Long-term evaluation of apical root resorption after orthodontic treatment using periapical radiography and cone beam computed tomography

OBJECTIVE: To evaluate the frequency of Apical Root Resorption (ARR) after orthodontic treatment at 52-288 months using periapical radiography (PR) and cone beam computed tomography (CBCT). METHODS: Radiographic images obtained from 58 patients, before (T1) and after orthodontic treatment (T2), and...

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Main Authors: Jairo Curado de Freitas, Olavo César Porto Lyra, Ana Helena Gonçalves de Alencar, Carlos Estrela
Format: Article
Language:English
Published: Dental Press Editora 2013-08-01
Series:Dental Press Journal of Orthodontics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512013000400015&lng=en&tlng=en
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author Jairo Curado de Freitas
Olavo César Porto Lyra
Ana Helena Gonçalves de Alencar
Carlos Estrela
author_facet Jairo Curado de Freitas
Olavo César Porto Lyra
Ana Helena Gonçalves de Alencar
Carlos Estrela
author_sort Jairo Curado de Freitas
collection DOAJ
description OBJECTIVE: To evaluate the frequency of Apical Root Resorption (ARR) after orthodontic treatment at 52-288 months using periapical radiography (PR) and cone beam computed tomography (CBCT). METHODS: Radiographic images obtained from 58 patients, before (T1) and after orthodontic treatment (T2), and following 52-288 months of treatment were analyzed by three members of the Brazilian Board of Orthodontics. Apical structures were evaluated by PR images (T2 and T3), using Levander and Malmgren scores. The presence of ARR on CBCT images were detected only at T3. The Kolmogorov-Smirnov test was used for statistical analyses, and the level of significance was set at 5%. Kappa statistics determined interobserver agreement. RESULTS: The more frequent ARR were with scores 1 in T2 (51.6%) and T3 (53.1%), when evaluated by PR (p > 0.05). When compared the frequencies of ARR in T3 among PR and CBCT images, the differences were significant for maxillary and mandibular pre-molar groups, and for mandibular molar group (p > 0.05). The teeth with highest frequency of ARR presence using CBCT images were maxillary lateral incisors (94.5%) and mandibular central incisors (87.7%), while the premolars showed the lowest frequency. The CBCT images showed that the teeth involved in orthodontic treatment with extraction present higher ARR frequency (p < 0.05). CONCLUSION: PR showed more frequency of ARR in posterior teeth groups when compared with CBCT images. ARR did not change in long-term post treatment.
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spelling doaj.art-cbf15457b0c74ccfa7b208cfa25bb3582022-12-22T00:27:43ZengDental Press EditoraDental Press Journal of Orthodontics2177-67092013-08-0118410411210.1590/S2176-94512013000400015S2176-94512013000400015Long-term evaluation of apical root resorption after orthodontic treatment using periapical radiography and cone beam computed tomographyJairo Curado de Freitas0Olavo César Porto Lyra1Ana Helena Gonçalves de Alencar2Carlos Estrela3Universidade Federal de GoiásUniversidade Federal de GoiásCardiff UniversityUniversidade Federal de GoiásOBJECTIVE: To evaluate the frequency of Apical Root Resorption (ARR) after orthodontic treatment at 52-288 months using periapical radiography (PR) and cone beam computed tomography (CBCT). METHODS: Radiographic images obtained from 58 patients, before (T1) and after orthodontic treatment (T2), and following 52-288 months of treatment were analyzed by three members of the Brazilian Board of Orthodontics. Apical structures were evaluated by PR images (T2 and T3), using Levander and Malmgren scores. The presence of ARR on CBCT images were detected only at T3. The Kolmogorov-Smirnov test was used for statistical analyses, and the level of significance was set at 5%. Kappa statistics determined interobserver agreement. RESULTS: The more frequent ARR were with scores 1 in T2 (51.6%) and T3 (53.1%), when evaluated by PR (p > 0.05). When compared the frequencies of ARR in T3 among PR and CBCT images, the differences were significant for maxillary and mandibular pre-molar groups, and for mandibular molar group (p > 0.05). The teeth with highest frequency of ARR presence using CBCT images were maxillary lateral incisors (94.5%) and mandibular central incisors (87.7%), while the premolars showed the lowest frequency. The CBCT images showed that the teeth involved in orthodontic treatment with extraction present higher ARR frequency (p < 0.05). CONCLUSION: PR showed more frequency of ARR in posterior teeth groups when compared with CBCT images. ARR did not change in long-term post treatment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512013000400015&lng=en&tlng=enReabsorção da raizTomografia computadorizada de feixe cônico espiralOrtodontia corretiva
spellingShingle Jairo Curado de Freitas
Olavo César Porto Lyra
Ana Helena Gonçalves de Alencar
Carlos Estrela
Long-term evaluation of apical root resorption after orthodontic treatment using periapical radiography and cone beam computed tomography
Dental Press Journal of Orthodontics
Reabsorção da raiz
Tomografia computadorizada de feixe cônico espiral
Ortodontia corretiva
title Long-term evaluation of apical root resorption after orthodontic treatment using periapical radiography and cone beam computed tomography
title_full Long-term evaluation of apical root resorption after orthodontic treatment using periapical radiography and cone beam computed tomography
title_fullStr Long-term evaluation of apical root resorption after orthodontic treatment using periapical radiography and cone beam computed tomography
title_full_unstemmed Long-term evaluation of apical root resorption after orthodontic treatment using periapical radiography and cone beam computed tomography
title_short Long-term evaluation of apical root resorption after orthodontic treatment using periapical radiography and cone beam computed tomography
title_sort long term evaluation of apical root resorption after orthodontic treatment using periapical radiography and cone beam computed tomography
topic Reabsorção da raiz
Tomografia computadorizada de feixe cônico espiral
Ortodontia corretiva
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512013000400015&lng=en&tlng=en
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