External root resorption (ERR) and rapid maxillary expansion (RME) at post-retention stage: a comparison between tooth-borne and bone-borne RME

Abstract Background The study aimed to compare external root resorption (ERR) three-dimensionally in subjects treated with tooth-borne (TB) versus bone-borne (BB) rapid maxillary expansion (RME). Forty subjects who received tooth-borne RME (TB group, average age 13.3 years ± 1.10 years) or bone-born...

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Main Authors: Rosalia Leonardi, Vincenzo Ronsivalle, Ersilia Barbato, Manuel Lagravère, Carlos Flores-Mir, Antonino Lo Giudice
Format: Article
Language:English
Published: SpringerOpen 2022-12-01
Series:Progress in Orthodontics
Subjects:
Online Access:https://doi.org/10.1186/s40510-022-00439-y
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author Rosalia Leonardi
Vincenzo Ronsivalle
Ersilia Barbato
Manuel Lagravère
Carlos Flores-Mir
Antonino Lo Giudice
author_facet Rosalia Leonardi
Vincenzo Ronsivalle
Ersilia Barbato
Manuel Lagravère
Carlos Flores-Mir
Antonino Lo Giudice
author_sort Rosalia Leonardi
collection DOAJ
description Abstract Background The study aimed to compare external root resorption (ERR) three-dimensionally in subjects treated with tooth-borne (TB) versus bone-borne (BB) rapid maxillary expansion (RME). Forty subjects who received tooth-borne RME (TB group, average age 13.3 years ± 1.10 years) or bone-borne RME (BB group, average age 14.7 ± 1.15 years) were assessed using CBCT imaging before treatment (T0) and after a 6-month retention period (T1). 3D reconstructions of the radicular anatomy of maxillary first molars (M1), first and second premolars (P1 and P2) were generated to calculate volumetric (mean and percentage values) and shape changes (deviation analysis of the radicular models) obtained at each time point. 2D assessment of radicular length changes was also performed for each tooth. Data were statistically analyzed to perform intra-group (different teeth) and inter-group comparisons. Results In both groups, all the investigated teeth showed a significant reduction in radicular volume and length (p < 0.05), with the first molars being the teeth most affected by the resorption process (volume and palatal root length). When volumetric radicular changes were calculated as a percentage of the pre-treatment volumes, no differences were found among the investigated teeth (p > 0.05). Based on the deviation analysis from radicular models superimposition, the areas most affected by shape change were the apex and bucco-medial root surface. Overall, the amount of ERR was significantly greater in the TB group (mm3: M1 = 17.03, P1 = 6.42, P2 = 5.26) compared to the BB group (mm3: M1 = 3.11, P1 = 1.04, P2 = 1.24). Conclusions Despite the statistical significance, the difference in the amount of ERR of the posterior maxillary dentition between TB-RME and BB-RME remains clinically questionable.
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spelling doaj.art-e4d7a8dcfb1a4a27bbe35a5cd7cfeec42022-12-22T03:50:42ZengSpringerOpenProgress in Orthodontics2196-10422022-12-012311910.1186/s40510-022-00439-yExternal root resorption (ERR) and rapid maxillary expansion (RME) at post-retention stage: a comparison between tooth-borne and bone-borne RMERosalia Leonardi0Vincenzo Ronsivalle1Ersilia Barbato2Manuel Lagravère3Carlos Flores-Mir4Antonino Lo Giudice5Department of General Surgery and Medical-Surgical Specialties, Section of Orthodontics, University of CataniaDepartment of General Surgery and Medical-Surgical Specialties, Section of Orthodontics, University of CataniaDepartment of Oral and Maxillofacial Sciences, School of Dentistry, “Sapienza” University of RomeOrthodontic Graduate Program, University of AlbertaOrthodontic Graduate Program, University of AlbertaDepartment of General Surgery and Medical-Surgical Specialties, Section of Orthodontics, University of CataniaAbstract Background The study aimed to compare external root resorption (ERR) three-dimensionally in subjects treated with tooth-borne (TB) versus bone-borne (BB) rapid maxillary expansion (RME). Forty subjects who received tooth-borne RME (TB group, average age 13.3 years ± 1.10 years) or bone-borne RME (BB group, average age 14.7 ± 1.15 years) were assessed using CBCT imaging before treatment (T0) and after a 6-month retention period (T1). 3D reconstructions of the radicular anatomy of maxillary first molars (M1), first and second premolars (P1 and P2) were generated to calculate volumetric (mean and percentage values) and shape changes (deviation analysis of the radicular models) obtained at each time point. 2D assessment of radicular length changes was also performed for each tooth. Data were statistically analyzed to perform intra-group (different teeth) and inter-group comparisons. Results In both groups, all the investigated teeth showed a significant reduction in radicular volume and length (p < 0.05), with the first molars being the teeth most affected by the resorption process (volume and palatal root length). When volumetric radicular changes were calculated as a percentage of the pre-treatment volumes, no differences were found among the investigated teeth (p > 0.05). Based on the deviation analysis from radicular models superimposition, the areas most affected by shape change were the apex and bucco-medial root surface. Overall, the amount of ERR was significantly greater in the TB group (mm3: M1 = 17.03, P1 = 6.42, P2 = 5.26) compared to the BB group (mm3: M1 = 3.11, P1 = 1.04, P2 = 1.24). Conclusions Despite the statistical significance, the difference in the amount of ERR of the posterior maxillary dentition between TB-RME and BB-RME remains clinically questionable.https://doi.org/10.1186/s40510-022-00439-yRMETooth-borne RMEBone-borne RMEERRRoot resorptionMaxillary expansion
spellingShingle Rosalia Leonardi
Vincenzo Ronsivalle
Ersilia Barbato
Manuel Lagravère
Carlos Flores-Mir
Antonino Lo Giudice
External root resorption (ERR) and rapid maxillary expansion (RME) at post-retention stage: a comparison between tooth-borne and bone-borne RME
Progress in Orthodontics
RME
Tooth-borne RME
Bone-borne RME
ERR
Root resorption
Maxillary expansion
title External root resorption (ERR) and rapid maxillary expansion (RME) at post-retention stage: a comparison between tooth-borne and bone-borne RME
title_full External root resorption (ERR) and rapid maxillary expansion (RME) at post-retention stage: a comparison between tooth-borne and bone-borne RME
title_fullStr External root resorption (ERR) and rapid maxillary expansion (RME) at post-retention stage: a comparison between tooth-borne and bone-borne RME
title_full_unstemmed External root resorption (ERR) and rapid maxillary expansion (RME) at post-retention stage: a comparison between tooth-borne and bone-borne RME
title_short External root resorption (ERR) and rapid maxillary expansion (RME) at post-retention stage: a comparison between tooth-borne and bone-borne RME
title_sort external root resorption err and rapid maxillary expansion rme at post retention stage a comparison between tooth borne and bone borne rme
topic RME
Tooth-borne RME
Bone-borne RME
ERR
Root resorption
Maxillary expansion
url https://doi.org/10.1186/s40510-022-00439-y
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