대한치과교정학회지 (The korean journal of orthodontics)

  • 제54권6호
  • /
  • Pages.392-402
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  • 2024
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  • 2234-7518(pISSN)
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  • 2005-372X(eISSN)
대한치과교정학회 (The Korean Association Of Orthodontists)
권호 표지
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Factors affecting external apical root resorption of maxillary incisors associated with microimplant-assisted rapid palatal expansion

  • Jee-Hoon Chang (Department of Orthodontics, College of Dentistry, Dankook University) ;
  • Jin-Woo Lee (Department of Orthodontics, College of Dentistry, Dankook University)
  • 투고 : 2024.06.18
  • 심사 : 2024.09.02
  • 발행 : 2024.11.25
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초록

Objective: To measure and compare the extent of root resorption in the maxillary incisors following microimplant-assisted rapid palatal expansion (MARPE) and to identify risk factors of root resorption after expansion. Methods: Cone-beam computed tomography images were obtained from a total of 60 patients both before expansion (T1) and 3 to 6 months after expansion (T2). Measurements taken included tooth length, root length, crown length and center of resistance. Resorption length (RL) and resorption length percentage (RLp), resorption volume (RV) and resorption volume percentage (RVp) and the amount of expansion were calculated. Results: A significant difference in tooth length and volume was observed in both the central and lateral incisors before and after expansion. The resorption index (RL, RLp, RV, RVp) was significantly higher in the central incisors than in the lateral incisor. There was a significant correlation between several factors: age and RLp of the central incisors, the amount of expansion and RVp of the central incisors, tooth length of the central incisors and RL, RLp of the central incisors, root/crown ratio of the central incisors and RL of the central incisors, as well as tooth length of the lateral incisors and the RL of the lateral incisors. Conclusions: Significant root resorption occurs in maxillary incisors following MARPE, with central incisors root resorption being significantly higher than lateral incisors. Key risk factors for root resorption after MARPE include advanced age, a larger amount of expansion, initial tooth length, and a root/crown ratio.

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참고문헌

  1. Park JY. Treatment effects of miniscrew assisted rapid palatal expansion in young adults [Master's thesis]. Seoul: Yonsei University; 2006. https://ir.ymlib.yonsei.ac.kr/handle/22282913/123172
  2. Forst D, Nijjar S, Khaled Y, Lagravere M, Flores-Mir C. Radiographic assessment of external root resorption associated with jackscrew-based maxillary expansion therapies: a systematic review. Eur J Orthod 2014;36:576-85. https://doi.org/10.1093/ejo/cjt090
  3. Blake M, Woodside DG, Pharoah MJ. A radiographic comparison of apical root resorption after orthodontic treatment with the edgewise and Speed appliances. Am J Orthod Dentofacial Orthop 1995;108:76-84. https://doi.org/10.1016/s0889-5406(95)70069-2
  4. Chung DH, Park YG, Kim KW, Cha KS. Factors affecting orthodontically induced root resorption of maxillary central incisors in the Korean population. Korean J Orthod 2011;41:174-83. https://doi.org/10.4041/kjod.2011.41.3.174
  5. Sameshima GT, Sinclair PM. Predicting and preventing root resorption: part I. diagnostic factors. Am J Orthod Dentofacial Orthop 2001;119:505-10. https://doi.org/10.1067/mod.2001.113409
  6. Sameshima GT, Sinclair PM. Characteristics of patients with severe root resorption. Orthod Craniofac Res 2004;7:108-14. https://doi.org/10.1111/j.1601-6343.2004.00284.x
  7. Baumrind S, Korn EL, Boyd RL. Apical root resorption in orthodontically treated adults. Am J Orthod Dentofacial Orthop 1996;110:311-20. https://doi.org/10.1016/s0889-5406(96)80016-3
  8. Harris EF, Kineret SE, Tolley EA. A heritable component for external apical root resorption in patients treated orthodontically. Am J Orthod Dentofacial Orthop 1997;111:301-9. https://doi.org/10.1016/s0889-5406(97)70189-6
  9. Hendrix I, Carels C, Kuijpers-Jagtman AM, Van THM. A radiographic study of posterior apical root resorption in orthodontic patients. Am J Orthod Dentofacial Orthop 1994;105:345-9. https://doi.org/10.1016/s0889-5406(94)70128-8
  10. Harris EF, Baker WC. Loss of root length and crestal bone height before and during treatment in adolescent and adult orthodontic patients. Am J Orthod Dentofacial Orthop 1990;98:463-9. https://doi.org/10.1016/s0889-5406(05)81656-7
  11. Owman-Moll P, Kurol J, Lundgren D. Repair of orthodontically induced root resorption in adolescents. Angle Orthod 1995;65:403-8; discussion 409-10. https://doi.org/10.1043/0003-3219(1995)065<0403:Rooirr>2.0.Co;2
  12. Owman-Moll P, Kurol J. The early reparative process of orthodontically induced root resorption in adolescents - location and type of tissue. Eur J Orthod 1998;20:727-32. https://doi.org/10.1093/ejo/20.6.727
  13. Costopoulos G, Nanda R. An evaluation of root resorption incident to orthodontic intrusion. Am J Orthod Dentofacial Orthop 1996;109:543-8. https://doi.org/10.1016/s0889-5406(96)70140-3
  14. Kim SC. A study on the affecting factors on root resorption. Korean J Orthod 1994;24:649-58. https://koreamed.org/SearchBasic.php?RID=1676647
  15. Mirabella AD, Artun J. Prevalence and severity of apical root resorption of maxillary anterior teeth in adult orthodontic patients. Eur J Orthod 1995;17:93-9. https://doi.org/10.1093/ejo/17.2.93
  16. Linge BO, Linge L. Apical root resorption in upper anterior teeth. Eur J Orthod 1983;5:173-83. https://doi.org/10.1093/ejo/5.3.173
  17. Phillips JR. Apical root resorption under orthodontic therapy. Angle Orthod 1955;25:1-22. https://doi.org/10.1043/0003-3219(1955)025<0001:Arruot>2.0 .Co;2
  18. Schour I, Massler M. The development of the human dentition. J Am Dent Assoc 1941;28:1153-60. https://els-jbs-prod-cdn.jbs.elsevierhealth.com/pb/assets/raw/Health%20Advance/journals/adaj/JADACentennialAprilSchour1941.pdf
  19. Picanco GV, de Freitas KM, Cancado RH, Valarelli FP, Picanco PR, Feijao CP. Predisposing factors to severe external root resorption associated to orthodontic treatment. Dental Press J Orthod 2013;18:110-20. https://doi.org/10.1590/s2176-94512013000100022
  20. McFadden WM, Engstrom C, Engstrom H, Anholm JM. A study of the relationship between incisor intrusion and root shortening. Am J Orthod Dentofacial Orthop 1989;96:390-6. https://doi.org/10.1016/0889-5406(89)90323-5
  21. Newman WG. Possible etiologic factors in external root resorption. Am J Orthod 1975;67:522-39. https://doi.org/10.1016/0002-9416(75)90298-5
  22. Fernandes LQP, Figueiredo NC, Montalvany Antonucci CC, Lages EMB, Andrade I Jr, Capelli Junior J. Predisposing factors for external apical root resorption associated with orthodontic treatment. Korean J Orthod 2019;49:310-8. https://doi.org/10.4041/kjod.2019.49.5.310
  23. Weltman B, Vig KW, Fields HW, Shanker S, Kaizar EE. Root resorption associated with orthodontic tooth movement: a systematic review. Am J Orthod Dentofacial Orthop 2010;137:462-76; discussion 12A. https://doi.org/10.1016/j.ajodo.2009.06.021
  24. Mirabella AD, Artun J. Risk factors for apical root resorption of maxillary anterior teeth in adult orthodontic patients. Am J Orthod Dentofacial Orthop 1995;108:48-55. https://doi.org/10.1016/s0889-5406(95)70065-x
  25. Jung YH, Cho BH. External root resorption after orthodontic treatment: a study of contributing factors. Imaging Sci Dent 2011;41:17-21. https://doi.org/10.5624/isd.2011.41.1.17
  26. Hemley S. The incidence of root resorption of vital permanent teeth. J Dent Res 1941;20:133-41. https://doi.org/10.1177/00220345410200020501
  27. Sharpe W, Reed B, Subtelny JD, Polson A. Orthodontic relapse, apical root resorption, and crestal alveolar bone levels. Am J Orthod Dentofacial Orthop 1987;91:252-8. https://doi.org/10.1016/0889-5406(87)90455-0
  28. de Freitas JC, Lyra OC, de Alencar AH, Estrela C. Long-term evaluation of apical root resorption after orthodontic treatment using periapical radiography and cone beam computed tomography. Dental Press J Orthod 2013;18:104-12. https://doi.org/10.1590/s2176-94512013000400015
  29. Nanekrungsan K, Patanaporn V, Janhom A, Korwanich N. External apical root resorption in maxillary incisors in orthodontic patients: associated factors and radiographic evaluation. Imaging Sci Dent 2012;42:147-54. https://doi.org/10.5624/isd.2012.42.3.147
  30. Brin I, Tulloch JF, Koroluk L, Philips C. External apical root resorption in Class II malocclusion: a retrospective review of 1- versus 2-phase treatment. Am J Orthod Dentofacial Orthop 2003;124:151-6. https://doi.org/10.1016/s0889-5406(03)00166-5
  31. Puttaravuttiporn P, Wongsuwanlert M, Charoemratrote C, Leethanakul C. Volumetric evaluation of root resorption on the upper incisors using cone beam computed tomography after 1 year of orthodontic treatment in adult patients with marginal bone loss. Angle Orthod 2018;88:710-8. https://doi.org/10.2319/121717-868.1
  32. Langford SR, Sims MR. Root surface resorption, repair, and periodontal attachment following rapid maxillary expansion in man. Am J Orthod 1982;81:108-15. https://doi.org/10.1016/0002-9416(82)90034-3
  33. Barber AF, Sims MR. Rapid maxillary expansion and external root resorption in man: a scanning electron microscope study. Am J Orthod 1981;79:630-52. https://doi.org/10.1016/0002-9416(81)90356-0
  34. Baysal A, Karadede I, Hekimoglu S, Ucar F, Ozer T, Veli I, et al. Evaluation of root resorption following rapid maxillary expansion using cone-beam computed tomography. Angle Orthod 2012;82:488-94. https://doi.org/10.2319/060411-367.1
  35. Leonardi R, Ronsivalle V, Barbato E, Lagravere M, Flores-Mir C, Lo Giudice A. External root resorption (ERR) and rapid maxillary expansion (RME) at post-retention stage: a comparison between tooth-borne and bone-borne RME. Prog Orthod 2022;23:45. https://doi.org/10.1186/s40510-022-00439-y
  36. Lam R, Naoum S, Abbott P, Goonewardene MS. The impact of mini-implant hybrid hyrax maxillary expansion on pulp blood flow and sensibility in healthy and traumatized teeth: a prospective study. Am J Orthod Dentofacial Orthop 2022;162:247-56. https://doi.org/10.1016/j.ajodo.2021.03.028
  37. Vardimon AD, Levy T, Weinreb M. Maxillary incisor root resorption after rapid palatal expansion in Felis catus. Eur J Oral Sci 2005;113:41-6. https://doi.org/10.1111/j.1600-0722.2004.00175.x
  38. Jose AR, Shetty NK, Shalu S, Prasad KA, Susan TC, Shetty SS. Quantitative assessment of root resorption in TAD-aided anchorage with and without RAP: a CBCT study on en masse retraction cases. J Orthod Sci 2023;12:49. https://doi.org/10.4103/jos.jos_14_23
  39. Kjaer I. Morphological characteristics of dentitions developing excessive root resorption during orthodontic treatment. Eur J Orthod 1995;17:25-34. https://doi.org/10.1093/ejo/17.1.25
  40. Nanda R. Biomechanics and esthetic strategies in clinical orthodontics. St. Louis: Saunders; 2005. https://doi.org/10.1016/C2009-0-54720-4
  41. Bartold PM, Narayanan AS. Biology of the periodontal connective tissues. Chicago: Quintessence Pub Co.; 1998. https://search.worldcat.org/ko/title/38936630