Diagnóstico de reabsorción radicular externa en ortodoncia: Una revisión sistemática.

José Fernando Márquez; Jorge Mario Castaño; Zulma Vanessa Rueda; Jaime Rendón

Diagnosis of external root resorption in orthodontics : a systematic review

Review Article

José Fernando Márquez Ver Biografía

Universidad Cooperativa de Colombia, sede Medellín

Jorge Mario Castaño Ver Biografía

Universidad Cooperativa de Colombia

Zulma Vanessa Rueda Ver Biografía

Universidad de Antioquia.

Jaime Rendón Ver Biografía

Universidad de Antioquia

Introduction: this systematic review evaluated radiographic methods that allow to detect external root resorption (err) in orthodontics, to determine adequate time intervals for control radiographs, and to identify radiographic characteristics of err.

Materials and methods: we carried out systematic electronic and manual searches in databases, without year restrictions, limited to papers in Spanish or English. We included cohort studies and randomized clinical trials performed on human subjects that assessed orthodontic movement with fixed appliances that recorded root resorption before or during the course of treatment. Two authors evaluated the articles independently and extracted the ones to be selected in a standardized format.

Results: the initial search yielded 285 references. 40 articles that could be related to the topic were then identified by title and abstract. After the evaluation using the inclusion criteria, 26 articles were analyzed. Due to the heterogeneity among the articles, it was not possible to estimate a global measurement for the research questions.

Conclusion: the ideal method for the detection of external root resorption (err) caused by orthodontic treatment is the cone-beam tomography, however periapical radiographies may be a useful tool. When such radiographies are used as a diagnosis method, they must be taken with a 6-month periodicity and the decrease in root length must be evaluated.

Keywords: diagnosis, orthodontics, periapical radiography, external root resorption

Al-Qawasmi RA, Hartsfield JK Jr, Everett ET, Flury L, Liu L, Foroud TM et al. Genetic predisposition to external apical root resorption. Am J Orthod Dentofacial Orthop. 2003; 123: 242-52.

Newman WG. Possible etiologic factors in external root resorption. Am J Orthod. 1975; 67: 522-39.

Harris EF, Robinson QC, Woods MA. An analysis of causes of apical root resorption in patients not treated orthodontically. Quintessence Int. 1993; 24: 417-28.

Killiany DM. Root resorption caused by orthodontic treatment: an evidence-based review of literature. Semin Orthod. 1999; 5: 128-33.

Tronstad L. Root resorption-etiology, terminology and clinical manifestations. Endod Dent Traumatol. 1998; 4: 241-51.

Jones S, Boyde A. The resorption of dentine and cementum. En: Davidovitch Z, ed. Biological mechanisms of tooth eruption and root resorption; 1994: 335-54.

Brezniak N, Wasserstein A. Root resorption alter orthodontic treatament. Am J Orthod. Dentofac Orthop. 1993; parte 1. 103(1): 62-6. parte 2. 103(2): 138-46.

Harris EF, Kineret SE, Tolley EA. A heritable component for external apical root resorption in patients treated orthodontically. Am J Orthod Dentofacial Orthop. 1997; 111: 301-9.

Stenvik A, Mjor IA. Pulp and dentine reactions to experimental tooth intrusion. A histological study of the initial changes. Am J Orthod. 1970; 5: 370-85.

McLaughlin KD. Quantitative determination of root resorption during orthodontic treatment. Am J Orthod. 1964; 50: 143.

Lupi JE, Handelman CS, Sadowsky C. Prevalence and severity of apical root resorption and alveolar bone loss in orthodontically treated adults. Am J Orthod Dentofacial Orthop. 1996; 109: 28-37.

Linge BO, Linge L. Apical root resorption in upper anterior teeth. Eur J Orthod; 1983; 5: 173-83.

Sameshima GT, Sinclair PM. Predicting and preventing root resorption: part I. Diagnostic factors. Am J Orthod Dentofacial Orthop. 2001; 119: 505-10.

Blake M, Woodside DG, Pharoah MJ. A radiographic comparison of apical root resorption after orthodontic treatment with the edgewise and Speed appliances. Am J Orthod Dentofacial Orthop. 1995; 108: 76-84.

Levander E, Malmgren O. Evaluation of the risk of root resorption during orthodontic treatment: a study of upper incisors. Eur J Orthod. 1988; 10: 30-8.

Brin I, Tulloch JFC, 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: 151-6.

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: 427-34.

Killiany DM. Root resorption caused by orthodontic treatment: review of literature from 1998 to 2001 for evidence. Prog Orthod. 2002; 3: 2-5.

Linge L, Linge BO. Patient characteristics and treatment variables associated with apical root resorption during orthodontic treatment. Am J Orthod Dentofacial Orthop. 1991; 99: 35-43.

Malmgren O, Goldson L, Hill C, Orwin A, Petrini L, Lundberg M. Root resorption after orthodontic treatment of traumatized teeth. Am J Orthod. 1982; 82: 487-91.

Kook YA, Park S, Sameshima GT. Peg-shaped and small lateral incisors not at higher risk for root resorption. Am J Orthod Dentofacial Orthop. 2003; 123: 253-8.

Otis L, Hong J, Tuncay O. Bone structure effect on root resorption. Orthod Craniofac Res. 2004; 21: 165-77.

Dermaut LR, De Munck A. Apical root resorption of upper incisors caused by intrusive tooth movement: A radiographic study. Am J Orthod Dentofacial Orthop. 1986; 90: 321-6.

Casa MA, Faltin RM, Faltin K, Sander FG, Arana- Chavez VE. Root resorptions in upper first premolars after application of continuous torque moment. Intraindividual study. J Orofac Orthop. 2001; 62: 285-95.

Harris DA, Jones AS, Darendeliler MA. Physical properties of root cementum. Part 8. Volumetric analysis of root resorption craters after application of controlled intrusive light and heavy orthodontic forces: a microcomputed tomography scan study. Am J Orthod Dentofacial Orthop. 2006; 130(5): 639-47.

Chan E, Darendeliler MA. Physical properties of root cementum: part 7. Extent of root resorption under areas of compression and tension. Am J Orthod Dentofacial Orthop. 2006; 129: 504-10.

Kaley J, Phillips C. Factors related to root resorption in edgewise practice. Angle Orthod. 1991; 61: 125-32.

Beck BW, Harris EF. Apical root resorption in orthodontically treated subjects: analysis of edgewise and light wire mechanics. Am J Orthod Dentofacial Orthop. 1994; 105: 350-61.

Barbagallo LJ, Jones AS, Petocz P, Darendeliler MA. Physical properties of root cementum. Part 10. Comparison of the effects of invisible removable thermoplastic appliances with light and heavy orthodontic forces on premolar cementum. A microcomputedtomography study. Am J Orthod Dentofacial Orthop. 2008;

: 218-27.

Parker RJ, Harris EF. Directions of orthodontic tooth movements associated with external apical root resorption of the maxillary central incisor. Am J Orthod Dentofacial Orthop. 1998; 114: 672-83.

Segal G, Schiffman P, Tuncay O. Meta analysis of the treatment related factors of external apical root resorption. Orthod Craniofac Res. 2004; 7: 71-8.

Fox N. Longer orthodontic treatment may result in greater external apical root resorption. Evid Based Dent. 2005; 6: 21.

Faltin RM, Faltin K, Sander FG, Arana-Chavez VE. Ultrastructure of cementum and periodontal ligament after continuous intrusion in humans: a transmission electron microscopy study. Eur J Orthod. 2001; 23: 35-49.

Acar A, Canyurek U, Kocaaga M, Erverdi N. Continuous vs. Discontinuous force application and root resorption. Angle Orthod. 1999; 69: 159-63.

Brezniak N, Wasserstein A. Root resorption after orthodontic treatment: part 1. Literature review. Am J Orthod Dentofacial Orthop. 1993; 103: 62-6.

Pandis N, Nasika M, Polychronopoulou A, Eliades T. External apical root resorption in patients treated with conventional and self-ligating brackets. Am J Orthod Dentofacial Orthop. 2008; 134: 646-51.

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: 115-22.

Drysdale C, Gibbs SL, Ford TR. Orthodontic management of root-filled teeth. Br J Orthod. 1996; 23: 255-60.

Mirabella AD, Artun J. Risk factors for apical root resorption of maxillary anterior teeth in adult orthodontic patients. Am J Orthod Dentofacial Orthop. 1995; 108: 48-55.

McNab S, Battistutta D, Taverne A, Symons AL. External apical root resorption of posterior teeth in asthmatics after orthodontic treatment. Am J Orthod Dentofacial Orthop. 1999; 116: 545-51.

Igarashi K, Adachi H, Mitani H, Shinoda H. Inhibitory effect of topical administration of a bisphosphonate (risedronate) on root resorption incident to orthodontic tooth movement in rats. J Dent Res. 1996; 75: 1644-9.

Attati I, Hellsing E, Hammarstrom L. Orthodontically induced root resorption in rat molars after 1-hydroxyethylidene- 1, 1-bisphosphonate injection. Acta Odontol Scand. 1996; 54: 102-8.

Villa PA, Oberti G, Moncada CA, Vasseur O, Jaramillo A, Tobon D et al. Pulp-dentine complex changes and root resorption during intrusive orthodontic tooth movement in patients prescribed nabumetone. J Endod. 2005; 31: 61-6.

Poumpros E, Loberg E, Engstrom C. Thyroid function and root resorption. Angle Orthod. 1994; 64: 389-93.

Christiansen RL. Commentary: thyroxine administration and its effects on root resorption. Angle Orthod. 1994; 64: 399-400.

McNab S, Battistutta D, Taverne A, Symons AL. External apical root resorption of posterior teeth in asthmatics after orthodontic treatment. Am J Orthod Dentofacial Orthop. 1999; 116: 545-51.

Brezniak N, Wasserstein A. Orthodontically induced inflammatory root resorption. Part II: the clinical aspects. Angle Orthod. 2002; 72: 180-4.

Horiuchi A, Hotokezaka H, Kobayashi K. Correlation between cortical plate proximity and apical root resorption. Am J Orthod Dentofacial Orthop. 1998; 114: 311-8.

Midgett RJ, Shaye R, Fruge JF Jr. The effect of altered bone metabolism on orthodontic tooth movement. Am J Orthod. 1981; 80: 256-62.

Weiland F. Constant versus dissipating forces in orthodontics: the effect on initial tooth movement and root resorption. Eur J Orthod. 2003; 25: 335-42.

Davidovitch Z, Godwin SL, Park YG, Dobeck JM, Lily CM, De Sanctis GT. The etiology of root resorption. En: McNamara JA, Trotman CA, ed. Orthodontic treatment: the management of unfavorable. Ann Arbor: University of Michigan, Center for Human Growth and Development; 1996.

Brezniak N, Wasserstein A. Orthodontically induced inflammatory root resorption. Part II: the clinical aspects. Angle Orthod. 2002; 72: 180-4.

Lee KS, Straja SR, Tuncay OC. Perceived long-term prognosis of teeth with orthodontically resorbed roots. Orthod Craniofac Res. 2003; 6: 177-91.

Clarke M, Oxman AD, eds. Manual de revisores Cochrane 4.1.6. [Internet]; 2003. [acceso 7 de marzo del 2011]. Disponible en: http://www.cochrane.es/?q=es/ disknode/get/15/handbook.

Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996; 17: 1-12.

Wells GA SB, O’Connell D. The NewCastle-Ottawa Scale (nos) for assessing the quality of nonrandomised studies in meta-analyses. [Internet]. Ottawa: Ottawa Hospital Research Institute; 2011 [acceso 7 de noviembre del 2011]. Disponible en: http://www.ohri. ca/programs/clinical_epidemiology/oxford.asp

Sameshima GT, Asgarifar KO. Assessment of root resorption and root shape: periapicalvs panoramic films. Angle Orthod. 2001; 71: 185-9.

Dudic A, Giannopoulou C, Martinez M, Montet X, Kiliaridis S. Diagnostic accuracy of digitized periapical radiographs validated against micro-computed tomography scanning in evaluating orthodontically induced apical root resorption. Eur J Oral Sci. 2008; 116(5): 467-72.

Alqerban A, Jacobs R, Fieuws S, Willems G. Comparison of two cone beam computed tomographic systems versus panoramic imaging for localization of impacted maxillary canines and detection of root resorption. Eur J Orthod. 2011; 33: 93-102.

Mohandesan H, Ravanmehr H, Valaei N. A radiographic analysis of external apical root resorption of maxillary incisors during active orthodontic treatment. European Journal of Orthodontics. 2007; 29: 134-9.

Levander E, Bajka R, Malmgren O. Early radiographic diagnosis of apical root resorption during orthodontic treatment: a study of maxillary incisors. Eur J. Orthod. 1998; 20: 57-63.

Artun J, Van ‘t Hullenaar R, Doppel D, Kuijpers- Jagtman AM. Identification of orthodontic patients at risk of severe apical root resorption. Am J Orthod Dentofacial Orthop. 2009; 135: 448-55.

Van Loenen M, Dermaut LR, Degrieck J, De Pauw GA. Apical root resorption of upper incisors during the torquing stage of the tip-edge technique. Eur J Orthod. 2007; 29(6): 583-8.

Artun J, Smale I, Behbehani F, Doppel D, Van’t Hof M, Kuijpers-Jagtman AM. Apical root resorption six and 12 months after initiation of fixed orthodontic appliance therapy. Angle Orthod. 2005; 75(6): 919-26.

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): 665-74.

Costopoulos G, Nanda R. An evaluation of root resorption incident to orthodontic intrusion. Am J Orthod Dentofacial Orthop. 1996; 109(5): 543-8.

Smale I, Artun J, Behbehani F, Doppel D, van’t Hof M, Kuijpers-Jagtman AM. Apical root resorption 6 months after initiation of fixed orthodontic appliance therapy. Am J Orthod Dentofacial Orthop. 2005; 128(1): 57-67.

Kocadereli I, Yesil TN, Veske PS, Uysal S. Apical root resorption: A prospective radiographic study of maxillary incisors. Eur J Dent. 2011; 5(3): 318-23.

De Freitas MR, Beltrão RT, Janson G, Henriques JF, Chiqueto K. Evaluation of root resorption after open bite treatment with and without extractions. Am J Orthod Dentofacial Orthop. 2007; 132(2): 143.e15-22.

Perona G, Wenzel A. Radiographic evaluation of the effect of orthodontic retraction on the root of the maxillary canine. Dentomaxillofac Radiol. 1996; 25(4): 179-85.

Mirabella AD, Artun J. Risk factors for apical root resorption of maxillary anterior teeth in adult orthodontic patients. Am J Orthod Dentofacial Orthop. 1995; 108(1): 48-55.

Mirabella AD, Artun J. Prevalence and severity of apical root resorption of maxillary anterior teeth in adult orthodontic patients. Eur J Orthod. 1995; 17(2): 93-9.

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): 43-6.

Esteves T, Ramos AL, Pereira CM, Hidalgo MM. Orthodontic root resorption of endodontically treated teeth. J Endod. 2007; 33(2): 119-22.

Tsesis I, Fuss Z, Rosenberg E, Taicher S. Radiographic evaluation of the prevalence of root resorption in a Middle Eastern population. Quintessence Int. 2008; 39(2): e40-4.

Diagnosis of external root resorption in orthodontics: a systematic review. (2014). Revista Nacional De Odontología, 8(14), 62-75. https://revistas.ucc.edu.co/index.php/od/article/view/284

Download Citation

Every single author of the articles has to declare that is an original unpublished work exclusively created by them, that it has not been submitted for simultaneous evaluation by another publication and that there is no impediment of any kind for concession of the rights provided for in the contract.

In this sense, the authors committed to await the result of the evaluation by the journal Revista Nacional de Odontologia before considering its submission to another medium; in case the response by that publication is positive, additionally, the authors committed to respond for any action involving claims, plagiarism or any other kind of claim that could be made by third parties.

At the same time, the authors have to declare that they are completely in agreement with the conditions presented in their work and that they cede all patrimonial rights. These rights involve reproduction, public communication, distribution, dissemination, transformation, making it available and all forms of exploitation of the work using any medium or procedure, during the term of the legal protection of the work and in every country in the world, to the Universidad Cooperativa de Colombia Press.

Diagnosis of external root resorption in orthodontics : a systematic review

Most read articles by the same author(s)