Orthodontic treatment may have potential of inducing cervical root resorption

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2022-12-10T05:15:11+05:30 | Updated On 10 Dec 2022 11:44 AM IST

Orthodontic treatment may have the potential to induce cervical root resorption suggests a recent study published in the European journal of dentistry.

Cervical root resorption is an uncommon, aggressive form of external resorption that occurs on the root surface of a permanent tooth and presents clinically as a characteristic pinkish discolouration of the tooth. The cause of cervical root resorption is poorly understood, and it has been suggested that orthodontic treatment may play a role in causing this pathological condition.

The aim of this systematic review was to investigate whether orthodontic treatment could be considered as a risk factor of cervical root resorption in patients who had undergone fixed appliances therapy. A comprehensive electronic and manual search was conducted in four databases and six journals without any limitations on year of publication. A customized data extraction form was used to retrieve relevant information from each eligible study. Risk of bias was assessed using the Cochrane risk of bias tool (RoB 2) and the risk of bias in nonrandomized studies of interventions tool (ROBINS-I). The quality of evidence was assessed using the grading of recommendations, assessment, development, and evaluation (GRADE) approach. The review included two randomized clinical trials (RCTs) and one cohort study. Risk of bias was assessed as high for both RCTs and critical for the cohort study. Conflicting results were reported by the studies included in this review. Both RCTs reported significant differences between orthodontically moved teeth and teeth that were not moved, while the cohort study reported a lack of association between fixed orthodontic treatment and cervical root resorption. Quality of evidence provided by this review was judged to be of very low quality.

Orthodontic treatment may have potential in inducing cervical root resorption; however, due to the high risk of bias of the included studies and their conflicting findings, better-quality studies are needed to make definitive conclusions.

Reference:

Khaled Khalaf , Shahd Mustafa , Tamara Maarouf. Is Orthodontic Treatment a Risk Factor of Cervical Root Resorption? A Systematic Review. CC BY 4.0 · Eur J Dent 2022; 16(04): 729-736. DOI: 10.1055/s-0041-1742127

orthodontic treatmentcervical root resorptiontooth movementsystematic reviewEuropean Journal of Dentistry.

Source : European journal of dentistry

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751