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http://dx.doi.org/10.5624/isd.2016.46.1.17

A posteriori registration and subtraction of periapical radiographs for the evaluation of external apical root resorption after orthodontic treatment  

Kreich, Eliane Maria (Department of Dental Radiology, School of Dentistry, Ponta Grossa State University)
Chibinski, Ana Claudia (Department of Pediatric Dentistry, School of Dentistry, Ponta Grossa State University)
Coelho, Ulisses (Department of Orthodontics, School of Dentistry, Ponta Grossa State University)
Wambier, Leticia Stadler (Department of Pediatric Dentistry, School of Dentistry, Ponta Grossa State University)
Zedebski, Rosario de Arruda Moura (Department of Dental Radiology, School of Dentistry, Ponta Grossa State University)
de Moraes, Mari Eli Leonelli (Department of Dental Radiology, School of Dentistry, State University of Sao Paulo)
de Moraes, Luiz Cesar (Department of Dental Radiology, School of Dentistry, State University of Sao Paulo)
Publication Information
Imaging Science in Dentistry / v.46, no.1, 2016 , pp. 17-24 More about this Journal
Abstract
Purposes: This study employed a posteriori registration and subtraction of radiographic images to quantify the apical root resorption in maxillary permanent central incisors after orthodontic treatment, and assessed whether the external apical root resorption (EARR) was related to a range of parameters involved in the treatment. Materials and Methods: A sample of 79 patients (mean age, $13.5{\pm}2.2years$) with no history of trauma or endodontic treatment of the maxillary permanent central incisors was selected. Periapical radiographs taken before and after orthodontic treatment were digitized and imported to the Regeemy software. Based on an analysis of the post-treatment radiographs, the length of the incisors was measured using Image J software. The mean EARR was described in pixels and relative root resorption (%). The patient's age and gender, tooth extraction, use of elastics, and treatment duration were evaluated to identify possible correlations with EARR. Results: The mean EARR observed was $15.44{\pm}12.1pixels$ (5.1% resorption). No differences in the mean EARR were observed according to patient characteristics (gender, age) or treatment parameters (use of elastics, treatment duration). The only parameter that influenced the mean EARR of a patient was the need for tooth extraction. Conclusion: A posteriori registration and subtraction of periapical radiographs was a suitable method to quantify EARR after orthodontic treatment, and the need for tooth extraction increased the extent of root resorption after orthodontic treatment.
Keywords
Root Resorption; Orthodontics; Subtraction Technique; Image Processing; Computer-Assisted; Tooth Extraction;
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1 Ioannidou-Marathiotou I, Papadopoulos MA, Kondylidou-Sidira A, Kokkas A, Karagiannis V. Digital subtraction radiography of panoramic radiographs to evaluate maxillary central incisor root resorption after orthodontic treatment. World J Orthod 2010; 11: 142-52.
2 Ramanathan C, Hofman Z. Root resorption during orthodontic tooth movements. Eur J Orthod 2009; 31: 578-83.   DOI
3 de Freitas MR, Beltrao 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: 143.e15-22.
4 Sharab LY, Morford LA, Dempsey J, Falcao-Alencar G, Mason A, Jacobson E, et al. Genetic and treatment-related risk factors associated with external apical root resorption (EARR) concurrent with orthodontia. Orthod Craniofac Res 2015; 18 Suppl 1: 71-82.   DOI
5 Pereira SA, Lopez M, Lavado N, Abreu JM, Silva H. A clinical risk prediction model of orthodontic-induced external apical root resorption. Rev Port Estomatol Med Dent Cir Maxilofac 2014; 55: 66-72.
6 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: 134-9.   DOI
7 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.   DOI
8 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.   DOI
9 Linge BO, Linge L. Apical root resorption in upper anterior teeth. Eur J Orthod 1983; 5: 173-83.   DOI
10 Zahed Zahedani S, Oshagh M, Momeni Danaei Sh, Roeinpeikar S. A comparison of pical root resorption in incisors after fixed orthodontic treatment with standard edgewise and straight wire (MBT) method. J Dent (Shiraz) 2013; 14: 103-10.
11 Motokawa M, Terao A, Kaku M, Kawata T, Gonzales C, Darendeliler MA, et al. Open bite as a risk factor for orthodontic root resorption. Eur J Orthod 2013; 35: 790-5.   DOI
12 Lempesi E, Pandis N, Fleming P, Mavragani M. A comparison of apical root resorption after orthodontic treatment with surgical exposure and traction of maxillary impacted canines versus that without impactions. Eur J Orthod 2014; 36: 690-7.   DOI
13 Sameshima GT, Sinclair PM. Predicting and preventing root resorption: Part I. Diagnostic factors. Am J Orthod Dentofacial Orthop 2001; 119: 505-10.   DOI
14 Nanekrungsan K, Patanaporn V, Janhom A, Korwanich N. External apical root resorption in maxillary incisors in orthodontic patients: associated factors and radiographic evaluation. Imaging Sci Dent 2012; 42: 147-54.   DOI
15 Mavragani M, Boe OE, Wisth PJ, Selvig KA. Changes in root length during orthodontic treatment: advantages for immature teeth. Eur J Orthod 2002; 24: 91-7.   DOI
16 Jacobson A. A prospective study of apical root resorption during orthodontic treatment and into retention. Am J Orthod Dentofacial Orthop 2001; 119: 457.
17 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: 665-74.   DOI
18 Gegler A, Fontanella V. In vitro evaluation of a method for obtaining periapical radiographs for diagnosis of external apical root resorption. Eur J Orthod 2008; 30: 315-9.   DOI
19 Sunku R, Roopesh R, Kancherla P, Perumalla KK, Yudhistar PV, Reddy VS. Quantitative digital subtraction radiography in the assessment of external apical root resorption induced by orthodontic therapy: a retrospective study. J Contemp Dent Pract 2011; 12: 422-8.
20 Eraso FE, Parks ET, Roberts WE, Hohlt WF, Ofner S. Density value means in the evaluation of external apical root resorption: an in vitro study for early detection in orthodontic case simulations. Dentomaxillofac Radiol 2007; 36: 130-7.   DOI
21 Maues CP, do Nascimento RR, Vilella Ode V. Severe root resorption resulting from orthodontic treatment: prevalence and risk factors. Dental Press J Orthod 2015; 20: 52-8.
22 Mahida K, Agrawal C, Baswaraj H, Tandur AP, Patel B, Chokshi H. Root resorption: an abnormal consequence of the orthodontic treatment. Int J Contemp Dent 2015; 6: 7-9.
23 Sameshima GT, Asgarifar KO. Assessment of root resorption and root shape: periapical vs panoramic films. Angle Orthod 2001; 71: 185-9.
24 Dudic A, Giannopoulou C, Leuzinger M, Kiliaridis S. Detection of apical root resorption after orthodontic treatment by using panoramic radiography and cone-beam computed tomography of super-high resolution. Am J Orthod Dentofacial Orthop 2009; 135: 434-7.   DOI
25 Chibinski AC, Reis A, Kreich EM, Tanaka JL, Wambier DS. Evaluation of primary carious dentin after cavity sealing in deep lesions: a 10- to 13-month follow-up. Pediatr Dent 2013; 35: E107-12.
26 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.   DOI
27 de Freitas JC, Lyra OC, de Alencar AH, Estrela C. Long-term evaluation of apical root resorption after orthodontic treatment using periapical radiography and cone beam computed tomography. Dental Press J Orthod 2013; 18: 104-12.   DOI
28 Roscoe MG, Meira JB, Cattaneo PM. Association of orthodontic force system and root resorption: a systematic review. Am J Orthod Dentofacial Orthop 2015; 147: 610-26.   DOI
29 Tieu LD, Saltaji H, Normando D, Flores-Mir C. Radiologically determined orthodontically induced external apical root resorption in incisors after non-surgical orthodontic treatment of class II division 1 malocclusion: a systematic review. Prog Orthod 2014; 15: 48.   DOI
30 Ono E, Medici Filho E, Faig Leite H, Tanaka JL, De Moraes ME, De Melo Castilho JC. Evaluation of simulated external root resorptions with digital radiography and digital subtraction radiography. Am J Orthod Dentofacial Orthop 2011; 139: 324-33.   DOI
31 Patil SR, Prabhu A, Ranjan R. Quantitative digital subtraction radiography (DSR) as an approach for evaluating crestal alveolar bone density changes around teeth following orthodontic tooth movement. Int J Clin Dent Sci 2011; 2: 94-100.
32 Goorabjavari NM, Talaeipour A, Ezoddini-Ardakani F, Safi Y, Shamloo N. Evaluation of diagnostic efficacy of digital subtraction radiography in the diagnosis of simulated external root resorption: an in vitro study. Health 2015; 7: 439-48.   DOI
33 Eraso FE, Parks ET, Roberts WE, Hohlt WF, Van Dis ML. Digital subtraction evaluation for external apical root resorption in orthodontic case simulations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: E6-7.
34 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.   DOI
35 Heo MS, Lee SS, Lee KH, Choi HM, Choi SC, Park TW. Quantitative analysis of apical root resorption by means of digital subtraction radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 91: 369-73.   DOI
36 Hintze H, Wenzel A, Andreasen FM, Swerin I. Digital subtraction radiography for assessment of simulated root resorption cavities. Performance of conventional and reverse contrast modes. Endod Dent Traumatol 1992; 8: 149-54.   DOI
37 Kravitz LH, Tyndall DA, Bagnell CP, Dove SB. Assessment of external root resorption using digital subtraction radiography. J Endod 1992; 18: 275-84.   DOI
38 Brezniak N, Wasserstein A. Orthodontically induced inflammatory root resorption. Part II: the clinical aspects. Angle Orthod 2002; 72: 180-4.
39 Jacobs C, Gebhardt PF, Jacobs V, Hechtner M, Meila D, Wehrbein H. Root resorption, treatment time and extraction rate during orthodontic treatment with self-ligating and conventional brackets. Head Face Med 2014; 10: 2.   DOI
40 McNab S, Battistutta D, Taverne A, Symons AL. External apical root resorption following orthodontic treatment. Angle Orthod 2000; 70: 227-32.
41 Walker SL, Tieu LD, Flores-Mir C. Radiographic comparison of the extent of orthodontically induced external apical root resorption in vital and root-filled teeth: a systematic review. Eur J Orthod 2013; 35: 796-802.   DOI
42 Jung YH, Cho BH. External root resorption after orthodontic treatment: a study of contributing factors. Imaging Sci Dent 2011; 41: 17-21.   DOI