Citation Information :
Aldeeri A, Alhammad L, Alduham A, Ghassan W, Shafshak S, Fatani E. Association of Orthodontic Clear Aligners with Root Resorption Using Three-dimension Measurements: A Systematic Review. J Contemp Dent Pract 2018; 19 (12):1559-1565.
Aim: This paper aims to assess the evidence in the literature reporting orthodontically induced inflammatory root resorption (OIIRR) in treatment with orthodontic clear aligners using 3D measurements.
Materials and methods: Following preferred reporting Items for systematic reviews (PRISMA) statement, eight electronic databases were searched for relevant published and unpublished records. Data collected according to restricted inclusion and exclusion criteria.
Results: A total of 236 articles were identified as relevant to our topic. Duplicates were excluded resulting in 226 papers, out of which 31 papers were relevant after screening titles and abstracts. Only 2 high-level evidence papers out of the 31 met the inclusion criteria for the qualitative synthesis.
Conclusion: Based on the available studies with high level of evidence in the literature, we conclude that orthodontic clear aligners are non-inferior to light-force fixed orthodontic appliances, and superior to heavy-force fixed orthodontic appliances in terms of the risk for developing apical root resorption.
Clinical significance: Orthodontists can be more assured about the low-risk of OIIRR associated with clear aligners compared to other orthodontic treatment modalities, and it remains up to the practitioner\'s assessment to select the appropriate treatment on a case by case basis.
Topkara A, Karaman AI, Kau CH. Apical root resorption caused by orthodontic forces: A brief review and a long-term observation. Eur J Dent. 2012;6(4):445-453.
Fuss Z, Tsesis I, Lin S. Root resorption--diagnosis, classification and treatment choices based on stimulation factors. Dent Traumatol. 2003;19(4):175-482.
Jiménez Montenegro VC, Jones A, Petocz P, Gonzales C, Darendeliler MA. Physical properties of root cementum: Part
Root resorption after the application of light and heavy extrusive orthodontic forces: A microcomputed tomography study. Am J Orthod Dentofac Orthop. 2012;141(1):7-8.
Brezniak N, Wasserstein A. Orthodontically induced inflammatory root resorption. Part I: the basic science aspects. The Angle Orthodontist. 2002 Apr;72(2):175-9.
Hendrix I, Carels C, Kuijpers-Jagtman a M, Van'T Hof M. A radiographic study of posterior apical root resorption in orthodontic patients. Am J Orthod Dentofacial Orthop. 1994;105(4):345-349.
Janson GRP, De Luca Canto G, Rodrigues Martins D, Castanha Henriquesand JF, De Freitas MR. A radiographic comparison of apical root resorption after orthodontic treatment with 3 different fixed appliance techniques. Am J Orthod Dentofac Orthop. 2000;118(3):262-273.
Liu Y, Guo H. [Comparison of root resorption between selfligating and conventional brackets using cone-beam CT]. Shanghai Kou Qiang Yi Xue. 2016;25(2):238-241.
Roscoe MG, Meira JBC, Cattaneo PM. Association of orthodontic force system and root resorption: A systematic review. Am J Orthod Dentofac Orthop. 2015;147(5):610-626.
Di Biase AT, Woodhouse NR, Papageorgiou SN, Johnson N, Slipper C, Grant J, et al. Effect of supplemental vibrational force on orthodontically induced inflammatory root resorption: A multicenter randomized clinical trial. Am J Orthod Dentofac Orthop. 2016;150(6):918-927.
Barbagallo LJ, Jones AS, Petocz P, Darendeliler MA. Physical properties of root cementum: Part 10. Comparison of the effects of invisible removable thermoplastic appliances with light and heavy orthodontic forces on premolar cementum. A microcomputed-tomography study. Am J Orthod Dentofac Orthop. 2008;133(2):218-227.
King AD, Turk T, Colak C, Elekdag-Turk S, Jones AS, Petocz P, et al. Physical properties of root cementum: Part 21. Extent of root resorption after the application of 2.5° and 15° tips for 4 weeks: A microcomputed tomography study. Am J Orthod Dentofac Orthop. 2011;140(11):e299-305.
Jiménez Montenegro VC, Jones A, Petocz P, Gonzales C, Darendeliler MA. Physical properties of root cementum: Part 22. Root resorption after the application of light and heavy extrusive orthodontic forces: A microcomputed tomography study. Am J Orthod Dentofac Orthop. 2012;141(1):1-4.
Fowler B. A comparison of root resorption between Invisalign treatment and contemporary orthodontic treatment.[A Thesis Presented to The Faculty of The USC Graduate School University Of Southern California]. 2010;(May).
Gay G, Ravera S, Castroflorio T, Garino F, Rossini G, Parrini S, et al. Root resorption during orthodontic treatment with Invisalign®: a radiometric study. Prog Orthod. 2017;18(1):12.
Iglesias-Linares A, Sonnenberg B, Solano B, Yañez-Vico RM, Solano E, Lindauer SJ, et al. Orthodontically induced external apical root resorption in patients treated with fixed appliances vs removable aligners. Angle Orthod. 2017;87(1): 3-10.
Elhaddaoui R, Qoraich HS, Bahije L, Zaoui F. Orthodontic aligners and root resorption: A systematic review. Vol. 15, International Orthodontics. 2017. p. 1-12.
Agrawal JM, Agrawal MS, Nanjannawar LG, Parushetti AD. CBCT in orthodontics: The wave of future. J Contemp Dent Pract. 2013;14(1):153-157.
Moher D, Liberati A, Tetzlaff J, Altman DG, Altman D, Antes G, et al. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med. 2009;6(7).
Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.handbook.cochrane.org.
Taylor J. Metcalf. Comparison of external apical root resorption in Class I subjects treated with Invisalign and conventional orthodontics A CBCT analysis [A Thesis Presented to the Faculty of Graduate Education of Saint Louis University]. 2016;28-45.
Hartsfield JK, Everett ET, Al-Qawasmi RA. Hartsfield Jr JK, Everett ET, Al-Qawasmi RA. Genetic factors in external apical root resorption and orthodontic treatment. Critical Reviews in Oral Biology & Medicine. 2004 Mar;15(2):115-122. Crit Rev Oral Biol Med. 2004;15(2):115-122.
Brezniak N, Wasserstein A. Orthodontically Induced Inflammatory Root Resorption. Part II: The Clinical Aspects. 2009;72(2):1-2.
Lopes Filho H, Maia LEG, Araújo MVA, Ruellas ACO. Lopes Filho H, Maia LE, Araújo MV, Ruellas AC. Influence of optical properties of esthetic brackets (color, translucence, and fluorescence) on visual perception. American Journal of Orthodontics and Dentofacial Orthopedics. 2012 Apr 1;141(4):460-467. Am J Orthod Dentofac Orthop. 2012;141(4):460-467.
Sombuntham NP, Songwattana S, Atthakorn P, Jungudomjaroen S, Panyarachun B. Early tooth movement with a clear plastic appliance in rats. Am J Orthod Dentofac Orthop. 2009;136(1): 75-82.
Cassetta M, Altieri F, Pandolfi S, Giansanti M. The combined use of computer-guided, minimally invasive, flapless corticotomy and clear aligners as a novel approach to moderate crowding: A case report. Korean J Orthod. 2017;47(2):130-141.
Scarfe WC, Farman AG, Sukovic P. Clinical Applications of Cone-Beam Computed Tomography in Dental Practice. J Can Dent Assoc. 2006;72(1):75-80.
Katsumata A, Fujishita M, Maeda M, Ariji Y, Ariji E, Langlais RP. Katsumata A, Fujishita M, Maeda M, Ariji Y, Ariji E, Langlais RP. 3D-CT evaluation of facial asymmetry. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2005 Feb 1;99(2):212-20. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2005;99(2): 212-220.
Maeda M, Katsumata A, Ariji Y, Muramatsu A, Yoshida K, Goto S, et al. Maeda M, Katsumata A, Ariji Y, Muramatsu A, Yoshida K, Goto S, Kurita K, Ariji E. 3D-CT evaluation of facial asymmetry in patients with maxillofacial deformities. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2006 Sep 1;1. 2006;102(3):382-390.
Tuncer BB, Ataç MS, Yüksel S. Tuncer BB, Ataç MS, Yüksel S. A case report comparing 3-D evaluation in the diagnosis and treatment planning of hemimandibular hyperplasia with conventional radiography. Journal of Cranio-Maxillofacial Surgery. 2009 Sep 1;37(6):312-319. J Cranio-Maxillofacial Surg. 2009;37(6):312-319.
Gribel BF, Gribel MN, Frazão DC, McNamara JA, Manzi FR. Accuracy and reliability of craniometric measurements on lateral cephalometry and 3D measurements on CBCT scans. Angle Orthod. 2011;81(1):28-37.
Durack C, Patel S, Davies J, Wilson R, Mannocci F. Diagnostic accuracy of small volume cone beam computed tomography and intraoral periapical radiography for the detection of simulated external inflammatory root resorption. 2011;c: 136-147.
Dudic A, Giannopoulou C, Leuzinger M, Kiliaridis S. Detection of apical root resorption after orthodontic treatment by using panoramic radiography and cone-beam computed tomography of super-high resolution. American Journal of Orthodontics and Dentofacial. 2009;1;135(4):434-437.