ORTODONTIK TEDAVİDE KÖK REZORPSİYONUN OLASI NEDENLERİ

Year 2025, Volume: 34 Issue: 1, 19 - 26

Emre Köse , Yazgı Ay Ünüvar , Ukte Türker

Abstract

Bu çalışmada eksternal kök rezorpsiyonunun olası nedenleri, tedavi öncesi ve sonrası panoramic radyograflar karşılaştırılarak araştırılmıştır. Ayrıca kök rezorpsiyonunun derecesi de incelenmiştir. Bu çalışmada, Ocak 2015 ile Mart 2020 yılları arasında sabit ortodontik tedavi gören hastalarda eksternal kök rezorpsiyonu ve derecesi incelenmiştir. Kök rezorpsiyonu, tedavi sonrası panoramic radyografın tedavi öncesi panoramic radyografla karşılaştırılması ile belirlenmiştir. Her hasta için iki çenede ön ve arka gruptaki dişler için rezorpsiyon skoru hesaplanmıştır. Kök rezorpsiyonuyla yaş, cinsiyet, tedavi süresi, tedavi tipi ve maloklüzyon tipi ile arasındaki ilişki araştırılmıştır.
Yaş ortalaması 14.2 olan 560 hasta (358 kadın ve 202 erkek) çalışmaya dahil edilmiştir. Erkeklerin mandibular ön dişlerinin kök rezorpsiyon skoru daha yüksektir (p<0.01). Maksiller ön dişlerin rezorpsiyon skoru ile tedavi süresi arasında pozitif korelasyon vardır (p<0.01). Çekimli ortodontik tedavi gören hastalarda tüm bölgelerde rezorpsiyon skoru daha fazladır (p<0.01). Yaş ve rezorpsiyon skoru arasında anlamlı ilişki bulunmamıştır (p>0.05).
Uzun süren ortodontik tedavilerde ve çekimli ortodontik tedavilerde kök rezorpsiyon sıklığı artmaktadır. Panoramik radyograflar ortodontik tedavi nedeniyle oluşan kök rezorpsiyonlarının teşhisinde önemli bir tanı aracıdır.

Keywords

Ortodontik tedavi, panoramik radyografi, kök rezorpsiyonu

POSSIBLE CAUSES OF ROOT RESORPTION IN ORTHODONTIC TREATMENT

Abstract

In this study, the presence and possible causes of external root resorption were investigated by comparing pre- and post-treatment panoramic radiographs. Also, degrees of root resorption were investigated. In this study, external root resorption and its degree were examined in panoramic radiographs of patients who had fixed orthodontic treatment between January 2015 and March 2020. Root resorption was determined in only post treatment panoramic radiographs by comparing pretreatment panoramic radiograph. Anterior and posterior region resorption score of both jaws was calculated for each individual. The relationship between root resorption, age, gender, duration of treatment, types of treatment and malocclusion has been investigated. 560 patients (358 females and 202 males) were included in the study and the average age was 14.2. Root resorption scores of mandibular teeth were higher in males (p<0.01). A positive correlation was found between the treatment duration and root resorption scores of maxillary anterior teeth (p<0.01). Root resorption scores of all regions were higher in orthodontic treatment with extraction (p<0.01). There was no significant relationship between age and root resorption score (p>0.05). Long-term orthodontic treatment and orthodontic treatment with extraction increase the prevalence of root resorption. Panoramic radiograph is an important diagnostic tool in the detection of root resorption due to orthodontic treatment.

Keywords

Orthodontic treatment, panoramic radiography, root resorption

References

• Maués CP, do Nascimento RR, Vilella Ode V. Severe root resorption resulting from orthodontic treatment: prevalence and risk factors. Dental Press J Orthod. 2015;20(1):52-58. doi: 10.1590/2176-9451.20.1.052-058.oar.
• Kaur H, El-Bialy T. Shortening of Overall Orthodontic Treatment Duration with Low-Intensity Pulsed Ultrasound. J Clin Med. 2020;9(5):1303. doi: 10.3390/jcm9051303.
• 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(4):462-76. doi: 10.1016/j.ajodo.2009.06.021.
• Jiang RP, McDonald JP, Fu MK. Root resorption before and after orthodontic treatment: a clinical study of contributory factors. Eur J Orthod. 2010;32(6):693-697. doi: 10.1093/ejo/cjp165.
• Motokawa M, Sasamoto T, Kaku M, et al. Association between root resorption incident to orthodontic treatment and treatment factors. Eur J Orthod. 2012;34(3):350-356. doi: 10.1093/ejo/cjr018.
• Roscoe MG, Meira JB, Cattaneo PM. Association of orthodontic force system and root resorption: A systematic review. Am J Orthod Dentofacial Orthop. 2015;147(5):610-626. doi: 10.1016/j.ajodo.2014.12.026.
• Hartsfield JK Jr, Everett ET, Al-Qawasmi RA. Genetic factors in external apical root resorption and orthodontic treatment.Crit Rev Oral Biol Med. 2004;15(2):115-122. doi: 10.1177/154411130401500205.
• Lopatiene K, Dumbravaite A. Risk factors of root resorption after orthodontic treatment. Stomatologija. 2008;10(3):89-95. PMID: 19001842.
• Travess H, Roberts-Harry D, Sandy J. Orthodontics. Part 6: Risks in orthodontic treatment. Br Dent J. 2004;196(2):71-77. doi: 10.1038/sj.bdj.4810891.
• Sameshima GT, Asgarifar KO. Assessment of root resorption and root shape: periapical vs panoramic films. Angle Orthod. 2001;71(3):185-189.doi: 10.1043/00033219(2001)071<0185:AORRAR>2.0.CO;2.
• Ridao-Sacie C, Segura-Egea JJ, Fernández-Palacín A, Bullón-Fernández P, Ríos-Santos JV. Radiological assessment of periapical status using the periapical index: comparison of periapical radiography and digital panoramic radiography. Int Endod J. 2007;40(6):433-440. doi:10.1111/j.1365-2591.2007.01233.x.
• 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(3):252-258. doi:10.1016/0889-5406(87)90455-0.
• Brezniak N, Wasserstein A. Root resorption after orthodontic treatment: Part 1. Literature review. Am J Orthod Dentofacial Orthop. 1993;103(1):62-66. doi:10.1016/S0889-5406(05)81763-9.
• Apajalahti S, Peltola JS. Apical root resorption after orthodontic treatment -- a retrospective study. Eur J Orthod. 2007;29(4):408-412. doi:10.1093/ejo/cjm016.
• Ruoping J, Ding Z, Minkui F. A clinical study of root resorption before and after orthodontic treatmen.t Eur J Orthod. 2010;32(6):693-697.doi:10.1093/ejo/cjp165.
• Levander E, Malmgren O, Stenback K. Apical root resorption during orthodontic treatment of patients with multiple aplasia: a study of maxillary incisors. Eur J Orthod. 1998;20(4):427-434. doi:10.1093/ejo/20.4.427.
• Linge L, Linge BO. Patient characteristics and treatment variables associated with apical root resorption during orthodontic treatment. Am J Orthod Dentofacial Orthop. 1991;99(1):35-43. doi:10.1016/S0889-5406(05)81678-6.
• Janson GR, De Luca Canto G, Martins DR, Henriques JF, De Freitas MR. A radiographic comparison of apical root resorption after orthodontic treatment with 3 different fixed appliance techniques. Am J Orthod Dentofacial Orthop. 2000;118(3):262-273. doi:10.1067/mod.2000.99136.
• Remington DN, Joondeph DR, Artun J, Riedel RA, Chapko MK. Long-term evaluation of root resorption occurring during orthodontic treatment. Am J Orthod Dentofacial Orthop. 1989;96(1):43-46.doi:10.1016/0889-5406(89)90227-8.
• Masella RS, Meister M. Current concepts in the biology of orthodontic tooth movement. Am J Orthod Dentofacial Orthop. 2006;129(4):458-468.doi:10.1016/j.ajodo.2005.12.013.
• Sameshima GT, Sinclair PM. Predicting and preventing root resorption: Part I. Diagnostic factors. Am J Orthod Dentofacial Orthop. 2001;119(5):505-510.doi:10.1067/mod.2001.113409.
• Kjaer I. Morphological characteristics of dentitions developing excessive root resorption during orthodontic treatment. Eur J Orthod. 1995;17(1):25-34. doi:10.1093/ejo/17.1.25.
• Spurrier SW, Hall SH, Joondeph DR, Shapiro PA, Riedel RA. A comparison of apical root resorption during orthodontic treatment in endodontically treated and vital teeth. Am J Orthod Dentofacial Orthop. 1990;97(2):130-134.doi:10.1016/0889-5406(90)70086-R.
• Pastro JDV, Nogueira ACA, Salvatore de Freitas KMS, et al. Factors Associated to Apical Root Resorption after Orthodontic Treatment. Open Dent J. 2018;12:331-339. PMID: 29875885.
• 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(2):151-156. doi:10.1016/S0889-5406(03)00166-5.
• Mavragani M, Vergari A, Selliseth NJ, Bøe OE, Wisth PL. A radiographic comparison of apical root resorption after orthodontic treatment with a standard edgewise and a straight-wire edgewise technique. Eur J Orthod. 2000;22(6):665-674.doi:10.1093/ejo/22.6.665.
• Segal GR, Schiffman PH, Tuncay OC. Meta analysis of the treatment-related factors of external apical root resorption. Orthod Craniofac Res. 2004;7(2):71-78. doi:10.1111/j.1601-6343.2004.00286.x.