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. 2020 Jul 27;16(1):16.
doi: 10.1186/s13005-020-00229-z.

Morphologic evaluation of root resorption after miniscrew assisted en mass retraction in adult bialveolar protrusion patients

Yu Chen  1 , Dongxu Liu  2
Affiliations

Morphologic evaluation of root resorption after miniscrew assisted en mass retraction in adult bialveolar protrusion patients

Yu Chen et al. Head Face Med. .

Abstract

Background: Bialveolar protrusion is one of the most common chief complaints from the Asian orthodontic patients. Typical orthodontic treatment includes extraction of the bimaxillary premolars and en mass retraction of anterior tooth with maximum anchorage by placing miniscrews. However, excessive pursuit of profile improvement by retraction and intrusion of anterior teeth may result in root resorption, alveolar bone loss, even dehiscence. Thus this retrospective, analytical study was to evaluate the root resorption of anterior teeth after miniscrew assisted en mass retraction in adult bialveolar protrusion patients.

Materials and methods: Thirty six adult patients with bimaxillary protrusion had four first premolars extracted, and then miniscrews were placed to provide anchorage. CBCT scans were performed before (T1) and posttreatment (T2). A new improvement project introduced for 3D CBCT registration assessment of root morphology. The paired t-test was used to compare changes from T1 to T2. The relationship between the root resorption and the movement of anterior teeth were assessed by Pearson correlation coefficient analysis.

Results: The significant differences were only found in apical third of root and the largest resorption in apical third of the root is always noted in the palatal and distal sectors. Significant correlations were observed in the loss of root in distal and palatal sectors, the root length and volume decrease with the amount of anterior teeth retraction and intrusion.

Conclusion: The new 3D registration assessment of root morphology will be helpful for the clinicians. Pursuit of large retraction and intrusion leads to obvious anterior teeth root resorption.

Keywords: 3D registration; Bimaxillary protrusion; Cone beam computer tomography (CBCT); En mass retraction; Orthodontically induced root resorption (OIRR).

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Miniscrews were placed to provide maximum anchorage: pretreatment (a) and post treatment (b)
Fig. 2
Fig. 2
The process of point-registration and STL registration. a the landmarks on the zygomatic arch b. point-registration of pre- and post-treatment models; c. STL registration with cranial base; d. model occlusal view after registration
Fig. 3
Fig. 3
horizontal reference plane was palatal plane
Fig. 4
Fig. 4
Movement of teeth between T1 and T2 models were measured
Fig. 5
Fig. 5
The segmentation of each tooth. a The root was divided into vertical thirds: cervical, middle and apical thirds b two perpendicular planes along mesial-distal and labial-palatal direction divide each tooth into four sectors c tooth is divided 12 segments d enlarged drawing of C
See this image and copyright information in PMC

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