Efficacy of maxillary molar intrusion and quantification of related external apical root resorption - A comparison of two approaches.
Orthod Craniofac Res
; 27(5): 733-739, 2024 Oct.
Article
em En
| MEDLINE
| ID: mdl-38646929
ABSTRACT
OBJECTIVE:
This retrospective single-centre study aimed to compare the efficacy of maxillary second molar intrusion with two different approaches, miniscrew-assisted molar intrusion and traditional segmental archwire intrusion, and to compare orthodontically induced external apical root resorption (OIERR) during intrusion between two groups via cone beam computed tomography (CBCT). MATERIALS ANDMETHODS:
A total of 40 adult patients (33.6 ± 10.3 years old) with supraerupted maxillary second molars due to the loss of antagonistic teeth were recruited, with 20 patients in each group. A segmental archwire with adjacent teeth as an anchorage was used in the control group, and 60-100 g of intrusive force was applied by using miniscrews in the experimental group to intrude the overerupted molars. Full-volume CBCT was performed before and after intrusion, and the amount of intrusion and extent of OIERR of the overerupted molars were compared between the two groups.RESULTS:
Supraerupted maxillary second molars could be successfully intruded in an average of 5 months. There was more intrusive movement of the buccal and palatal cusps in the mininscrew group than that in the segmental archwire group (P < .05). The intrusive amount of palatal cusp was 3.67 ± 1.13 mm in the miniscrew group and 2.38 ± 0.74 mm in the segmental archwire group. More palatal OIERR was observed in the miniscrew group (30.3 ± 11.6 mm3) than in the segmental archwire group (21.0 ± 8.66 mm3) (P = .0063). There was no significant difference in OIERR between the two groups for mesial and distal buccal roots (P > .05).CONCLUSION:
Miniscrews help effectively with supraerupted maxillary second molar intrusion, especially for palatal cusps. There was more OIERR in the palatal root when using miniscrews compared to the segmental archwire approach.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Reabsorção da Raiz
/
Técnicas de Movimentação Dentária
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Procedimentos de Ancoragem Ortodôntica
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Tomografia Computadorizada de Feixe Cônico
/
Maxila
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Dente Molar
Limite:
Adult
/
Female
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Humans
/
Male
Idioma:
En
Revista:
Orthod Craniofac Res
/
Orthod. craniofac. res
/
Orthodontics & craniofacial research
Assunto da revista:
ODONTOLOGIA
/
ORTODONTIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China