Unilateral maxillary central incisor root resorption after orthodontic treatment for Angle Class II, division 1 malocclusion with significant maxillary midline deviation: A possible correlation with root proximity to the incisive canal
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Root resorption can be caused by several factors, including contact with the cortical bone. Here we report a case involving a 21-year-old female with Angle Class II, division 1 malocclusion who exhibited significant root resorption in the maxillary right central incisor after orthodontic treatment. The patient presented with significant left-sided deviation of the maxillary incisors due to lingual dislocation of the left lateral incisor and a Class II molar relationship. Cephalometric analysis demonstrated a Class I skeletal relationship (A pointnasion- B point, 2.5o) and proclined maxillary anterior teeth (upper incisor to sella-nasion plane angle, 113.4o). The primary treatment objectives were the achievement of stable occlusion with midline agreement between the maxillary and mandibular dentitions and appropriate maxillary anterior tooth axes and molar relationship. A panoramic radiograph obtained after active treatment showed significant root resorption in the maxillary right central incisor; therefore, we performed cone-beam computed tomography, which confirmed root resorption along the cortical bone around the incisive canal. The findings from this case, where different degrees of root resorption were observed despite comparable degrees of orthodontic movement in the bilateral maxillary central incisors, suggest that the incisive canal could be an inducing factor for root resorption. However, further investigation is necessary to confirm this assumption.
Abstract
Root resorption can be caused by several factors, including contact with the cortical bone. Here we report a case involving a 21-year-old female with Angle Class II, division 1 malocclusion who exhibited significant root resorption in the maxillary right central incisor after orthodontic treatment. The patient presented with significant left-sided deviation of the maxillary incisors due to lingual dislocation of the left lateral incisor and a Class II molar relationship. Cephalometric analysis demonstrated a Class I skeletal relationship (A pointnasion- B point, 2.5o) and proclined maxillary anterior teeth (upper incisor to sella-nasion plane angle, 113.4o). The primary treatment objectives were the achievement of stable occlusion with midline agreement between the maxillary and mandibular dentitions and appropriate maxillary anterior tooth axes and molar relationship. A panoramic radiograph obtained after active treatment showed significant root resorption in the maxillary right central incisor; therefore, we performed cone-beam computed tomography, which confirmed root resorption along the cortical bone around the incisive canal. The findings from this case, where different degrees of root resorption were observed despite comparable degrees of orthodontic movement in the bilateral maxillary central incisors, suggest that the incisive canal could be an inducing factor for root resorption. However, further investigation is necessary to confirm this assumption.
참고문헌 (24)
- Weltman B, "Root resorption associated with orthodontic tooth movement : a systematic review", Am J Orthod Dentofacial Orthop, 137, pp.462~476 (2010)
- Li F, "Comparison of anchorage capacity between implant and headgear during anterior segment retraction : a systematic review", Angle Orthod, 81, pp.915~922 (2011)
- Otis LL, "Bone structure effect on root resorption", Orthod Craniofac Res, 7, pp.165~177 (2004)
- Horiuchi A, "Correlation between cortical plate proximity and apical root resorption", Am J Orthod Dentofacial Orthop, 114, pp.311~318 (1998)
- Chung CJ, "Approximation and contact of the maxillary central incisor roots with the incisive canal after maximum retraction with temporary anchorage devices: report of 2 patients", Am J Orthod Dentofacial Orthop, 148, pp.493~502 (2015)
- Cho EA, "Morphologic evaluation of the incisive canal and its proximity to the maxillary central incisors using computed tomography images", Angle Orthod, 86, pp.571~576 (2016)
- Roscoe MG, "Association of orthodontic force system and root resorption : a systematic review", Am J Orthod Dentofacial Orthop, 147, pp.610~626 (2015)
- Fox N, "Longer orthodontic treatment may result in greater external apical root resorption", Evid Based Dent, 6, pp.21~ (2005)
- Iizuka T, "Normal standards for various cephalometric analysis in Japanese adult", J Stomatol Soc, 25, pp.260~272 (1958)
- Park JH, "3-Dimensional cone-beam computed tomography superimposition : a review", Semin Orthod, 21, pp.263~273 (2015)
- Segal GR, "Meta analysis of the treatment-related factors of external apical root resorption", Orthod Craniofac Res, 7, pp.71~78 (2004)
- Owman-Moll P, "Root resorption after orthodontic treatment in high-and low-risk patients : analysis of allergy as a possible predisposing factor", Eur J Orthod, 22, pp.657~663 (2000)
- Nieto-Nieto N, "External apical root resorption concurrent with orthodontic forces : the genetic influence", Acta Odontol Scand, 75, pp.280~287 (2017)
- Baumrind S, "Apical root resorption in orthodontically treated adults", Am J Orthod Dentofacial Orthop, 110, pp.311~320 (1996)
- Bishara SE, "Changes in root length from early to mid-adulthood : resorption or apposition", Am J Orthod Dentofacial Orthop, 115, pp.563~568 (1999)
- Malmgren O, "Root resorption after orthodontic treatment of traumatized teeth", Am J Orthod, 82, pp.487~491 (1982)
- Sameshima GT, "Characteristics of patients with severe root resorption", Orthod Craniofac Res, 7, pp.108~114 (2004)
- Lee RY, "Are dental anomalies risk factors for apical root resorption in orthodontic patients", Am J Orthod Dentofacial Orthop, 116, pp.187~195 (1999)
- Han G, "Root resorption after orthodontic intrusion and extrusion : an intraindividual study", Angle Orthod, 75, pp.912~918 (2005)
- Parker RJ, "Directions of orthodontic tooth movements associated with external apical root resorption of the maxillary central incisor", Am J Orthod Dentofacial Orthop, 114, pp.677~683 (1998)
- Pan Y, "Contact of the incisive canal and upper central incisors causing root resorption after retraction with orthodontic mini-implants : A CBCT study", Angle Orthod, 89, pp.200~205 (2019)
- Arpita Rai Thakur, "Anatomy and morphology of the nasopalatine canal using cone-beam computed tomography", Imaging Science in Dentistry, 43(4), pp.273~281 (2013), 대한영상치의학회
- Al-Amery SM, "Cone beam computed tomography assessment of the maxillary incisive canal and foramen : considerations of anatomical variations when placing immediate implants", PLoS One, 10, pp.e0117251~ (2015)
- Matsumura T, "Quantitative analysis of the relationship between maxillary incisors and the incisive canal by cone-beam computed tomography in an adult Japanese population", Prog Orthod, 18, pp.24~ (2017)