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Root resorptions associated with canine retraction treatment.
Feifei Jiang1, Jie Chen2, Katherine Kula3
1Department of Mechanical Engineering, Indiana University Purdue University, Indianapolis, Ind.
External apical root resorption (EARR) during orthodontics is influenced by multiple factors beyond just tooth movement load. Genetic predisposition, specifically the IL-1β rs11143634 GG genotype, appears to increase risk.
Area of Science:
- Orthodontics
- Dental Research
- Genetics
Background:
- External apical root resorption (EARR) is a recognized complication of orthodontic treatment.
- The exact multifactorial etiology of EARR remains incompletely understood.
- This study aimed to identify clinical factors contributing to EARR.
Purpose of the Study:
- To investigate the association between orthodontic treatment parameters and EARR.
- To explore the potential role of genetic factors in EARR.
- To identify clinical predictors of EARR.
Main Methods:
- Cone-beam computed tomography (CBCT) scans analyzed EARR in 18 subjects undergoing canine retraction.
- Standardized orthodontic forces (124-cN) and moment-to-force ratios were applied.
- Patient data including age, sex, treatment duration, and IL-1β rs11143634 genotype were collected.
Main Results:
- Six out of 18 subjects exhibited significant EARR, indicating multifactorial causes.
- All five subjects with available genotype data possessed the GG genotype for IL-1β rs11143634, suggesting a potential risk association.
- While not statistically significant, longer treatment duration, female sex, and older age showed trends towards increased EARR.
Conclusions:
- EARR is influenced by a combination of orthodontic load and individual patient factors.
- Genetic predisposition, particularly the IL-1β rs11143634 GG genotype, warrants further investigation.
- Future research should focus on the interplay between mechanical forces and genetic susceptibility in EARR.
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