael; Acevedo-Mascarúa, Alfonso Enrique; Argueta-Figueroa, Liliana

doi:10.17219/dmp/145369

Cited by 10 publications

(12 citation statements)

References 57 publications

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“…The novel meta-analysis shows that regardless of the orthodontic method, the level of root resorption remains similar. The authors conclude that external apical root resorption (EARR) should be avoided because it is one of the most serious complications of orthodontic treatment [ 12 ]. The etiology of root resorption is not clear.…”

Section: Discussionmentioning

confidence: 99%

Complication of Orthodontic Treatment: A Case Report on Severe Apical Root Resorption (ARR) in a Patient with Turner Syndrome

Laskowska,

Paradowska-Stolarz,

Miralles-Jordá

et al. 2024

Children

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External apical root resorption in permanent teeth is a multifactorial process influenced by a variety of local and systemic factors. This report describes a case of multiple and severe apical root resorptions in a patient with Turner syndrome. The condition was discovered in a young female with Turner syndrome after 30 months of orthodontic treatment with fixed appliance. The purpose of this report is to present reports by other authors on the potential causes of the increased risk of tooth resorption in patients with Turner syndrome and to share insights derived from its course, highlighting the implications and lessons learned. Patients with Turner syndrome are not ideal candidates for orthodontic treatment. Prior to commencing orthodontic treatment, it is essential to carefully consider the potential benefits of the therapy compared to the risk associated with exacerbating root resorption. In the case of Turner syndrome patients, where there is an elevated risk of such complications, a thorough analysis should be conducted to determine whether the expected benefits of the treatment outweigh the potential hazards to the patient’s dental health.

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Section: Discussionmentioning

confidence: 99%

Complication of Orthodontic Treatment: A Case Report on Severe Apical Root Resorption (ARR) in a Patient with Turner Syndrome

Laskowska,

Paradowska-Stolarz,

Miralles-Jordá

et al. 2024

Children

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“…Currently, the follow-up for early diagnosis of EARR includes screening for a history of trauma [ 35 ]. Nonetheless, to the best of our knowledge, there is insufficient evidence that supports the relationship between EARR in patients treated with fixed orthodontics and the antecedents of dental trauma [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, the risk factors suggested related to the patients are age, personal habits, periodontal disease, occlusal relationship, dental size and morphology, periapical infection, and dental trauma [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ]. However, several publications in dentistry have divergent results despite presenting similar characteristics or measuring different outcomes to determine the effect of treatment [ 20 , 21 ], and the systematic reviews of the EARR in orthodontic patients reported risk of bias and low to moderate quality in the included studies [ 22 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

External Apical Root Resorption in Orthodontic Patients Who Practice Combat Sports: A Case-Control Observational Pilot Study

et al. 2022

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Orthodontic treatment could lead to undesirable effects such as external apical root resorption (EARR). Moreover, trauma to both the face and teeth can predispose to EARR. On the other hand, the practice of combat sports results in increased maxillofacial injuries. Consequently, our objective was to determine if there is a statistically significant difference in the EARR of the patients undergoing fixed orthodontic treatment who practice combat sports and controls. Our null hypothesis was that there is no difference in the EARR between patients undergoing orthodontic treatment who practice combat sports and the patients under the same treatment that do not practice combat sports. An observational, descriptive, and prospective case-control pilot study was designed. The exposed group consisted of patients that practice combat sports. Whereas the control group was conformed of patients that do not practice combat sports without a previous history of facial trauma and without face trauma during the orthodontic treatment. EARR of the maxillary and mandibular anterior teeth was measured using cone-beam computed tomography (CBCT). The CBCT scans were obtained from all patients prior to the beginning of the orthodontic treatment and 1 year later. At the end of the follow-up for the maxillary right central and lateral incisors of the exposed group, the EARR was significantly higher than the homologous teeth of the control group (p < 0.05). As a consequence, the patients treated orthodontically who practice combat sports could be more susceptible to EARR.

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“…When it is significant, it can be noticed as a reduction in the radiographic lengths of the maxillary and mandibular teeth from the tip of the incisal edge or the tip of the most prominent cuspid to the root apex. This can be evaluated with several techniques, such as orthopanoramics, intraoral radiographies, or computed tomography (CBCTs) [12].…”

Section: Introductionmentioning

confidence: 99%

“…Only rarely will the tooth resorption be enough to impede the prognosis of tooth mobility or loss, but when it happens, it can cause tooth mobility or its loss [11,12]. A significant shortening of the root length brings to an unfavorable crown-root ratio.…”

Section: Introductionmentioning

confidence: 99%

Cone Beam Computed Tomography (CBCT) Aid in the Management of Apical Root Resorption of Impacted Maxillary Canines and Physiologically Erupted Maxillary Canines after Orthodontic Treatment

Bianco,

Mirabelli,

Basilicata

et al. 2024

Applied Sciences

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The aim of this study is to evaluate the effects of orthodontic traction, by means of light and controlled forces, on root length in impacted maxillary canines and physiologically erupted maxillary canines. Disinclusion of impacted maxillary canines is a frequent procedure in orthodontics due to their higher incidence of impaction. The effects of orthodontic traction, by means of light and controlled forces, can lead to a resorption of the root length in impacted and physiologically erupted teeth. Therefore, apical root resorption is a common phenomenon that must be taken into consideration. Apical root resorption measurements were taken using pre-treatment CBCTs and pre-treatment and post-treatment digital panoramic radiographs of 52 patients who underwent fixed-appliance treatment by using light and controlled orthodontic forces. The experimental group consisted of 26 patients with one impacted maxillary canine. The control group consisted of 26 patients without any impaction. Apical root resorption was calculated from root lengths before and after orthodontic treatment. In the experimental group, impacted canines with incomplete apical formation underwent root elongation, while impacted canines with completed root formation went through apical root resorption. The latter showed a slightly greater apical root resorption (0.2 mm) compared to the control group (95% confidence interval; p = 0.04). The extent of root resorption of impacted canines was significantly higher than that of physiologically erupted ones. However, this differential resorption did not compromise the structural and functional integrity of the involved teeth. The orthodontic treatment performed with light and controlled forces is, therefore, a procedure to be considered acceptable and safe.

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Root resorption factors associated with orthodontic treatment with fixed appliances: A systematic review and meta-analysis

Abstract: The study was conducted within the "Cuerpo Académico Investigación en Salud" program and the "Investigadoras e Investigadores por México" program of the National Council of Science and Technology (CONACyT) in Mexico.

Cited by 10 publications

References 57 publications

Complication of Orthodontic Treatment: A Case Report on Severe Apical Root Resorption (ARR) in a Patient with Turner Syndrome

Complication of Orthodontic Treatment: A Case Report on Severe Apical Root Resorption (ARR) in a Patient with Turner Syndrome

External Apical Root Resorption in Orthodontic Patients Who Practice Combat Sports: A Case-Control Observational Pilot Study

Cone Beam Computed Tomography (CBCT) Aid in the Management of Apical Root Resorption of Impacted Maxillary Canines and Physiologically Erupted Maxillary Canines after Orthodontic Treatment

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