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Root resorption due to orthodontic treatment using self-ligating and conventional brackets

A cone-beam computed tomography study

Wurzelresorptionen bei kieferorthopädischer Behandlung mit selbstligierenden und konventionellen Brackets

Eine Digitale-Volumentomographie-Studie

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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie Aims and scope Submit manuscript

Abstract

Objectives

Purpose of the present study was to compare external root resorption (ERR) volumetrically in maxillary incisors induced by orthodontic treatment using self-ligating brackets (Damon Q, DQ) or conventional brackets (Titanium Orthos, TO) with the help of cone-beam computed tomography (CBCT).

Patients and methods

A sample of 32 subjects, with Angle Class I malocclusion and anterior crowding of 4–10 mm, was divided randomly into two groups: a DQ group, in which self-ligating DQ brackets with Damon archwires were used; and a TO group, in which conventional TO brackets with large Orthos archwires were applied. The study was conducted using CBCT scans taken before (T1), and near the end (9 months after the initiation of treatment; T2) of the orthodontic treatment. The extent of ERR was determined volumetrically using Mimics software. Changes in root volume were evaluated by repeated-measures analysis of variance as well as by paired and independent t-tests.

Results

While significant differences were found between T1 and T2 for root volume in both groups (p < 0.05), there was no difference between the groups regarding the amount (mm3 or relative change) of ERR (p > 0.05). Maxillary central and lateral incisors showed similar volume loss (p > 0.05). Furthermore, the TO group showed a higher prevalence of palatinal and proximal slanted RR compared with the DQ group (p < 0.05).

Conclusions

It is not possible to suggest superiority of one bracket system over the other only considering root resorption pattern or amount. Higher incidence of slanted RR found in patients treated with the TO system warrants further research to identify possible specific causes.

Zusammenfassung

Ziel

Ziel der vorliegenden Studie war es, das Ausmaß externer Wurzelresorptionen (ERR) an Oberkieferinzisivi mittels digitaler Volumentomographie zu vergleichen. Zwei Systeme kamen zur Anwendung: selbstligierende Brackets (Damon Q, DQ) und konventionelle Brackets (Titanium Orthos, TO).

Patienten und Methoden

Insgesamt 32 Patienten mit Klasse-I-Malokklusion und frontalem Engstand zwischen 4 und 10 mm wurden in zwei Gruppen aufgeteilt: DQ-Gruppe (Behandlung mit selbstligierenden DQ-Brackets und Damon-Bögen) und TO-Gruppe (konventionelle TO-Brackets mit Orthos-Bögen, large). DVT-Aufnahmen wurden vor Beginn (T1) und kurz vor Abschluss der kieferorthopädischen Behandlung (T2; 9 Monate nach Behandlungsbeginn) erstellt. Das Ausmaß der ERR wurde volumetrisch mithilfe der Software Mimics bestimmt, Veränderungen im Zahnwurzelvolumen wurden durch eine Varianzanalyse wiederholter Messungen sowie durch gepaarte und unabhängige t-Tests evaluiert.

Ergebnisse

Während sich in beiden Gruppen signifikante Volumenunterschiede im Intervall T1–T2 nachweisen ließen (p < 0,05), bestand kein Unterschied zwischen den Gruppen hinsichtlich des Ausmaßes (mm3 oder relative Änderung) der ERR (p > 0,05). Die zentralen und lateralen Schneidezähne im Oberkiefer wiesen einen ähnlichen Volumenverlust auf (p > 0,05). Darüber hinaus zeigten sich in der in der TO-Gruppe mehr laterale Wurzelresorptionen (SRR, „slanted root resorption“) als in der DQ-Gruppe (p < 0,05).

Schlussfolgerungen

Im Hinblick auf das Wurzelresorptionsvolumen konnte keine Überlegenheit von einem der beiden Bracketsysteme festgestellt werden. Die höhere SRR-Inzidenz bei mit dem TO-System behandelten Patienten erfordert weitere Studien zur Abklärung möglicher spezifischer Ursachen.

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Acknowledgements

We would like to thank 4C Medikal for providing us the opportunity to use Mimics software in evaluation of our data.

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Authors and Affiliations

  1. School of Orthodontics, Jacksonville University, 32211, Jacksonville, Florida, USA

    Isil Aras

  2. Dentege ADSM, Sair Esref Bulvarı No:90, Alsancak, Izmir, Turkey

    Idil Unal

  3. Department of Orthodontics, Faculty of Dentistry, Ege University, 35080, Bornova, Izmir, Turkey

    Gencer Huniler & Aynur Aras

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  1. Isil Aras
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  2. Idil Unal
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  4. Aynur Aras
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Correspondence to Isil Aras.

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I. Aras, I. Unal, G. Huniler and A. Aras declare that they have no competing interests.

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Aras, I., Unal, I., Huniler, G. et al. Root resorption due to orthodontic treatment using self-ligating and conventional brackets. J Orofac Orthop 79, 181–190 (2018). https://doi.org/10.1007/s00056-018-0133-5

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  • DOI: https://doi.org/10.1007/s00056-018-0133-5

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