Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2014; 114(4): 94-102 | DOI: 10.51479/cspzl.2014.016

Resorption of Root Apex during Orthodontic Tooth Intrusion Using Light and Heavy Forces

I. Marek1, J. Kučera1,2, M. Kamínek1,*
1 Klinika zubního lékařství LF UP a FN, Olomouc
2 Ústav klinické a experimentální stomatologie 1. LF UK a VFN, Praha

Introduction, aim: The aim of this prospective study was to find a relationship between the external apical resorption and magnitude of orthodontic force during tooth intrusion. Relationship between the amount of intrusion and the extent of root resorption was investigated as well.

Methods: The sample included 34 premolars in 17 patients. The light force (LF - 50 cN) and heavy intrusion force (HF - 150 cN) were applied on contra-lateral teeth. The measurements were performed at time before treatment (T0) and after six-month intrusion (T1). The measurements were registered also on the extracted premolars at the end of experiment. Two clinical parameters, four Cone Beam CT parameters and two parameters on extracted teeth were evaluated. The differences were statistically processed with two-sample t-test.

Results: The extent of intrusion was significantly greater during heavy force activation; it was almost three times higher in comparison with light force (4.64 mm compared to 1.53 mm). The tooth was shortened at vestibular site in both groups (0.31 mm in LF and 0.67 mm in HF). However, the difference between both groups was not statistically significant (p = 0.06). The significantly shortened tooth was at palatal site in both groups (0.49 mm and 0.75 mm) and the difference was also not significant (p = 0.37). In comparison of root lengths, they were significantly shorter at vestibular site (0.49 mm and 0.75 mm), but the difference between groups was not significant (p = 0.18).

Conclusion: Heavy forces lead to a more extensive intrusion in comparison with light forces. Significant root length shortening occurs after the intrusion with both 50 cN and 150 cN force. The relationship between the amount of intrusion force or the extent of intrusion and the apical root resorption was not confirmed.

Keywords: intrusion; light and heavy intrusion force; apical root resorption; premolar

Published: December 1, 2014  Show citation

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Marek I, Kučera J, Kamínek M. Resorption of Root Apex during Orthodontic Tooth Intrusion Using Light and Heavy Forces. Čes. stomatol. Prakt. zub. lék. 2014;114(4):94-102. doi: 10.51479/cspzl.2014.016.
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    References

    1. Alexander, S. A.: Levels of root resorption associated with continuous arch and sectional arch mechanics. Amer. J. Orthodont. dentofacial Orthop., roč. 110, 1996, č. 3, s. 321-324. Go to original source... Go to PubMed...
    2. Al-Qawasmi, R. A., Hartsfield, Jr. J. K., Everett, E. T., Flury, L., Liu, L., Foroud, T. M., Macri, J. V., Roberts, W. E.: Genetic predisposition to apical root resorption. Amer. J. Orthodont. dentofacial Orthop., roč. 123, 2003, č. 3, s. 242-252. Go to original source... Go to PubMed...
    3. Årtun, J., Smale, I., Behbehani, F., Doppel, D., Van't Hof, M., Kuijpers-Jagtman, A. M.: Apical root resorption six and 12 months after initiation of fixed orthodontic appliance therapy. Angle Orthodont., roč. 75, 2005, č. 6, s. 919-926.
    4. Ballard, D., Chan, E., Petocz, P., Darendeliler, M. A.: Comparison of root resorption after 4 versus 8 weeks of light and heavy forces. Book of abstracts, 83rd Congress EOS, Berlin, 20.-24. 6. 2007.
    5. Beck, B. W., Harris, E. F.: Apical root resorption in orthodontically treated subjects: Analysis of edgewise and light wire mechanics. Amer. J. Orthodont. dentofacial Orthop., roč. 105, 1994, č. 4, s. 350-361. Go to original source... Go to PubMed...
    6. Burstone, C. J., van Steenbergen, E., Hanley, K.: Modern edgewise mechanics and the segmented arch technique. Farmigton, Department of Orthodontics University of Connecticut Health Center, 1995, s. 121.
    7. Capan, C., Isik, F., Arun, T.: Tooth movement characteristics with different amounts of forces. Book of abstracts, 81. kongres EOS, Amsterdam, 3.-7. 6. 2005.
    8. Carrillo, R., Roossouw, E., Franco, P. F., Opperman, L. A., Buschang, P. H.: Intrusion of multiradicular teeth and related root resorption with mini-screw implant anchorage : A radiographic evaluation. Amer. J. Orthod. dentofacial. Orthop., roč. 132, 2007, č. 5, s. 647-655. Go to original source... Go to PubMed...
    9. Casa, M. A., Faltin, R. M., Faltin, K., Sander, F. G., Arana-Chavez, V. E.: Root resorptions in upper first premolars after application of continuous torque moment. Intra-individual study. J. Orofac. Orthop., roč. 62, 2001, č. 4, s. 285-295. Go to original source... Go to PubMed...
    10. Costopoulos, G., Nanda, R.: An evaluation of root resorption incident to orthodontic intrusion. Amer. J. Orthodont. dentofacial Orthop., roč. 109, 1996, č. 5, s. 543-548. Go to original source... Go to PubMed...
    11. Dahlberg, G.: Statistical methods for medical and biological students. London: George Allen Unwin, 1940.
    12. Dellinger, E. L.: A histologic and cephalometric investigation of premolar intrusion in the Macaca speciosa monkey. Amer. J. Orthodont., roč. 53, 1967, č. 5, s. 325-355. Go to original source... Go to PubMed...
    13. Dermaut, L. R., De Munck, A.: Apical root resorption of upper incisors caused by intrusive tooth movement: A radiographic study. Amer. J. Orthodont. dentofacial Orthop., roč. 90, 1986, č. 4, s. 321-326. Go to original source... Go to PubMed...
    14. DeShields, R. W.: A study of root resorption in treated Clas II Division 1 malocclusion. Angle Orthodont., roč. 39, 1969, s. 231-245.
    15. Dorow, C., Sander, F. G.: Development of a model for the simulation of orthodontic load first premolars using the finite element method. J. Orofac. Orthop., roč. 66, 2005, č. 3, s. 208-218. Go to original source... Go to PubMed...
    16. Ericson, S., Kurol, J.: Resorption of incisors after ectopic eruption of maxillary canines: A CT study. Angle Orthodont., roč. 70, 2000, č. 6, s. 415-423.
    17. Faltin, R. M., Arana-Chavez, V. E., Faltin, K., Sander, F. G., Wichelhaus, A.: Root resorption in upper first premolar after application of continuous intrusive forces. J. Orofac. Orthop., roč. 59, 1998, č. 4, s. 208-219. Go to original source... Go to PubMed...
    18. Faltin, R. M., Faltin, K., Sander, F. G., Arana-Chavez, V. E.: Ultrastructure of cementum and periodontal ligament after continuous intrusion in humans: a transmission electron microscopy study. Eur. J. Orthodont., roč. 23, 2001, č. 1, s. 35-49. Go to original source... Go to PubMed...
    19. de Freitas, M. R., Beltrao, R. T., Janson, G., Henriques, J. F., Chiquete, K.: Evaluation of root resorption after open bite treat-ment with and without extractions. Amer. J. Orthod. dentofacial.Orthop., roč. 132, 2007, č. 2, s. 143-144. Go to original source... Go to PubMed...
    20. Gonzales, C., Hotokezaka, H., Yoshimatsu, M., Darendeliler, M. A., Yoshida, N.: Force magnitude and durativ effects on amount of tooth movement and root resorptionin the rat molar. Angle. Orthodont., roč. 78, 2007, č. 3, s. 502-509. Go to original source...
    21. Harris, D. A., Jones, A. S., Darendeliler, M. A.: Physical properties of root cementum: Part 8. Volumetric analysis of root resorption craters after application of controlled intrusive light and heavy orthodontic forces: A microcomputed tomography scan study. Amer. J. Orthod. dentofacial. Orthop., roč. 130, 2006, č. 5, s. 639-647. Go to original source... Go to PubMed...
    22. Harry, M. R., Sims, M. R.: Root resorption in bicuspid intrusion: a scanning electromicroscopic study. Angle Orthodont., roč. 52, 1982, č. 3, s. 235-258.
    23. Hendrix, I., Carels, C., Kuijpers-Jagtman, A. M., Van'T Hof, M. V.: A radiographic study of posterior apical root resorption in orthodontic patients. Amer. J. Orthodont. dentofacial Orthop., roč. 105, 1994, č. 4, s. 345-349. Go to original source... Go to PubMed...
    24. Hofman, Z.: Resorpce v souvislosti s ortodontickou léčbou. Atestační práce z ortodoncie, 2005.
    25. Hohmann, A., Wolfram, U., Geiger, M., Boryor, A., Sander, C., Faltin, R., Faltin, K., Sandler, F. G.: Periodontal ligament hydrostatic pressure with areas of root resorption after application of a continuous torque moment. Angle Orthodont., roč. 77, 2007, č. 4, s. 653-659. Go to original source...
    26. Chan, E., Darendeliler, M. A., Petocz, P., Jones, A. S.: A new method for volumetric measurement of orthodontically induced root resorption craters. Eur. J. Oral Sci., roč. 112, 2004, č. 2, s. 134-139. Go to original source... Go to PubMed...
    27. Chan, E., Darendeliler, M. A.: Physical properties of root cementum: Part 5. Volumetric analysis of root resorption craters after application of light and heavy orthodontic forces. Amer. J. Orthod. dentofacial. Orthop., roč. 127, 2005, č. 2, s. 186-195. Go to original source... Go to PubMed...
    28. Chan, E., Darendeliler, M. A.: Physical properties of root cementum: Part 7. Extent of root resorption under areas of compression and tension. Amer. J. Orthod. dentofacial. Orthop., roč. 129, 2006, č. 4, s. 504-510. Go to original source... Go to PubMed...
    29. Kamínek, M., Štefková, M.: Ortodoncie II. 1. vydání Olomouc: SPN, 1991, s. 32-39.
    30. Kjaer, I.: Morphological characteristics of dentitions developing excessive root resorption during orthodontic treatment. Eur. J. Orthodont., roč. 17, 1995, č. 1, s. 25-34. Go to original source... Go to PubMed...
    31. Kurol, J., Owman-Moll, P., Lundgren, D.: Time-related root resorption after application of a controlled continuous orthodontic force. Amer. J. Orthodont. dentofacial Orthop., roč. 110, 1996, č. 3, s. 303-310. Go to original source... Go to PubMed...
    32. Kurol, J., Owman-Moll, P.: Hyalinization and root resorption during early orthodontic tooth movement in adolescents. Angle Orthodont., roč. 68, 1998, č. 2, s. 161-165.
    33. Levander, E., Bajka, R., Malmgren, O.: Early radiographic diagnosis of apical root resorption during orthodontic treatment: a study of maxillary incisors. Eur. J. Orthodont., roč. 20, 1998, č. 1, s. 57-63. Go to original source... Go to PubMed...
    34. Linge, B. O., Linge, L.: Apical root resorption in upper anterior teeth. Eur. J. Orthodont., roč. 5, 1983, č. 3, s. 173-183. Go to original source... Go to PubMed...
    35. Maltha, J. C., Dijkman, G. E. H. M.: Discontinuous forces cause less extensive root resorption than continuous forces. Eur. J. Orthodont., roč. 18, 1996, s. 420.
    36. Marek, I., Kučera, J., Kamínek, M.: Remodelace kosti alveolárního výběžku během ortodontické intruze s použitím malých a velkých sil. Ortodoncie, roč. 22, 2013, č. 4, s. 211-223.
    37. Marek, I., Špidlen, M., Kamínek, M.: Resorpce apexu kořene řezáků III. Vliv typů léčby a rizikové faktory. Ortodoncie, roč. 10, 2001, č. 2, s. 26-33.
    38. McFadden, W. M., Engstrom, C., Engstrom, H., Anholm, J. M.: A study of the relationship between incisor intrusion and root shortening. Amer. J. Orthodont. dentofacial Orthop., roč. 96, 1989, č. 5, s. 390-396. Go to original source... Go to PubMed...
    39. McNab, S., Battistutta, D., Taverne, A., Symons, A. L.: External apical root resorption following orthodontic treatment. Angle Orthodont., roč. 70, 2000, č. 3, s. 227-232.
    40. Mirabella, A. D., Årtun, J.: Risk factors for apical root resorption of maxillary anterior teeth in adult orthodontic patients. Amer. J. Orthodont. dentofacial Orthop., roč. 108, 1995, č. 1, s. 48-55. Go to original source... Go to PubMed...
    41. Murakami, T., Yokota, S., Takahama, Y.: Periodontal ganges after experimentally induced intrusion of the upper incisors in Macaca fuscata monkeys. Amer. J. Orthod. dentofacial Orthop., roč. 95, 1989, č. 2, s. 115-126. Go to original source... Go to PubMed...
    42. Oppenheim, A.: Human tissue response to orthodontic intervention of short and long duration. Amer. J. Orthodont., roč. 28, 1942, s. 263-301. Go to original source...
    43. Owman-Moll, P., Kurol, J., Lundgren, D.: The effects of a four-fold increased orthodontic force magnitude on tooth movement and root resorptions. An intra-individual study in adolescents. Eur. J. Orthodont., roč. 18, 1996, č. 3, s. 287-294. Go to original source... Go to PubMed...
    44. Owman-Moll, P., Kurol, J.: The early reparative process of orthodontically induced root resorption in adolescents - location and type of tissue. Eur. J. Orthodont., roč. 20, 1998, č. 6, s. 727-732. Go to original source... Go to PubMed...
    45. Parker, R. J., Harris, E. F.: Directions of orthodontic tooth movements associated with external apical root resorption of the maxillary central incisor. Amer. J. Orthodont. dentofacial Orthop., roč. 114, 1998, č. 6, s. 677-683. Go to original source... Go to PubMed...
    46. Reitan, K.: Initial tissue behavior during apical root resorption. Angle Orthodont., roč. 44, 1974, č. 1, s. 68-82.
    47. Reitan, K., Rygh, P.: Biomechanical principles and reactions. In Graber, T. M., Vanarsdall, Jr., R. L.: Orthodontics current principles and techniques. 2nd ed. St. Louis, Mosby - Year Book, 1994, s. 96-192.
    48. Ren, Y., Maltha, J. C.: Age effect on orthodontic tooth movement in rats. J. Dent. Res., roč. 82, 2003, s. 38-42. Go to original source... Go to PubMed...
    49. Spence, T. M.: A prospective study of apical root resorption during orthodontic treatment and into retention. Amer. J. Orthodont. dentofacial Orthop., roč. 119, 2001, č. 4, s. A1. Go to original source...
    50. VanLoenen, M., dePauw, G., Dermaut, L.: Apical root resorption of upper incisors caused by torque using the tip-edge appliance. Book of abstracts, 81 kongres EOS, Amsterdam, 3.-7. 6. 2005.
    51. VonderAhe, G.: Postretention status of maxillary incisors with root-end resorption. Angle Orthodont., roč. 43, 1973, č. 3, s. 247-255.

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