Orthodontic aligners and root resorption: A systematic review.
Identifieur interne : 000362 ( Main/Exploration ); précédent : 000361; suivant : 000363Orthodontic aligners and root resorption: A systematic review.
Auteurs : Rajae Elhaddaoui [Maroc] ; Halima Saadia Qoraich [Maroc] ; Loubna Bahije [Maroc] ; Fatima Zaoui [Maroc]Source :
- International orthodontics [ 1879-680X ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Appareils orthodontiques, Brackets orthodontiques.
- thérapie : Malocclusion dentaire.
- étiologie : Rhizalyse.
- Humains.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Orthodontic Appliances, Orthodontic Brackets.
- etiology : Root Resorption.
- therapy : Malocclusion.
- Humans.
Abstract
INTRODUCTION
Root resorption is one of the leading problems in orthodontic treatment. Most earlier studies have assessed the incidence and severity of root resorption following orthodontic treatment using fixed appliances as well as associated factors. However, few studies have assessed these parameters in the context of orthodontic treatment using thermoplastic splints or aligners. The aim of this systematic review was to assess the incidence and severity of root resorption following orthodontic treatment using aligners and associated factors. A comparative analysis was also made with fixed multi-bracket treatments.
MATERIALS AND METHODS
The data bases consulted were: Medline, Embase, EBSCO Host, Cochrane Library and Science Direct. Our search included meta-analyses, randomized and non-randomized controled trials, cohort studies and descriptive studies published before December 2015 and evidencing a connection with the incidence and severity of root resorption following orthodontic treatment using aligners alone or compared with fixed multi-bracket treatments.
RESULTS
Among the 93 selected references, only 3 studies met our selection criteria. The incidence of root resorption ranged between 0 and 46%, of which 6% were severe cases. Relative to fixed multi-bracket non-extraction treatments to correct the same malocclusions, the incidence of resorption ranged between 2% and 50%, of which 22% were severe cases. In both techniques, the incidence of resorption was higher for the maxillary incisors and was not influenced by either age or sex.
CONCLUSION
In malocclusion cases not requiring extractions, orthodontic aligner treatment is possibly associated with a lower incidence of resorption than fixed multi-bracket treatment. Further research encompassing extraction cases is needed to better assess the incidence and severity of root resorption following the use of these removable appliances.
DOI: 10.1016/j.ortho.2016.12.019
PubMed: 28131611
Affiliations:
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Le document en format XML
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<term>Orthodontic Brackets (adverse effects)</term>
<term>Root Resorption (etiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Appareils orthodontiques (effets indésirables)</term>
<term>Brackets orthodontiques (effets indésirables)</term>
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<term>Malocclusion dentaire (thérapie)</term>
<term>Rhizalyse (étiologie)</term>
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<term>Orthodontic Brackets</term>
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<term>Brackets orthodontiques</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Malocclusion</term>
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<front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b>
</p>
<p>Root resorption is one of the leading problems in orthodontic treatment. Most earlier studies have assessed the incidence and severity of root resorption following orthodontic treatment using fixed appliances as well as associated factors. However, few studies have assessed these parameters in the context of orthodontic treatment using thermoplastic splints or aligners. The aim of this systematic review was to assess the incidence and severity of root resorption following orthodontic treatment using aligners and associated factors. A comparative analysis was also made with fixed multi-bracket treatments.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b>
</p>
<p>The data bases consulted were: Medline, Embase, EBSCO Host, Cochrane Library and Science Direct. Our search included meta-analyses, randomized and non-randomized controled trials, cohort studies and descriptive studies published before December 2015 and evidencing a connection with the incidence and severity of root resorption following orthodontic treatment using aligners alone or compared with fixed multi-bracket treatments.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Among the 93 selected references, only 3 studies met our selection criteria. The incidence of root resorption ranged between 0 and 46%, of which 6% were severe cases. Relative to fixed multi-bracket non-extraction treatments to correct the same malocclusions, the incidence of resorption ranged between 2% and 50%, of which 22% were severe cases. In both techniques, the incidence of resorption was higher for the maxillary incisors and was not influenced by either age or sex.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>In malocclusion cases not requiring extractions, orthodontic aligner treatment is possibly associated with a lower incidence of resorption than fixed multi-bracket treatment. Further research encompassing extraction cases is needed to better assess the incidence and severity of root resorption following the use of these removable appliances.</p>
</div>
</front>
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