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External Root Resorption Associated with Orthodontic Treatment-Descriptive Correlations of Biological and Dental Risk
Maria-Cristina Zlate1, Maria-Angelica Bencze1, Anca-Oana Dragomirescu1
1Department of Orthodontics and Dentofacial Orthopaedics, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
External root resorption is common after orthodontic treatment, affecting over half of teeth, mostly mildly. Patient age and tooth type significantly influence resorption severity.
Area of Science:
- Dentistry
- Orthodontics
- Dental Radiology
Background:
- External root resorption (ERR) is a detrimental outcome of orthodontic therapy, involving dental root structure loss.
- Identifying risk factors for ERR is crucial for mitigating treatment complications.
Purpose of the Study:
- To investigate biological and dental risk factors associated with external root resorption following orthodontic treatment.
- To correlate the severity of ERR with patient-specific and dental variables.
Main Methods:
- A retrospective observational study analyzed 120 orthodontic patients.
- Pre- and post-treatment panoramic radiographs were used to assess ERR.
- Statistical analysis correlated ERR severity with age, gender, facial growth patterns, and dento-maxillary anomalies.
Main Results:
- Over 52% of 2639 analyzed teeth showed ERR, predominantly mild to moderate (<3 mm).
- Maxillary central incisors were the most frequently affected teeth.
- Increased patient age correlated significantly with more severe ERR in the lower anterior region (p < 0.01).
Conclusions:
- External root resorption is a frequent, typically mild, complication of orthodontic treatment.
- Tooth type and patient age are significant factors influencing ERR severity.
- Gender, facial growth patterns, and dento-maxillary anomaly types were not significant risk factors in this study.
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