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Morphological Research of Incisor Root Resorption After Camouflaged Orthodontic Treatment of Adult Skeletal Class III Malocclusion

Received: 8 May 2023     Accepted: 26 May 2023     Published: 29 May 2023
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Abstract

Objective: CBCT and Mimics software were performed to investigate the incisor root resorption after camouflaged orthodontic treatment of adult skeletal class III malocclusion. Methods: Thirty permanent dentition adult patients with skeletal class III malocclusion were included in orthodontic department. CBCT data of each patient at pretreatment and posttreatment were acquired and three-dimensional (3D) digital models were reconstructed. Image registration was performed of each incisor 3D model before and after camouflaged treatment. Observation, classification and statistics of 3D model overlap were performed, as well as the morphological changes of root resorption were described. Results: (1) Either the upper or lower incisors, slope form resorption had the most percentage (49.17%, 46.67%; 51.67%, 49.16%), followed by cone-shaped form resorption, and flat form resorption had the less percentage. In the upper incisors, the root resorption was mainly in the lingual-labial direction (46.67%, 41.67%), while in the lower incisors, it was in the labial-lingual direction. (2) The result of Kappa consistency test is good (K=0.471, 0.441). Conclusions: The root of the upper and lower incisors showed various morphological changes after camouflaged treatment of adult skeletal class III malocclusion. The absorption was mainly manifested as slope form and cone-shaped form, and flat form resorption can be seen. 3D model registration can be used as a reliable auxiliary method for the morphological study of root absorption.

Published in American Journal of Clinical and Experimental Medicine (Volume 11, Issue 3)
DOI 10.11648/j.ajcem.20231103.11
Page(s) 47-51
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Skeletal Class III Malocclusion, Camouflaged Treatment, Three-Dimensional Reconstruction, Registration, Root Resorption, Morphology

References
[1] Park JH, Emamy M, Lee SH. Adult skeletal class III correction with camouffage orthodontic treatment. Am J Orthod Dentofacial Orthop, 2019, 156 (6): 858-869.
[2] Martinez P, Bellot-Arcís C, Llamas JM, et al. Orthodontic camouflage versus orthognathic surgery for class III deformity: comparative cephalometric analysis. Int J Oral Maxillofac Surg, 2017, 46 (4): 490-495.
[3] Eslami S, Faber J, Fateh A, et al. Treatment decision in adult patients with class III malocclusion: surgery versus orthodontics. Prog Orthod, 2018, 19 (1): 28.
[4] Lu CL, Li BW, Yang M, et al. Relationship between alveolar-bone morphology at the mandibular incisors and their inclination in adults with low-angle, skeletal class III malocclusion-A retrospective CBCT study. PLoS One, 2022, 17 (3): e0264788.
[5] Weltman B, Vig KW, Fields HW, et al. Root resorption associated with orthodontics tooth movement: a systematic review. Am J Orthod Dentofacial Orthop, 2010, 137 (4): 462-476.
[6] Araujo MTS, Squeff LR. Orthodontic camouflage as a treatment alternative for skeletal Class III. Dental Press J Orthod, 2021, 26 (4): e21bbo4.
[7] Deng Y, Sun Y, Xu T. Evaluation of root resorption after comprehensive orthodontic treatment using cone beam computed tomography (CBCT): a meta-analysis. BMC Oral Health, 2018, 18 (1): 116-130.
[8] Liedke GS, da Silveira HE, da Silveira HL, et al. Influence of voxel size in the diagnostic ability of cone beam tomography to evaluate simulated external root resorption. J Endod, 2009, 35 (2): 233-235.
[9] Campos MJ, Silva KS, Gravina MA, et al. Apical root resorption: the dark side of the root. Am J Orthod Dentofacial Orthop, 2013, 143 (4): 492-498.
[10] Sameshima GT, Iglesias-Linares A. Orthodontic root resorption. J World Fed Orthod. 2021, 10 (4): 135-143.
[11] Glenn T. Sameshima, Kati O. Asgarifar. Assessment of Root Resorption and Root Shape: Periapical vs Panoramic Films. Angle Orthod 2001, 71: 185-189.
[12] Zhuang Li, Meng Xianying, Li Ping, et al. A pilot study on three dimensional morphology of root by Micro-CT during orthodontic root resorption. Journal of Modern Stomatology, 2010, 24 (1): 36-38.
[13] Qv Xinghui, Shi Youling, Ma Yan, et al. Study on the effect of posterior splint combined with microimplant technique in the treatment of angle Class III malocclusion. Journal of Clinical Stomatology, 2022, 38 (02): 90-93.
[14] Kawai N, Watanabe M, Shibata M, et al. Treatment decision of camouflage or surgical orthodontic treatment for skeletal Class III patients based on analysis of masticatory function. J Dent Sci. 2022, 17 (2): 822-830.
[15] Rudolph DJ, Willes PMG, Sameshima GT. A finite element model of apical force distribution from orthodontic tooth movement. Angle Orthod, 2001, 71 (2): 127-131.
[16] Roscoe MG, Meira JB, Cattaneo PM. Association of orthodontic force system and root resorption: a systematic review. Am J Orthod Dentofacial Orthop, 2015, 147 (5): 610-626.
[17] Lyu Hangmiao, Gao Juan, Ma Huimin, et al. Three-dimensional root resorption of maxillary anterior teeth in skeletal class III patients: a cone beam computed tomography study. Chinese Journal of Orthodontics, 2020, 27 (03): 129-133.
[18] Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics, 1977, 33: 159-174.
Cite This Article
  • APA Style

    Wang Lin-na, Hou Yan, Zhang Yu-ze, Chang Wei-wei, Liu Zi-yang, et al. (2023). Morphological Research of Incisor Root Resorption After Camouflaged Orthodontic Treatment of Adult Skeletal Class III Malocclusion. American Journal of Clinical and Experimental Medicine, 11(3), 47-51. https://doi.org/10.11648/j.ajcem.20231103.11

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    ACS Style

    Wang Lin-na; Hou Yan; Zhang Yu-ze; Chang Wei-wei; Liu Zi-yang, et al. Morphological Research of Incisor Root Resorption After Camouflaged Orthodontic Treatment of Adult Skeletal Class III Malocclusion. Am. J. Clin. Exp. Med. 2023, 11(3), 47-51. doi: 10.11648/j.ajcem.20231103.11

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    AMA Style

    Wang Lin-na, Hou Yan, Zhang Yu-ze, Chang Wei-wei, Liu Zi-yang, et al. Morphological Research of Incisor Root Resorption After Camouflaged Orthodontic Treatment of Adult Skeletal Class III Malocclusion. Am J Clin Exp Med. 2023;11(3):47-51. doi: 10.11648/j.ajcem.20231103.11

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  • @article{10.11648/j.ajcem.20231103.11,
      author = {Wang Lin-na and Hou Yan and Zhang Yu-ze and Chang Wei-wei and Liu Zi-yang and Zhao Li-ru and An Shi-xuan and Ma Wen-sheng},
      title = {Morphological Research of Incisor Root Resorption After Camouflaged Orthodontic Treatment of Adult Skeletal Class III Malocclusion},
      journal = {American Journal of Clinical and Experimental Medicine},
      volume = {11},
      number = {3},
      pages = {47-51},
      doi = {10.11648/j.ajcem.20231103.11},
      url = {https://doi.org/10.11648/j.ajcem.20231103.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20231103.11},
      abstract = {Objective: CBCT and Mimics software were performed to investigate the incisor root resorption after camouflaged orthodontic treatment of adult skeletal class III malocclusion. Methods: Thirty permanent dentition adult patients with skeletal class III malocclusion were included in orthodontic department. CBCT data of each patient at pretreatment and posttreatment were acquired and three-dimensional (3D) digital models were reconstructed. Image registration was performed of each incisor 3D model before and after camouflaged treatment. Observation, classification and statistics of 3D model overlap were performed, as well as the morphological changes of root resorption were described. Results: (1) Either the upper or lower incisors, slope form resorption had the most percentage (49.17%, 46.67%; 51.67%, 49.16%), followed by cone-shaped form resorption, and flat form resorption had the less percentage. In the upper incisors, the root resorption was mainly in the lingual-labial direction (46.67%, 41.67%), while in the lower incisors, it was in the labial-lingual direction. (2) The result of Kappa consistency test is good (K=0.471, 0.441). Conclusions: The root of the upper and lower incisors showed various morphological changes after camouflaged treatment of adult skeletal class III malocclusion. The absorption was mainly manifested as slope form and cone-shaped form, and flat form resorption can be seen. 3D model registration can be used as a reliable auxiliary method for the morphological study of root absorption.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Morphological Research of Incisor Root Resorption After Camouflaged Orthodontic Treatment of Adult Skeletal Class III Malocclusion
    AU  - Wang Lin-na
    AU  - Hou Yan
    AU  - Zhang Yu-ze
    AU  - Chang Wei-wei
    AU  - Liu Zi-yang
    AU  - Zhao Li-ru
    AU  - An Shi-xuan
    AU  - Ma Wen-sheng
    Y1  - 2023/05/29
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ajcem.20231103.11
    DO  - 10.11648/j.ajcem.20231103.11
    T2  - American Journal of Clinical and Experimental Medicine
    JF  - American Journal of Clinical and Experimental Medicine
    JO  - American Journal of Clinical and Experimental Medicine
    SP  - 47
    EP  - 51
    PB  - Science Publishing Group
    SN  - 2330-8133
    UR  - https://doi.org/10.11648/j.ajcem.20231103.11
    AB  - Objective: CBCT and Mimics software were performed to investigate the incisor root resorption after camouflaged orthodontic treatment of adult skeletal class III malocclusion. Methods: Thirty permanent dentition adult patients with skeletal class III malocclusion were included in orthodontic department. CBCT data of each patient at pretreatment and posttreatment were acquired and three-dimensional (3D) digital models were reconstructed. Image registration was performed of each incisor 3D model before and after camouflaged treatment. Observation, classification and statistics of 3D model overlap were performed, as well as the morphological changes of root resorption were described. Results: (1) Either the upper or lower incisors, slope form resorption had the most percentage (49.17%, 46.67%; 51.67%, 49.16%), followed by cone-shaped form resorption, and flat form resorption had the less percentage. In the upper incisors, the root resorption was mainly in the lingual-labial direction (46.67%, 41.67%), while in the lower incisors, it was in the labial-lingual direction. (2) The result of Kappa consistency test is good (K=0.471, 0.441). Conclusions: The root of the upper and lower incisors showed various morphological changes after camouflaged treatment of adult skeletal class III malocclusion. The absorption was mainly manifested as slope form and cone-shaped form, and flat form resorption can be seen. 3D model registration can be used as a reliable auxiliary method for the morphological study of root absorption.
    VL  - 11
    IS  - 3
    ER  - 

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Author Information
  • Hebei Clinical Research Center for Oral Diseases, Hebei Key Laboratory of Stomatology, Department of Orthodontics, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, China

  • Hebei Clinical Research Center for Oral Diseases, Hebei Key Laboratory of Stomatology, Department of Orthodontics, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, China

  • Hebei Clinical Research Center for Oral Diseases, Hebei Key Laboratory of Stomatology, Department of Orthodontics, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, China

  • Hebei Clinical Research Center for Oral Diseases, Hebei Key Laboratory of Stomatology, Department of Orthodontics, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, China

  • Hebei Clinical Research Center for Oral Diseases, Hebei Key Laboratory of Stomatology, Department of Orthodontics, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, China

  • Hebei Clinical Research Center for Oral Diseases, Hebei Key Laboratory of Stomatology, Department of Orthodontics, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, China

  • Department of Stomatology, Hebei Medical University, Shijiazhuang, China

  • Hebei Clinical Research Center for Oral Diseases, Hebei Key Laboratory of Stomatology, Department of Orthodontics, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, China

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