Research Article

Evaluation of Apical Root Resorption in Anterior Teeth of Pediatric Patients Treated with Clear Aligners

Volume: 1 Number: 1 May 9, 2026

Evaluation of Apical Root Resorption in Anterior Teeth of Pediatric Patients Treated with Clear Aligners

Abstract

Aim: This study aimed to evaluate external apical root resorption (EARR) in pediatric patients treated with clear aligner therapy (CAT) during the mixed dentition period using panoramic radiographs. Materials and Methods: This retrospective study included 30 children (aged 7–11 years) treated with CAT. Pre-treatment (T0) and post-treatment (T1) panoramic radiographs were evaluated using a modified Malmgren Index. Differences between T0 and T1 were analyzed using the Wilcoxon signed-rank test (p < 0.05). Results: A total of 240 permanent incisors were assessed. Mild root contour irregularities (Score 1) were observed in 1.7% of teeth (4/240), while no cases of moderate or severe EARR were detected. No statistically significant difference was found between T0 and T1 (p > 0.05). Intra-observer agreement was excellent (Kappa = 0.91). Conclusion: Within the limitations of panoramic radiographic assessment, CAT in the mixed dentition period was not associated with clinically significant EARR. However, these findings should be interpreted with caution, and further studies using more accurate imaging methods are recommended.

Keywords

References

  1. 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.
  2. Yassir YA, McIntyre GT, Bearn DR. Orthodontic treatment and root resorption: An overview of systematic reviews. Eur J Orthod. 2021;43:442–56.
  3. Mayoral G. Treatment results with light wires studied by panoramic radiography. Am J Orthod Dentofacial Orthop. 1982;81:489–97.
  4. Zhang M, Zhang P, Koh JT, Oh MH, Cho JH. Evaluation of aligners and root resorption: An overview of systematic reviews. J Clin Med. 2024;13:1950.
  5. Fujiyama K, Honjo T, Suzuki M, Matsuoka S, Deguchi T. Analysis of pain level in cases treated with Invisalign aligner: Comparison with fixed edgewise appliance therapy. Prog Orthod. 2014;15(1):64.
  6. Aman C, Azevedo B, Bednar E, Chandiramami S, German D, Nicholson E, et al. Apical root resorption during orthodontic treatment with clear aligners: A retrospective study using cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2018;153(6):842–51.
  7. Macrì M, Medori S, Varvara G, Festa F. A digital 3D retrospective study evaluating the efficacy of root control during orthodontic treatment with clear aligners. Appl Sci. 2023;13:1540.
  8. Lynch NM, Shroff B, Carrico CK, Sawicki V, Sabol M, Lindauer SJ. Clear aligner therapy in the mixed dentition: Indications and practitioner perspectives. Am J Orthod Dentofacial Orthop. 2023;164(2):172–82.

Details

Primary Language

English

Subjects

Orthodontics and Dentofacial Orthopaedics

Journal Section

Research Article

Publication Date

May 9, 2026

Submission Date

January 10, 2026

Acceptance Date

March 10, 2026

Published in Issue

Year 2026 Volume: 1 Number: 1

APA
Kavasoğlu, N. (2026). Evaluation of Apical Root Resorption in Anterior Teeth of Pediatric Patients Treated with Clear Aligners. Journal of Odonto Science, 1(1), 1-9. https://izlik.org/JA45ZM94PY
AMA
1.Kavasoğlu N. Evaluation of Apical Root Resorption in Anterior Teeth of Pediatric Patients Treated with Clear Aligners. JODS. 2026;1(1):1-9. https://izlik.org/JA45ZM94PY
Chicago
Kavasoğlu, Nursezen. 2026. “Evaluation of Apical Root Resorption in Anterior Teeth of Pediatric Patients Treated With Clear Aligners”. Journal of Odonto Science 1 (1): 1-9. https://izlik.org/JA45ZM94PY.
EndNote
Kavasoğlu N (May 1, 2026) Evaluation of Apical Root Resorption in Anterior Teeth of Pediatric Patients Treated with Clear Aligners. Journal of Odonto Science 1 1 1–9.
IEEE
[1]N. Kavasoğlu, “Evaluation of Apical Root Resorption in Anterior Teeth of Pediatric Patients Treated with Clear Aligners”, JODS, vol. 1, no. 1, pp. 1–9, May 2026, [Online]. Available: https://izlik.org/JA45ZM94PY
ISNAD
Kavasoğlu, Nursezen. “Evaluation of Apical Root Resorption in Anterior Teeth of Pediatric Patients Treated With Clear Aligners”. Journal of Odonto Science 1/1 (May 1, 2026): 1-9. https://izlik.org/JA45ZM94PY.
JAMA
1.Kavasoğlu N. Evaluation of Apical Root Resorption in Anterior Teeth of Pediatric Patients Treated with Clear Aligners. JODS. 2026;1:1–9.
MLA
Kavasoğlu, Nursezen. “Evaluation of Apical Root Resorption in Anterior Teeth of Pediatric Patients Treated With Clear Aligners”. Journal of Odonto Science, vol. 1, no. 1, May 2026, pp. 1-9, https://izlik.org/JA45ZM94PY.
Vancouver
1.Nursezen Kavasoğlu. Evaluation of Apical Root Resorption in Anterior Teeth of Pediatric Patients Treated with Clear Aligners. JODS [Internet]. 2026 May 1;1(1):1-9. Available from: https://izlik.org/JA45ZM94PY

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