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Published in: Head & Face Medicine 1/2014

Open Access 01-12-2014 | Research

Root resorption, treatment time and extraction rate during orthodontic treatment with self-ligating and conventional brackets

Authors: Collin Jacobs, Philipp F Gebhardt, Viviana Jacobs, Marlene Hechtner, Dan Meila, Heinrich Wehrbein

Published in: Head & Face Medicine | Issue 1/2014

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Abstract

Introduction

This study determined the amount and severity of EARR (external apical root resorption) after orthodontic treatment with self-ligating (SL) and conventional (Non-SL) brackets. Differences regarding rate of extraction cases, appointments and treatment time were evaluated.

Material and methods

213 patients with a mean age of 12.4 ± 2.2 years were evaluated retrospectively. The treatments were performed with SL brackets (n = 139, Smartclip, 3 M Unitek, USA) or Non-SL brackets (n = 74, Victory Series, 3 M Unitek, USA). Measurements of the crown and root length of the incisors were taken using panoramic radiographs. Three-factor analysis of variance (ANOVA) was performed for an appliance effect.

Results

There was no difference between patients treated with Non-SL or SL brackets regarding the amount (in percentage) of EARR (Non-SL: 4.5 ± 6.6 vs. SL: 3.0 ± 5.6). Occurrence of severe EARR (sEARR) did also not differ between the two groups (Non-SL 0.5 vs. SL: 0.3). The percentage of patients with need of tooth extraction for treatment (Non SL: 8.1 vs. SL: 6.9) and the number of appointments (Non-SL: 12.4 ± 3.4 vs. SL: 13.9 ± 3.3) did not show any differences. The treatment time was shorter with Non-SL brackets (Non-SL: 18.1 ± 5.3 vs. SL: 20.7 ± 4.9 months).

Conclusions

This is the largest study showing that there is no difference in the amount of EARR, number of appointments and extraction rate between conventional and self-ligating brackets. For the first time we could demonstrate that occurrence of sEARR does not differ between the two types of brackets.
Appendix
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Literature
1.
go back to reference 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: 462-476. 10.1016/j.ajodo.2009.06.021. discussion 412ACrossRefPubMed 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: 462-476. 10.1016/j.ajodo.2009.06.021. discussion 412ACrossRefPubMed
2.
go back to reference Brezniak N, Wasserstein A: Root resorption after orthodontic treatment: part 2. Literature review. Am J Orthod Dentofacial Orthop. 1993, 103: 138-146. 10.1016/S0889-5406(05)81763-9.CrossRefPubMed Brezniak N, Wasserstein A: Root resorption after orthodontic treatment: part 2. Literature review. Am J Orthod Dentofacial Orthop. 1993, 103: 138-146. 10.1016/S0889-5406(05)81763-9.CrossRefPubMed
3.
go back to reference Brezniak N, Wasserstein A: Root resorption after orthodontic treatment: part 1. Literature review. Am J Orthod Dentofacial Orthop. 1993, 103: 62-66. 10.1016/0889-5406(93)70106-X.CrossRefPubMed Brezniak N, Wasserstein A: Root resorption after orthodontic treatment: part 1. Literature review. Am J Orthod Dentofacial Orthop. 1993, 103: 62-66. 10.1016/0889-5406(93)70106-X.CrossRefPubMed
4.
go back to reference Sameshima GT, Sinclair PM: Predicting and preventing root resorption: part II. Treatment factors. Am J Orthod Dentofacial Orthop. 2001, 119: 511-515. 10.1067/mod.2001.113410.CrossRefPubMed Sameshima GT, Sinclair PM: Predicting and preventing root resorption: part II. Treatment factors. Am J Orthod Dentofacial Orthop. 2001, 119: 511-515. 10.1067/mod.2001.113410.CrossRefPubMed
5.
go back to reference Sameshima GT, Sinclair PM: Predicting and preventing root resorption: Part I. Diagnostic factors. Am J Orthod Dentofacial Orthop. 2001, 119: 505-510. 10.1067/mod.2001.113409.CrossRefPubMed Sameshima GT, Sinclair PM: Predicting and preventing root resorption: Part I. Diagnostic factors. Am J Orthod Dentofacial Orthop. 2001, 119: 505-510. 10.1067/mod.2001.113409.CrossRefPubMed
6.
go back to reference Fritz U, Diedrich P, Wiechmann D: Apical root resorption after lingual orthodontic therapy. J Orofac Orthop. 2003, 64: 434-442. 10.1007/s00056-003-0243-5.CrossRefPubMed Fritz U, Diedrich P, Wiechmann D: Apical root resorption after lingual orthodontic therapy. J Orofac Orthop. 2003, 64: 434-442. 10.1007/s00056-003-0243-5.CrossRefPubMed
7.
go back to reference Mavragani M, Vergari A, Selliseth NJ, Boe 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: 665-674. 10.1093/ejo/22.6.665.CrossRefPubMed Mavragani M, Vergari A, Selliseth NJ, Boe 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: 665-674. 10.1093/ejo/22.6.665.CrossRefPubMed
8.
go back to reference 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: 677-683. 10.1016/S0889-5406(98)70200-8.CrossRefPubMed 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: 677-683. 10.1016/S0889-5406(98)70200-8.CrossRefPubMed
9.
go back to reference Mohandesan H, Ravanmehr H, Valaei N: A radiographic analysis of external apical root resorption of maxillary incisors during active orthodontic treatment. Eur J Orthod. 2007, 29: 134-139. 10.1093/ejo/cjl090.CrossRefPubMed Mohandesan H, Ravanmehr H, Valaei N: A radiographic analysis of external apical root resorption of maxillary incisors during active orthodontic treatment. Eur J Orthod. 2007, 29: 134-139. 10.1093/ejo/cjl090.CrossRefPubMed
10.
go back to reference Levander E, Malmgren O: Long-term follow-up of maxillary incisors with severe apical root resorption. Eur J Orthod. 2000, 22: 85-92. 10.1093/ejo/22.1.85.CrossRefPubMed Levander E, Malmgren O: Long-term follow-up of maxillary incisors with severe apical root resorption. Eur J Orthod. 2000, 22: 85-92. 10.1093/ejo/22.1.85.CrossRefPubMed
11.
go back to reference Artun J, Van ’t Hullenaar R R, Doppel D, Kuijpers-Jagtman AM: Identification of orthodontic patients at risk of severe apical root resorption. Am J Orthod Dentofacial Orthop. 2009, 135: 448-455. 10.1016/j.ajodo.2007.06.012.CrossRefPubMed Artun J, Van ’t Hullenaar R R, Doppel D, Kuijpers-Jagtman AM: Identification of orthodontic patients at risk of severe apical root resorption. Am J Orthod Dentofacial Orthop. 2009, 135: 448-455. 10.1016/j.ajodo.2007.06.012.CrossRefPubMed
12.
go back to reference Gonzales C, Hotokezaka H, Yoshimatsu M, Yozgatian JH, Darendeliler MA, Yoshida N: Force magnitude and duration effects on amount of tooth movement and root resorption in the rat molar. Angle Orthod. 2008, 78: 502-509. 10.2319/052007-240.1.CrossRefPubMed Gonzales C, Hotokezaka H, Yoshimatsu M, Yozgatian JH, Darendeliler MA, Yoshida N: Force magnitude and duration effects on amount of tooth movement and root resorption in the rat molar. Angle Orthod. 2008, 78: 502-509. 10.2319/052007-240.1.CrossRefPubMed
13.
go back to reference 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: 350-361. 10.1016/S0889-5406(94)70129-6.CrossRefPubMed 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: 350-361. 10.1016/S0889-5406(94)70129-6.CrossRefPubMed
14.
go back to reference Newman WG: Possible etiologic factors in external root resorption. Am J Orthod. 1975, 67: 522-539. 10.1016/0002-9416(75)90298-5.CrossRefPubMed Newman WG: Possible etiologic factors in external root resorption. Am J Orthod. 1975, 67: 522-539. 10.1016/0002-9416(75)90298-5.CrossRefPubMed
15.
go back to reference 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: 487-491. 10.1016/0002-9416(82)90317-7.CrossRefPubMed 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: 487-491. 10.1016/0002-9416(82)90317-7.CrossRefPubMed
16.
go back to reference Wehrbein H, Fuhrmann RA, Diedrich PR: Periodontal conditions after facial root tipping and palatal root torque of incisors. Am J Orthod Dentofacial Orthop. 1994, 106: 455-462. 10.1016/S0889-5406(94)70067-2.CrossRefPubMed Wehrbein H, Fuhrmann RA, Diedrich PR: Periodontal conditions after facial root tipping and palatal root torque of incisors. Am J Orthod Dentofacial Orthop. 1994, 106: 455-462. 10.1016/S0889-5406(94)70067-2.CrossRefPubMed
17.
go back to reference 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: 583-588. 10.1093/ejo/cjm060.CrossRefPubMed 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: 583-588. 10.1093/ejo/cjm060.CrossRefPubMed
18.
go back to reference 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. 10.1016/S0889-5406(95)70065-X.CrossRefPubMed 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. 10.1016/S0889-5406(95)70065-X.CrossRefPubMed
19.
go back to reference 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. 10.1016/S0889-5406(05)81678-6.CrossRefPubMed 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. 10.1016/S0889-5406(05)81678-6.CrossRefPubMed
20.
go back to reference Levander E, Malmgren O: Evaluation of the risk of root resorption during orthodontic treatment: a study of upper incisors. Eur J Orthod. 1988, 10: 30-38. 10.1093/ejo/10.1.30.CrossRefPubMed Levander E, Malmgren O: Evaluation of the risk of root resorption during orthodontic treatment: a study of upper incisors. Eur J Orthod. 1988, 10: 30-38. 10.1093/ejo/10.1.30.CrossRefPubMed
21.
go back to reference Kjaer I: Morphological characteristics of dentitions developing excessive root resorption during orthodontic treatment. Eur J Orthod. 1995, 17: 25-34. 10.1093/ejo/17.1.25.CrossRefPubMed Kjaer I: Morphological characteristics of dentitions developing excessive root resorption during orthodontic treatment. Eur J Orthod. 1995, 17: 25-34. 10.1093/ejo/17.1.25.CrossRefPubMed
22.
go back to reference Kaley J, Phillips C: Factors related to root resorption in edgewise practice. Angle Orthod. 1991, 61: 125-132.PubMed Kaley J, Phillips C: Factors related to root resorption in edgewise practice. Angle Orthod. 1991, 61: 125-132.PubMed
23.
go back to reference Casa MA, Faltin RM, Faltin K, Sander FG, Arana-Chavez VE: Root resorptions in upper first premolars after application of continuous torque moment. Intra-individual study. J Orofac Orthop. 2001, 62: 285-295. 10.1007/PL00001936.CrossRefPubMed Casa MA, Faltin RM, Faltin K, Sander FG, Arana-Chavez VE: Root resorptions in upper first premolars after application of continuous torque moment. Intra-individual study. J Orofac Orthop. 2001, 62: 285-295. 10.1007/PL00001936.CrossRefPubMed
24.
go back to reference 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: 301-309. 10.1016/S0889-5406(97)70189-6.CrossRefPubMed 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: 301-309. 10.1016/S0889-5406(97)70189-6.CrossRefPubMed
25.
go back to reference Mirabella AD, Artun J: Prevalence and severity of apical root resorption of maxillary anterior teeth in adult orthodontic patients. Eur J Orthod. 1995, 17: 93-99. 10.1093/ejo/17.2.93.CrossRefPubMed Mirabella AD, Artun J: Prevalence and severity of apical root resorption of maxillary anterior teeth in adult orthodontic patients. Eur J Orthod. 1995, 17: 93-99. 10.1093/ejo/17.2.93.CrossRefPubMed
26.
go back to reference Linge BO, Linge L: Apical root resorption in upper anterior teeth. Eur J Orthod. 1983, 5: 173-183. 10.1093/ejo/5.3.173.CrossRefPubMed Linge BO, Linge L: Apical root resorption in upper anterior teeth. Eur J Orthod. 1983, 5: 173-183. 10.1093/ejo/5.3.173.CrossRefPubMed
27.
go back to reference Sehr K, Bock NC, Serbesis C, Honemann M, Ruf S: Severe external apical root resorption–local cause or genetic predisposition?. J Orofac Orthop. 2011, 72: 321-331. 10.1007/s00056-011-0036-1.CrossRefPubMed Sehr K, Bock NC, Serbesis C, Honemann M, Ruf S: Severe external apical root resorption–local cause or genetic predisposition?. J Orofac Orthop. 2011, 72: 321-331. 10.1007/s00056-011-0036-1.CrossRefPubMed
28.
go back to reference Chen SS, Greenlee GM, Kim JE, Smith CL, Huang GJ: Systematic review of self-ligating brackets. Am J Orthod Dentofacial Orthop. 2010, 137: 726 e721-726 e718. discussion 726–727 Chen SS, Greenlee GM, Kim JE, Smith CL, Huang GJ: Systematic review of self-ligating brackets. Am J Orthod Dentofacial Orthop. 2010, 137: 726 e721-726 e718. discussion 726–727
29.
go back to reference Miles PG: Self-ligating brackets in orthodontics: do they deliver what they claim?. Aust Dent J. 2009, 54: 9-11. 10.1111/j.1834-7819.2008.01081.x.CrossRefPubMed Miles PG: Self-ligating brackets in orthodontics: do they deliver what they claim?. Aust Dent J. 2009, 54: 9-11. 10.1111/j.1834-7819.2008.01081.x.CrossRefPubMed
30.
go back to reference Celar A, Schedlberger M, Dorfler P, Bertl M: Systematic review on self-ligating vs. conventional brackets: initial pain, number of visits, treatment time. J Orofac Orthop. 2013, 74: 40-51. 10.1007/s00056-012-0116-x.CrossRefPubMed Celar A, Schedlberger M, Dorfler P, Bertl M: Systematic review on self-ligating vs. conventional brackets: initial pain, number of visits, treatment time. J Orofac Orthop. 2013, 74: 40-51. 10.1007/s00056-012-0116-x.CrossRefPubMed
31.
go back to reference Fleming PS, DiBiase AT, Lee RT: Randomized clinical trial of orthodontic treatment efficiency with self-ligating and conventional fixed orthodontic appliances. Am J Orthod Dentofacial Orthop. 2010, 137: 738-742. 10.1016/j.ajodo.2009.06.023.CrossRefPubMed Fleming PS, DiBiase AT, Lee RT: Randomized clinical trial of orthodontic treatment efficiency with self-ligating and conventional fixed orthodontic appliances. Am J Orthod Dentofacial Orthop. 2010, 137: 738-742. 10.1016/j.ajodo.2009.06.023.CrossRefPubMed
32.
go back to reference Leite V, Conti AC, Navarro R, Almeida M, Oltramari-Navarro P, Almeida R: Comparison of root resorption between self-ligating and conventional preadjusted brackets using cone beam computed tomography. Angle Orthod. 2012, 82: 1078-1082. 10.2319/080911-501.1.CrossRefPubMed Leite V, Conti AC, Navarro R, Almeida M, Oltramari-Navarro P, Almeida R: Comparison of root resorption between self-ligating and conventional preadjusted brackets using cone beam computed tomography. Angle Orthod. 2012, 82: 1078-1082. 10.2319/080911-501.1.CrossRefPubMed
33.
go back to reference Machibya FM, Bao X, Zhao L, Hu M: Treatment time, outcome, and anchorage loss comparisons of self-ligating and conventional brackets. Angle Orthod. 2013, 83: 280-285. 10.2319/041912-326.1.CrossRefPubMed Machibya FM, Bao X, Zhao L, Hu M: Treatment time, outcome, and anchorage loss comparisons of self-ligating and conventional brackets. Angle Orthod. 2013, 83: 280-285. 10.2319/041912-326.1.CrossRefPubMed
34.
go back to reference 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: 646-651. 10.1016/j.ajodo.2007.01.032.CrossRefPubMed 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: 646-651. 10.1016/j.ajodo.2007.01.032.CrossRefPubMed
35.
go back to reference Sameshima GT, Asgarifar KO: Assessment of root resorption and root shape: periapical vs panoramic films. Angle Orthod. 2001, 71: 185-189.PubMed Sameshima GT, Asgarifar KO: Assessment of root resorption and root shape: periapical vs panoramic films. Angle Orthod. 2001, 71: 185-189.PubMed
36.
go back to reference Goz G, Rakosi T: [Apical root resorption during orthodontic treatment]. Fortschr Kieferorthop. 1989, 50: 196-206. 10.1007/BF02168741.CrossRefPubMed Goz G, Rakosi T: [Apical root resorption during orthodontic treatment]. Fortschr Kieferorthop. 1989, 50: 196-206. 10.1007/BF02168741.CrossRefPubMed
37.
go back to reference Harris EF, Boggan BW, Wheeler DA: Apical root resorption in patients treated with comprehensive orthodontics. J Tenn Dent Assoc. 2001, 81: 30-33.PubMed Harris EF, Boggan BW, Wheeler DA: Apical root resorption in patients treated with comprehensive orthodontics. J Tenn Dent Assoc. 2001, 81: 30-33.PubMed
38.
go back to reference Scott P, DiBiase AT, Sherriff M, Cobourne MT: Alignment efficiency of Damon3 self-ligating and conventional orthodontic bracket systems: a randomized clinical trial. Am J Orthod Dentofacial Orthop. 2008, 134: 470 e471-478. Scott P, DiBiase AT, Sherriff M, Cobourne MT: Alignment efficiency of Damon3 self-ligating and conventional orthodontic bracket systems: a randomized clinical trial. Am J Orthod Dentofacial Orthop. 2008, 134: 470 e471-478.
39.
40.
go back to reference Eberting JJ, Straja SR, Tuncay OC: Treatment time, outcome, and patient satisfaction comparisons of Damon and conventional brackets. Clin Orthod Res. 2001, 4: 228-234. 10.1034/j.1600-0544.2001.40407.x.CrossRefPubMed Eberting JJ, Straja SR, Tuncay OC: Treatment time, outcome, and patient satisfaction comparisons of Damon and conventional brackets. Clin Orthod Res. 2001, 4: 228-234. 10.1034/j.1600-0544.2001.40407.x.CrossRefPubMed
41.
go back to reference Ong E, McCallum H, Griffin MP, Ho C: Efficiency of self-ligating vs conventionally ligated brackets during initial alignment. Am J Orthod Dentofacial Orthop. 2010, 138: 138 e131-137. discussion 138–139 Ong E, McCallum H, Griffin MP, Ho C: Efficiency of self-ligating vs conventionally ligated brackets during initial alignment. Am J Orthod Dentofacial Orthop. 2010, 138: 138 e131-137. discussion 138–139
Metadata
Title
Root resorption, treatment time and extraction rate during orthodontic treatment with self-ligating and conventional brackets
Authors
Collin Jacobs
Philipp F Gebhardt
Viviana Jacobs
Marlene Hechtner
Dan Meila
Heinrich Wehrbein
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Head & Face Medicine / Issue 1/2014
Electronic ISSN: 1746-160X
DOI
https://doi.org/10.1186/1746-160X-10-2

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